Request for Authorization

application/pdf iconDownload Claim Form
application/pdf iconInternational SOS Flight Consent Form

Before you incur any treatment costs it is always a good idea to check with Alliance Health that you are eligible for the benefits you wish to use.  In many cases we may require you to PRE-AUTHORISE your benefit use with us first.  This is helpful because it can prevent delays in service when your chosen service provider then wants to check with us over the telephone that you are eligible for benefits.  Members may also find it embarrassing to be discussing their medical problems with third parties in public waiting rooms and reception areas.

Please note that we do REQUIRE pre-authorisation for all cases of hospitalisation, air evacuations, MRI (PET or CT Scans), Diagnostic Testing (related to check-ups or well woman protocols), specialist consultations and any treatment for cancer.

If you are the member of a health plan administered by Alliance Health then we recommend that you use an Alliance Health Claim Form to document your claim.

Email your request for authorisation to: claims@healthzim.com

Or call us: +263 745 890 / 744 124 / 783 067

0772 126 119 / 0778 244 128 / 0712 347 880