MedexProtect claim form Existing Customer 04 02 21 Final docx 2025

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4.8 out of 5

200 votes

The document provides a detailed guide on how to submit a Private Medical Insurance (PMI) Excess or Shortfall Claim. It outlines the necessary steps including completing the claim form, providing supporting evidence from healthcare insurers, and submitting the claim within 90 days of receiving the initial claims statement. Additionally, it includes information about bank transfer payments and a declaration section for accuracy and consent.

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Click ‘Get Form’ to open the MedexProtect claim form in the editor.
Begin by filling in your personal details in the 'Policy Holders Details' section, including your title, first name, last name, Medex policy number, date of birth, and preferred contact number.
Indicate who the claim is for by selecting from options such as yourself, your partner, or your child. Then provide the excess and shortfall amounts.
In the 'Claimants Details' section, repeat the process for any additional claimant information required.
Complete the 'Payments' section by entering bank details for all parties involved: account holder name, sort code, account number, and amount that needs to be settled.
Review and sign the declaration at the end of the form to confirm that all information is accurate and complete.
Once completed, save your document and submit it along with supporting evidence via email to claims@medexprotect.co.uk within 90 days of receiving your initial claims statement.

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