Here's how it works
01. Edit your medicash claim form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send medicash claim form online via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out medicash claim form with our platform
- Click ‘Get Form’ to open the medicash claim form in the editor.
- Begin with Part 1: Policyholder Details. Fill in your Medicash Policy Number, address, title, surname, forename(s), daytime telephone number, date of birth, and email. Ensure all information is accurate to avoid delays.
- Move to Part 2: Your Claims. Mark a cross (X) in the box corresponding to the claimant and benefit being claimed. Complete a separate line for each receipt, up to four receipts per claim form. Attach all relevant original receipts.
- In Part 3: Private Medical Insurance (PMI) Excess Fees, indicate whether you have paid the practitioner and provide their details if payment is to be made directly.
- For hospital inpatient and daycase claims, ensure Part 4 is completed by the ward clerk. This includes patient details and confirmation of treatment dates.
- Finally, sign the declaration at the bottom of the form and return it as instructed.
Start filling out your medicash claim form online for free today!
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