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Guide to making a claim

We aim to do everything we can to make claiming as simple and straightforward as it can be.
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Call Bupa for these symptoms

There is usually no need to visit your GP for certain symptoms including any muscle, bone or joint symptoms. You can now access treatment directly through Bupa – simply call the members services helpline.

View the full list of symptoms where a GP referral may not be required

Or, visit your GP for other symptoms

Visit your GP who will advise you if you need to see a specialist or healthcare professional for your health needs.

Seeing a private GP

Learn more about Bupa private GP services You can pay for a 30 minute private GP appointment at a Bupa centre convenient to you. Appointments can usually be arranged the same or next day.
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Referral to a specialist

Once you’ve called Bupa
Once you’ve contacted member services we’ll be able to help you access treatment. For muscle, bone or joint symptoms, we can arrange a telephone consultation with a senior physiotherapist. They can give you information on self-help exercises or advice, or if face-to-face treatment is needed they can arrange for you to see an appropriate specialist.

GP referral
If you have a condition that requires a GP referral, we recommend you ask for an ‘Open Referral letter’. This will detail the care your GP would like you to have, but will not be addressed to a specific consultant hospital or healthcare professional.

Open Referral

We aim to offer a choice of two or three specialists, which can mean being seen faster and potentially helping you return to work sooner. If the first choice consultant is unavailable, you'll see an alternative specialist without the need to return to your GP for a second referral.

More about Open Referral

An Open Referral letter needs to include your GP’s assessment of your symptoms, the body area affected and the type of specialist your GP would like you to see.

Important
The Open Referral process is a mandatory requirement on some personal, corporate and company schemes. Please call us on 0345 609 0444^ if you're unsure.

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Contact Bupa member services

You can contact us straight away if you have symptoms that don't require a GP referral.


View the full list of symptoms where a GP referral may not be required

As soon as you have seen your GP, please call us so that we can discuss your options and explain which specialists and healthcare professionals are covered under your Bupa membership. We will let you know what you need to do next and send you any necessary pre-treatment forms you may need to complete.

Bupa By You members
Call us on
0345 609 0777^

Lines are open 8am to 8pm Monday to Friday and 8am to 6pm on Saturday.

Bupa health insurance members
Call us on
0345 609 0111^

Lines are open 8am to 8pm Monday to Friday and 8am to 4pm on Saturday.

Bupa business scheme members
Call us on
0345 609 0444^

Lines are open 8am to 8pm Monday to Friday and 8am to 4pm on Saturday.

What you need before you contact us:

  • your Bupa membership number
  • the symptoms you're suffering from
  • details of when your symptoms first began
  • details of when you first consulted your GP about your symptoms
  • details of the treatment your GP has recommended

Specialist claim support teams

Our specialist teams can offer you support and advice on a range of treatment options, helping you choose your appropriate treatment path.

What happens next?

Contact our member services team for advice, treatment requests or if you have any general queries

^We may record or monitor our calls.

Bupa Health Insurance is provided by Bupa Insurance Limited. Registered in England and Wales No. 3956433. Bupa Insurance Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority. Arranged and administered by Bupa Insurance Services Limited, which is authorised and regulated by the Financial Conduct Authority. Registered in England and Wales No. 3829851. Registered office: Bupa House, 15-19 Bloomsbury Way, London WC1A 2BA.
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