SimpleCare
WorldCare

Where to get care


We’ve made it as simple and easy as possible for our members to use their SimpleCare health plan, so you can quickly and easily access the best care when you need to.

You can also see countries where you can seek medical treatment in this pdf.

 

How to Submit a Claim

If you have paid for medical treatment, you will need to submit a claim for reimbursement. You can do this in one of two ways:

1. Secure Online Portfolio:

The easiest way to submit a claim is via your Secure Online Portfolio. Take the following steps to submit your claims quickly and easily:

  1. Click "My Claims".
  2. Click "Make an out-patient claim" if you're claiming for a consultation, or "In-patient and day-patient" if your claim relates to a hospital admission.
  3. Complete the necessary details and submit your claim.

Each page of the claim process includes a guide to help you, and will also show you how to keep track of any claims you submit.

2. Mobile App

You can use the Now Health International app to submit your claims. Take the following steps to submit your claims quickly and easily:

  1. Open the "Submit A Claim" tab.
  2. Select "Make an out-patient claim" if you're claiming for a consultation, or "In-patient and day-patient" if your claim relates to a hospital admission.
  3. Complete the necessary details and attach supporting documents and submit your claim.

To submit the claim complete the form and don’t forget to attach any receipts or diagnostic reports. You will receive a notification to acknowledge receipt of your claim and you can track it using your secure online portfolio. If you have any questions or queries, our 24/7 Customer Service team is always on hand to help.

 

When you need in-patient treatment

If you need to be admitted to hospital for in-patient or day-patient treatment, you must contact us first to request treatment pre-authorisation.

We will then place a guarantee of payment with the medical provider so you don’t need to pay anything up front.

You can request treatment pre-authorisation via your secure online portfolio. Watch our explainer video to see how simple and easy it is to use.

When you need out-patient treatment

If you have our SimpleCare 100 or SimpleCare 250 plan which includes out-patient treatment, you can choose to go to any medical practitioner of your choice or one from our network.

You can use our Find a Medical Provider Tool to help you find a medical provider in our network.

You will need to pay for your out-patient treatment and then claim back your expenses online using our easy to use digital tools.

Find out how to submit a claim online here.

 

 

Access Healthcare Worldwide


When you need out-patient treatment

If you select a plan that includes out-patient treatment, you can go to any medical practitioner, pay for your treatment and claim back your expenses.
OR
If your plan includes out-patient treatment and you have chosen a nil excess or have our out-patient direct billing option, you can access treatment within our provider network without paying anything.

When you need in-patient or day-patient treatment

For in-patient and day-patient care, get in touch with your nearest customer service team and they will aim to put a guarantee of payment in place with your preferred medical provider, to minimize your out-of-pocket expenses.

Need to find a medical provider in our network?

We have an extensive and constantly growing network of providers you can use to access healthcare worldwide.

Accessing elective treatment in the USA

If you have selected our USA Elective Treatment option and need to access non-emergency health care in the USA, you can find a medical provider by clicking here. You must contact us prior to any appointments so we can confirm that the facility is an 'In-Network' medical provider. We will also try to settle the bill directly with the provider. We must have approved any costs you incur in advance or we may not be able to cover the cost of your treatment.

To access our USA Network:

  1. Click here
  2. Click on 'Options PPO'
  3. Enter your Location and press Continue
  4. Find Health Care by Category

User guide videos


How to Download Your Virtual Membership Card
Watch on YouTube
Online Portfolio - How to Add and Edit Members
Watch on YouTube
Online Portfolio - How to Submit Treatment Pre-authorisation
Watch on YouTube
Online Portfolio - How to Make a Claim
Watch on YouTube
Online Portfolio - Employees
Watch on YouTube
Online Portfolio - Individuals and Families
Watch on YouTube
Online Portfolio - Group Administrators
Watch on YouTube
Online Portfolio - How to scan Mobile Pass
Watch on YouTube
How to Find a Medical Provider
Watch on YouTube
How to download Mobile Wallet Membership Card
Watch on YouTube