Health Claims
This Product is manufactured by MAPFRE Middlesea p.l.c.
MAPFRE Middlesea p.l.c. (C-5553) is authorised by the Malta Financial Services Authority (MFSA) to carry on both long term and general business under the Insurance Business Act, Cap. 403 of the Laws of Malta. MAPFRE Middlesea p.l.c. is regulated by the MFSA.
Steps to claim
Step 1. Claims for reimbursement
The quickest way to submit your claim for reimbursement is using the online form, scroll down to start your submission after reading the information below.
- One claim per person is to be submitted in a single online form.
- Claims must be submitted within 3 months of initial date of treatment.
- All treatment must be undertaken and given by and under the control of a specialist or your GP.
- Complete all fields in this section – you may omit completion of page 1 of the physical claim form.
Before you start make sure you have the following readily available:
- Your policy number (this will be on your schedule or member certificate);
- A good quality scan or photo of the claim form completed by your medical service provider;
- A good quality scan or photo of the receipt and other relevant medical documentation;
- Your IBAN.
Do not send the original documents you are submitting online unless we specifically ask you to. This may be done for verification purposes as part of the assessment process; therefore, please keep your documents until your claim is settled.
In line with the Central Bank of Malta’s Directive No. 19 we cannot issue cheques for amounts of €20.00 or less. These amounts can only be reimbursed by direct credit to your bank account.
If you are unable to use the online function, you can send us your claim by post, as detailed on the claim form.
Step 2. Pre-Authorisation of claims
Contact us on healthclaims@middlesea.com for pre-authorisation before receiving any of the following treatment:
- Surgery
- Hospitalisation
- MRI/CT/PET scans
- Home nursing
- Mental health treatment
We will need:
- A medical report detailing your medical history, diagnosis and recommended treatment; and the procedure code in case of surgery.
- A quotation for the planned medical treatment
We will confirm how you are covered and about direct settlement of invoices in writing.
You will need to pay any fees that are not authorised directly to your medical provider.
All treatment must be undertaken and given by and under the control of a specialist or your GP.
Authorisations are valid for 30 days from the date confirmed by us.
In case of a medical emergency contact us on +356 22480210.