Hospital Claim

The hospital claim process differs depending on whether the hospital you attended has a direct payment agreement with Vhi Healthcare. A list of direct payment hospitals is available in your member handbook (PDF).

Direct Payment Hospitals

The majority of hospitals now have a direct payment agreement with Vhi Healthcare. This means that your hospital and doctor’s bills are paid directly by Vhi, saving you any inconvenience


If the hospital you attended has a direct payment agreement with Vhi Healthcare:

  • On admission, you will be asked to complete and sign side one of a Hospital Claim Form.
  • The hospital will arrange to have side two of the claim form completed by the attending doctor.
  • The completed claim form will be sent to Vhi Healthcare for payment.
  • Vhi Healthcare will pay the doctors and hospital directly.
  • You will receive a statement of the benefits paid from Vhi Healthcare.

Non-Direct Payment Hospital

If the hospital you attend does not have a direct payment agreement with Vhi Healthcare you will be asked to settle your hospital bill when you are discharged and claim the money back from Vhi later. You don’t have to pay the doctors, as Vhi Healthcare is legally obliged to pay the doctors directly.

  • When you are discharged from hospital, the hospital will send you out a non-direct hospital claim form with the medical section already completed by your doctor.
  • You must complete and sign side one of the form and submit it along with your receipts to Vhi Healthcare.


If the hospital does not send you out a partially completed claim form:

  • You can request for a claim form to be sent out to you in the post or print one by clicking here (PDF).
  • Complete and sign side one of the claim form and arrange for your doctor to complete and sign side two.
  • Submit the completed form along with your receipts to Vhi Healthcare.
  • Vhi Healthcare will send you out a cheque for the hospital costs and a statement of benefits paid to doctors.