Documents to Download

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Sovereign’s Health Insurance Claim/Prior Approval Request

Download Form (182kb)

All medical claims are assessed on an individual basis. Please complete this form if you are requesting prior approval or making a claim for reimbursement.

You can post this completed form. Return your completed form(s) to Sovereign at:

Sovereign
Freepost Sovereign
Private Bag Sovereign
Auckland Mail Centre 1020

(Standard postal charges apply outside of New Zealand)

Alternatively, fax it directly to our claims team on 0800 500 196.

Sovereign will need a minimum of five working days to assess your claim or prior approval request.

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