Support needs

Tell us about your or someone else's support needs and we’ll leave a confidential note on your account. We’ll remember what you’ve told us whenever you contact us or we contact you.

^*Mandatory fields.

About

Step 1 of 4

Who is this support request for?

Myself

Someone else

If you are completing this on behalf of someone select ‘Someone else’.

Your full name*

Your relationship to the person this request is for*

Which service is this request for?*

What type of Bupa member are you?*

Which of these Bupa services do you have?^*

Health insurance

Yes

Membership number

The 10 digit membership number can be found on your policy certificate.

Dental insurance

Yes

Membership number

The 10 digit membership number can be found on your policy certificate.

Cash plan

Yes

Membership number

The 6-10 digits membership number can be found on your policy certificate.

What type of Bupa member are they?*

Which of these Bupa services do they have?^*

Health insurance

Yes

Membership number

The 10 digit membership number can be found on your policy certificate.

Dental insurance

Yes

Membership number

The 10 digit membership number can be found on your policy certificate.

Cash plan

Yes

Membership number

The 6-10 digit membership number can be found on your policy certificate.

We recognise that when you give us personal information (which includes health information) you’re trusting us to take good care of it. Please see our privacy notice for more information about how we collect, use and protect your data.