Claim forms

The table below details the benefit categories available from your Supplementary Insurance cover. Please refer to your Policy Document for full details of the benefit limits and exclusions that apply.

 

Alternatively, to download a claim form simply click on the relevant link.

Note: These links will open in a new window.

 

 

Benefit A - Emergency dental treatment	Claim form
Benefit B - Treatment following dental injury/trauma	Claim form
Benefit C - Out of hours consultation for dental emergency or injury	Claim form
Benefit D - Hospital cash	Claim form
Benefit E - Overseas emergency dental treatment	Claim form
Benefit F - Mouth cancer cover	Claim form

 

 

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