Claiming from either the First-Time Cancer Diagnosis Benefit or the Trauma Counselling Cover Benefit requires a seperate downloadable form to be completed. This is because we require information that only the Healthcare or Service Provider can provide us.
Please download the applicable claim form below, and once complete, manually submit the form to firstname.lastname@example.org
Please don't click next, once you have downloaded the applicable claim form.
Click the SAVE button to save your progress if you have to rush off, but don’t forget to come back to us because your claim will only reflect on our system once it’s been fully completed and submitted.
The bank account details that you provide in this section will be the bank account we'll make a claim payment into. We don't accept any responsibility or liability for claim payments made into an incorrect bank account that you've provided.
We reserve the right to negotiate a discount with your healthcare or service provider(s) to help maintain a good risk profile. Only if your provider agrees to a discount will we pay them directly.
Please submit proof of payment if you've paid your provider directly. If we negotiate a discount and pay your provider without knowing that you've already made payment, we won't facilitate a refund or assist with the difference between the claimed amount and the discount granted.