How to Make a Claim

QPTIMUM GLOBAL

OPTIMUM GLOBAL provide smooth and easy ways to make a claim with us. Our team of people help our clients to make it simple.

Claiming for out-patient treatment

If you have a medical emergency and you require immediate medical assistance, please contact our Assitance Provider as soon as possible on their 24 hours, 7 days a week helpline on +44 (0) 1892 772 575.

For Out-Patient

Give Us all supporting medical information (including all relevant documents and bills) within ninety (90) days of the date of service or treatment, otherwise they will not be considered for reimbursement.

For claims ask your doctor to fill out some details

Please ask your doctor to complete Section C of the claim form which can be found here.

Collect your invoices/receipts

Ask your doctor for a fully itemised invoice along with the receipt, which gives a breakdown of all medical treatment received and any drugs prescribed.

Complete the online claims form

Complete the online claim form, along with uploading any supporting documents. Alternatively, you can email the completed claim form, along with a copy of the invoices to contact us page.

For claims ask your doctor to fill out some details

Please ask your doctor to complete Section C of the claim form which can be found here.

Collect your invoices/receipts

Ask your doctor for a fully itemised invoice along with the receipt, which gives a breakdown of all medical treatment received and any drugs prescribed.

Complete the online claims form

Complete the online claim form, along with uploading any supporting documents. Alternatively, you can email the completed claim form, along with a copy of the invoices to contact us page.

Send us or attach your invoices/receipts/documents

Email the completed Claim Form, along with a copy of the invoices, to us via contact page.

Send us or attach your documents

Email the completed Claim Form, along with a copy of the invoices, to us via contact page.

Claiming for hospital admission

Get in touch

Pre Authorisation is required for all In-patient treatment. You must contact us on +44 (0) 1892 772575 when planning In-patient or daycare treatment (This is treatment for which you are admitted to hospital or clinic even if only for a few hours)

Emergencies

If the treatment is given as an emergency, then you may not be able to contact us beforehand. Do, however ask someone to contact us as soon as possible (ideally within 24 hours of admission)

Guarantee of Payment

Please make sure that, when you are admitted to hospital, the hospital is given your membership details and proof of identity so that they can contact us straight away in order that a Guarantee of Payment may be placed.

Schedule a Call

Making a claim

Please click here the download button to download PDF form – you will need page 2 to give to your doctor.

Download the claim form as a PDF

Please submit your claims to claims@optimumglobal.com

SECTION A: PATIENT DETAILS TO BE COMPLETED BY INSURED MEMBER

Name of Main Applicant *

Membership Number: *

Date of Birth

Sex:

Present Contact Address:

Telephone Number:

Email Address for Remittance Advice

If the person named above is not the patient, please complete details

Membership Number:

Name of Patient:

Sex:

Date of Birth

SECTION B: SETTLEMENT DETAILS

We settle all eligible claims by bank transfer (EFT), therefore it is important that you confirm your correct bank details every time you make a claim. Should the incorrect bank details be provided we reserve the right to charge an administrative fee to cover any charges incurred due to the error.

Total amount claimed (including currency):

Currency of Reimbursement

Bank Transfer – All fields in the box below are MANDATORY:

If the account holder is not the claimant then you must state their relationship with the claimant and provide evidence of their permission for the funds to be transferred to their account (except in the case of a minor):

Name of Account Holder (as it appears on bank statement)

Relationship to claimant

IBAN where applicable

Routing/intermediary information if required

Beneficiary Bank Account number (only if IBAN not applicable)

Account Holder Address (residential address registered with the bank):

Name of Bank, Branch and Location:

Swift Code/BIC:

Sort Code (for UK banks only):

PLEASE NOTE:

It is important that you complete the bank details section in full. Any missing or unclear information may result in payments being delayed.
Bank charges may apply when making bank transfers
Payments are not made directly to any clinic, physician or medical provider
If IBAN numbers are not used please ensure that the account number is entered and that the Swift Code/BIC is also completed.

SECTION C: PATIENT DETAILS TO BE COMPLETED BY TREATING DOCTOR

Note: If there are multiple doctors, this section is to be completed by the last attending physician.

Diagnosis (BLOCK CAPITALS PLEASE) *

Date of First Consultation?

Onset Date of Symptoms:

Date Treatment Received:

Nature of Treatment:

Name of Physician/Surgeon and Qualifications:

Name of Clinic:

Address of Clinic:

Doctor or Clinic Telephone Number:

Doctor or Clinic Email Address

SECTION D: UPLOAD SECTION

Please upload your documents below, failure to do so will delay your claim

Medical report upload

Receipts upload

DECLARATION & AUTHORISATION

(This part must be signed by the patient or patient’s parent/legal guardian if the patient is below 18 years of age). I hereby authorise any hospital, physician, person or organisation to disclose all information with respect to any illness, injury, medical history, consultations, prescriptions or treatment, and copies of all hospital or medical records. A photostat copy of this authorisation shall be considered as effective and valid as the original.

I certify that the above statements and answers are true and complete to the best of my knowledge and belief.

I Agree

Main Applicant

Date

Patient

Date

Frequently asked questions

Welcome to our claims FAQ section, designed to provide you with quick and easy answers to your questions regarding claims for your International Private Medical Insurance policy with Optimum Global. Our aim is to simplify the claims process and provide you with the information you need to submit a claim quickly and efficiently. If you have any additional questions or require further assistance, please don't hesitate to contact our dedicated claims team, who are available 24/7 to assist you.

How long does it take to process a claim for medical treatment abroad?

The processing time for a claim may vary depending on the provider, but Optimum Global aims to process claims within 7 working days.

What documents do I need to submit a claim?

You typically need to submit medical bills, receipts, and any other relevant documentation to support your claim.

What happens if I need emergency medical treatment while abroad?

If you require emergency medical treatment while abroad, you should contact your provider as soon as possible, who will provide you with the necessary assistance.

Can I request a pre-authorization for medical treatment to ensure that it's covered by my IPMI policy?

Yes, you can request a pre-authorization for medical treatment to ensure that it's covered by your IPMI policy.

How are inpatient claims typically paid?

Inpatient claims are usually paid directly to the hospital or medical facility in 99.9% of cases, which means that you won't need to worry about paying upfront and claiming reimbursement later.

What is the process for submitting a claim for emergency medical treatment?

If you require emergency medical treatment, you should contact your IPMI provider as soon as possible, who will provide you with the necessary assistance and advice on the claims process.

Can I choose any healthcare provider or facility for medical treatment?

It depends on your IPMI policy, but most providers have a network of healthcare providers and facilities that you should use to ensure coverage and timely reimbursement of claims.

OPTIMUM GLOBAL