Health Claims

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Manufacturer of the product is: MAPFRE Middlesea

MAPFRE Middlesea p.l.c. (C-5553) is authorised by the Malta Financial Services Authority (MFSA) to carry on both Long Term and General Business under the Insurance Business Act. MAPFRE Middlesea p.l.c. is regulated by the MFSA.

If your claim amounts to €20.00 or less kindly be sure to include your IBAN number and bank details in the online form. In line with the Central Bank of Malta’s Directive No. 19 we cannot issue cheques for amounts of €20.00 and consequently will not process claims without this information.

Step 1. How to claim

To facilitate the process of claims settlement, all Health Insurance claim documentation must be submitted via our online form.  Kindly make sure you have the following documentation prepared

  • One claim per person is to be submitted in a single online form.
  • Each claim must include:
    a good quality image (s) of the original claim form (scan or photo),
    a good quality image (s) of the original receipt and other available  relevant medical documentation (scan or photo);
    payment details section in the claim form completed to the full

      We may at our discretion ask for original documents to be sent to us for verification purposes, so it is very important to keep hold of original documents until your claim is settled. Unless we ask for them, please do not send any original documents you would have submitted online.

      Step 2. Pre-Authorisation of claims

      The Policy requires that you contact our office prior to undergo planned hospital admission. This will enable us to guide you regarding eligibility of claims and extent of cover and, where possible, settle claims directly with the hospital concerned. MRI, CT and PET scans on referral by a specialist are also eligible for direct settlement, so it is advisable that you contact us prior to undergoing such Treatment too.
      The procedure for Pre-Authorisation is as follows:


      • Please send a completed and signed Claim Form (downloadable) or Online (supported by all relevant medical documentation.)
      • Upon receipt of the requisite claim documents, we will contact you with our request for any further documentation, if necessary, or our confirmation of cover.
      • In case of an emergency situation or anything to do with claims you may contact us on +356 22480210