Types of Claim Forms
Hospital Claims

We have direct payment agreements with all of our listed hospitals so we can settle the bill directly with the hospital for all eligible costs, covered by your plan.

Before going into hospital, you should check what cover your policy provides for a particular hospital or treatment centre by calling our customer service team on 01 562 5100.

You will need to know the following information before you call us:

  • Consultant name
  • Hospital Name
  • Procedure Code

Hospital Claim Forms

Hospitals will supply the below forms to Irish Life Health members:

Pre Approval Forms

Before you fill out these forms, you will be required to get pre-approval in advance

Not a member yet? Join Irish Life Health today

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