Call us Get a Quote

Submit your claim online

You can submit your claim online by using the form below. If you are unsure and would like to speak to someone, please call our UK based team on +44 1276 486 460 – we’re here to help. Office hours are Mon- Fri, 6am to 6pm (GMT).

This form should be completed only if you’ve paid for treatment and would like to claim back the eligible costs. If the amount of your claim exceeds US$500 (or equivalent in another currency) please ask your physician to complete section B of the claim form which can be found here. This will then need to be uploaded with this form or emailed to us later at

Please complete the information requested and include supporting information via the document upload function. All fields marked with an * denote required fields.