Health Plan - Surgical Approval Form

Health Plan
  • If you need surgery you must complete this form.
  • If you require surgery with a GP, you do not need surgical prior approval.
    If you need surgery with a GP, you can pay for the procedure and claim back up to $500 per visit.
    Simply complete a Medical claim form and attach the full invoice.

All Health Plan surgical claims must be pre-approved prior to surgery. Complete this form as soon as surgery has been decided necessary, for pre-approval of your surgical claim.

If your surgery is scheduled in the next 10 days, your request will be given urgent priority. Please email (or fax) the form to us to ensure faster processing.

For urgent cases or to have a form posted contact our Member Services Team.

When emailing forms, documents or pictures:
Please use the attachment function to attach your jpeg, png or PDF to your email. Do not insert them into your email as this will delay processing.