Health Insurance

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How to claim?

Please ensure that all the relevant sections of the claim form are fully completed.  Failure to do so may result in claims payment being delayed.
Claims for specialist consultations and any diagnostic procedures must be on the initial recommendation of your General Practitioner, except for consultations/treatment given by: Gynaecologists, Paediatricians, Ophthalmologists.

Pre-Authorisation of claims:

The Policy requires that you contact our office prior to undergoing Day-Case or In-Patient Treatment. This will enable us to guide you regarding the eligibility of claims and extent of cover and, where possible, settle claims directly with the hospital concerned. CT and MRI scans may also be eligible for direct settlement, so it is advisable that you contact us prior to undergoing such Treatment too.

The procedure for pre-authorisation is as follows:

Please send a fully completed and signed Claim Form supported by all relevant medical documentation to our office, preferably by e-mail addressed to info@galeabrokers.com.

Upon receipt of the requisite claim documents, we will contact you with our request for any further documentation, if necessary, or our confirmation of cover.

In case of an emergency situation or anything to do with claims you may contact us on 21 235880.

Always enclose the ORIGINAL receipts – photocopies and credit card vouchers/statements are not acceptable.

For cash benefit for In-patient or day-case treatment, we need an original case summary (you obtain this from the hospital).

In order to claim for the Maternity Cash benefit, the following procedure is to be followed:  A claim form is to be submitted, within three months from birth, by the person applying for cover.  Part 1 to be completed with the details of the insured, while in Part 2 the following note is to be inserted “claiming for Maternity cash benefit”.

Newborn children can be added to their parent’s policy as long as they apply for cover within the first three months from birth and an original birth certificate is forwarded to Galea Insurance Brokers.  Cover will be free up till the parent’s next renewal date.

Claims will only be considered for payment if all documentation is submitted within three months from the date of treatment.