Claiming:
Making a Claim - Claim Forms and Information
Download the relevant claim form (pdf) from the list below. You will need to print the form, complete it and post it back to us with the relevant supporting documentation. Select "More info..." for more on making a claim.
- LifeStages Out-Patient Claim Form
- Day to Day Expenses (First Plans)
- Day to Day Expenses (Family Plans)
- Day to Day Expenses (Forward Plan)
- Day to Day Expenses (Company Plan)
- Day to Day Expenses (Company Plan Plus)
- Terms & Conditions - LifeStage Choices
- Terms & Conditions - Company Rules
LifeStages & Company Day-to-Day Claim Forms
- Outpatient Expenses (Plans A-E & Options) More info...
- Terms & Conditions
Plans A- E & Options Outpatient Claim Form
- HealthSteps SilverMore info...
- HealthSteps GoldMore info...
- Terms & Conditions
HealthSteps Claim Forms
- Hospital Claims - Direct Payment More info...
- Hospital Claims - Non-Direct Payment More info...
- Terms & Conditions
Hospital Claim Forms
- Global Claims More info...
- Terms & Conditions
Global Claim Form
- Dental - Vhi DeCare DentalMore info...
- Dental - Vhi DeCare Dental (Orthodontic)
- Dental - Pre-Certification Form
- Terms & Conditions
Dental Claim Forms
- MultiTrip Travel Insurance Claim Forms
- Terms & Conditions
MultiTrip Claims
- Maternity Claims - Direct PaymentMore info...
- Maternity Claims - Non-Direct PaymentMore info...
Maternity Claim Forms
- Benefits Direct to Member
- Treatment AbroadMore info...
- Oncology/Radiotherapy - Day Care & Side Room Claims
- MRI - Direct Payment
- MRI - Non-Direct Payment
- Surgical Procedures
- Plan P Hospital Claim - Non Direct Payment
- Private Ambulance - Direct Payment
- Appliance Claim Form
Other Claim Forms
For Information on Tax Refunds for Medical Expenses visit Revenue.ie