Claims for benefit
The following Claim Forms are provided for your use:
Benefit Claim Form (108kb)
When you click on the file below, a new window should open on your PC containing the form.
Online Receipt-Based Benefit Claim Form
Online Hospital-Based Benefit Claim Form
Please note that the Online Benefit Claim Form can be used to save your details for the next time you wish to make a claim. (These details will only be stored on your own PC). Please complete, print, sign and send the claim form to Health Shield, with accompanying receipts when required.
Downloadable forms
Health Declaration Form (click to download and print) (181kb)
List of Accepted Qualifications (86kb)
There are two types of file above:
PDF - To view these files you will need to have Acrobat Reader installed on your computer - most computers have Acrobat installed but if you have problems opening the files you can download Acrobat Reader from Adobe by clicking here. If you do not have internet access to download or install Acrobat Reader, and you require this, contact your systems administrator.
WEB - These files will open in your browser window where you can type your information in, and press the `submit` button (where applicable) which automatically sends the information to us.