What is a claim? 

A claim is the request made by a member for the eligible costs of medical treatment included in their chosen plan. For most claims, our members must seek pre-approval first. 

What is pre-approval? 

Pre-approval is the process of checking your eligibility before you make a claim for medical treatment to ensure that you’ll be covered under your plan. Your pre-approval will confirm whether your medical treatment is covered under your plan and whether any conditions apply. It also helps to provide us with an estimated cost from your health providers. Check your policy document to see what you are covered for.  

Need to make a claim?

Check out our claims process.