In most cases, you simply present your Unity Health membership card and ID to the provider and the provider will submit the claim directly to us for processing and payment.
In isolated cases, if you did pay the provider directly you may fill out a reimbursement form and email us with all supporting documentation within 6 months from the date of treatment. We will assess and reimburse you in respect of all valid claims. See below for more information regarding reimbursements.
The Nomination of Beneficiaries form allows you to nominate one (1) beneficiary to receive benefits payable under your Elixi Medical Insurance Accidental Death Plan as a result of your death.
Please note: As the member, if you choose not to nominate a beneficiary using this form, any payments payable under your policy as a result of your death will be made to your estate. It is vital this form is completed and sent to us. Please download this here and return your completed beneficiaries form to email@example.com.
Refer to your policy document for full terms and conditions.
Should you ever need to submit a claim, the claims process is simple and easy to follow. Submissions are to be made directly to Unity Health, the underwriting managers administering the policies sold under Elixi Medical Insurance, within 6 months from the date of the event of your claim. Failure to notify a claim within this time may lead to the claim being rejected. You may be required to complete a claim form and produce documentary proof substantiating your claim. T&C’s apply. Failure to notify a claim within this time may lead to the claim being rejected as a stale claim.
Members making use of their unlimited GP visits to a network doctor should not be required to make a claim as these are settled directly with the provider.
In isolated cases, if you did pay the provider directly, follow the below steps.
Click here to download the member reimbursement form. Or email Unity Health’s client services on firstname.lastname@example.org and request a copy of the member reimbursement form – within 120 days of the event.
Submit a copy of the main member’s ID, proof of bank details stamped by the bank (either a banking details verification form or a copy of a bank statement).
Submit proof of payment of the claim. ie. receipts/a fully detailed account/statement of account.
Submit the provider account or tax invoice provider statement.
Complete and sign the reimbursement form and forward to email@example.com with all the above relevant documentation.
Refunds are processed within seven working days, depending on whether all information has been received and completed accordingly.
Don’t forget, all member reimbursement claims must be submitted with:
Contact Unity Health’s client services call centre on 086 136 6006.
Contact Unity Health claims division via email: firstname.lastname@example.org. Please keep your query or workflow number received as it provides proof claims were received and be retrieved easily or fax the claim: 011 706 5568
The claims department has a 48 hour turnaround time and payments of claims are done within 7 – 10 working days.
MEDICAL INSURANCE DISCLAIMER: This is not a medical scheme and the cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership. The benefits are subject to waiting periods and applicable limits. These are outlined in the policy wording which you are required to read and understand. T&Cs apply. The increase would be based on risk and inflation rates. This is not your policy wording and for the full disclaimer please go to www.elixi.co.za/disclaimer-notice
GAP COVER DISCLAIMER: This is not a medical scheme and will not be a substitute for medical scheme membership. It fills the GAP between what is covered by your Medical Aid, and the actual amount charged by your medical practitioner for in-hospital procedures. This is not your policy wording and for the full disclaimer please go to www.elixi.co.za/disclaimer-notice
Please note that the premiums presented on this website are based on the current rates and is subject to an increase which should take place in December 2018. The increase would be based on risk and inflation rates.
Constantia Insurance Company Ltd – an authorised FSP 31111. Talksure Trading (Pty) Ltd – an authorised FSP 42788. Ambledown Financial Services (Pty) Ltd – an authorised FSP 10287.