FAQ

Frequently asked questions

Reimbursements, cover, direct billing, group contracts: here is what we are asked most often. If your question is not here, write to us.

Reimbursements and care claims

4 questions
How do I submit a care claim?

Photograph the claim form and supporting documents and send them online — it takes less than 2 minutes. You can also drop them off at a branch.

How long does reimbursement take?

72 hours on average once a complete file is received. You can follow every processing step in real time.

What happens if my file is incomplete?

The 72-hour window starts once a complete file is received. If a document is missing, we tell you so you can send it without starting the whole process again.

How can I track my reimbursement?

Every processing step is visible online and you are notified at each change of status, right through to the transfer.

Contracts and cover

3 questions
Can I cover my family?

Yes: your spouse and children can be added to your contract, whether on an individual plan or a group contract, subject to your employer’s terms.

What does the 30-day guarantee cover?

We guarantee reimbursement for 30 days, so that you can take out cover with peace of mind.

Can you review a contract taken out elsewhere?

Yes. Our advisory and audit work is precisely about reviewing your existing contracts, running tenders and optimising your cover.

Care network and direct billing

4 questions
Does direct billing work everywhere?

At the 1,200 contracted providers in our network: clinics, pharmacies, laboratories and opticians. Outside the network, you pay up front and are then reimbursed.

How do I find a provider near me?

Our online directory is geolocated: it shows you the nearest contracted clinics, pharmacies, laboratories and opticians.

What should I do in case of hospitalisation?

Hospital cover operates around the clock, and our teams support complex cases throughout the course of care.

How do I become a contracted provider?

Clinics, pharmacies, laboratories, opticians and medical practices can join the network: write to us from the Contact page and choose the “partnership” subject.

Companies and partners

3 questions
How do I get a corporate quote?

Fill in the call-back form or contact us directly: an adviser will prepare a tailored study within 24 working hours.

What is delegated third-party administration?

On behalf of an insurer, we handle the administrative and operational management of contracts: enrolment, direct billing, claims processing and reporting.

What follow-up comes with a group contract?

Group contracts are tailor-made, with cost control and reporting for the HR department.

ANOTHER QUESTION?

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Can’t find your answer here? Write to us describing your situation: we reply quickly, without jargon.

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