Making a Claim - DentalCare Insurance
This is a legal document and may not be altered in any way.
Visit your dentist
If your dental practitioner advises that you require treatment, telephone our helpline on 0844 8730 900 to request a claim form. You should also inform your dental practitioner of your insurance details.
Please note that certain treatment (implants, treatment for tooth wear and any treatment where the estimated cost is more than £500) covered by this policy must be pre-authorised by us before you have the treatment. If you need to have such treatment please have the following information available when you telephone us:
* your policy number,
* the condition being treated,
* the date you first became aware of the condition,
* the treatment planned and the estimated cost, and
* the name of the dental practitioner who will undertake the treatment
Based on the information you provide we will confirm:
* that the condition and treatment are covered by the policy,
* that the dental practitioner is approved by us, and
* the eligibility of the proposed treatment.
Please note that any authorisation given at this stage is subject
to confirmation upon receipt of a fully completed claim form. We
will then send you a claim form, part of which will be completed
from the information you have provided. When you receive the claim form ensure that the information already on the form is correct and complete any remaining information within the “Member’s Section”. Ask the dental practitioner who undertakes the treatment to complete the “Dentist’s Section” of the claim
form. Once the form is complete return the claim form to us together with any accounts you may have received for the treatment provided, so that we can reimburse you for the eligible costs you have incurred. Please let us know if you would like us to pay the accounts directly to the dental practitioner. Any additional accounts should be sent to us as soon as you receive them.
Additional claim forms
If further treatment is required
a) once the last treatment is regarded as complete, or
b) after a period of six months has elapsed since the last treatment,
we will regard this as a new claim and will require a new claim form to be completed and the treatment to be pre-authorised, if appropriate.