How to make a claim with Simplyhealth's Active Plan

Thursday, February 7, 2019

I am not the best at life admin.  Submitting paperwork, such as receipts for my taxes, invoicing for freelance work, and posting things on eBay, tend to get pushed to the side in favour of a workout or episode of Bridezillas.  Actually, the paper gets put into a pile on the kitchen table until my husband forces me to deal with it.

My Simplyhealth UK Active Plan has four different levels of coverage, each with a maximum claim benefit.  I have the premium level, which gives me £350 for muscle and joint care, £100 for podiatry treatments, and £350 for health assessments, in addition to other coverage.  If I utilize just one benefit a month, the plan pays for itself and I can keep exercising without having to worry about being injured.  Because I am so bad at filing paperwork, I was relieved to know that I can either claim with a paper form, which was included in my welcome pack, or submit a claim online.  I spend most of my day sitting at a computer so I figured I would be able to handle method on a regular basis.

Booking an appointment

Before booking any appointments, I make sure to read through the T&C's to ensure my claim will be valid.  For example, physiotherapists have to be registered with Health and Care Professions Council (HCPC), as must podiatrists.  Then I also considered how much my benefit was and if I thought I would need multiple treatments. For example, my feet aren't too gnarly so I splurged with my medical pedicure before Wadi Rum.  For my osteopath treatments, I went with my current clinic to allow for a continuity of care.  For my eye doctor, I went to location that was close to home and affordable.

Filing the paperwork

For each appointment I have attended so far, I received a paper or electronic invoice.  If I received paper, I scanned the document on my printer at work or took a photo.  Then I logged into my Simplyhealth account and took the following steps:

  1. On my Simplyhealth account home page, there is a section that says 'make a claim'.  Click on the button to make a claim online, but there is also an option to request a paper form via the post.
  2. On the next screen, you agree to a declaration that the info you are providing is true.  It also reminds you that the receipt has to have the following information on it:
    • The full name of the person who received the treatment.
    • The name, address and contact details of the practitioner or establishment who provided the treatment.
    • The date and cost of the treatment.
  3. You specify who the claim is for from a dropdown menu (as you many have partners or children on your policy) and the date of the treatment.
  4. Then specify the type of treatment and cost.
  5. Upload the receipt (either photo or pdf).
  6. Then you confirm all of the details, including bank details.

There is also a screen where you can check your benefit balances, which make it very easy to see if you are using you plan to it's full potential.  My payments are always processed within a few days.  I decided to have the money go into my savings account so I could pay for a race abroad at the end of the year (Valencia anyone?). 

Thanks to Simplyhealth for sponsoring my 4x4 challenge.  All opinions are honest and my own.

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