Hospital Claims
For accident, casualty, hospitalisation, maternity, dread disease and permanent disability claims
Prior to admission
Present your membership number or card to the hospital. Note that your Episodic policy may be known to the hospitals as "Africa Assist".
The hospital contacts the Essential Med call center on 0861 911 011 to get pre-authorisation.
Acknowledgement
You may be asked to sign acknowledgement of the authorisation and cover provided under your benefits.
Admission
You will be treated at the hospital or casualty ward.
Claim Submission
The hospital will submit the claims to Essential Med (the administrator) and the providers will be paid directly according to the acknowledged benefits