Report claim

By visiting a Confido clinic or a Health Plan partner and mentioning the availability of the Confido Health Plan when making an appointment, we guarantee worry-free billing for the insured. This means that we settle the bill with the service provider ourselves, and the insured only has to pay for the deductible or exceed the compensation limit.

Documents required for claim reimbursement

  • Visit to or consultation with a healthcare provider – proof of expense (the service invoice and proof of its payment)
  • Analysis, examination or procedure (including specialised diagnostics) – proof of expense (the service invoice and proof of its payment) and a document confirming the doctor’s referral.
  • Preventive health check examination or analysis (including vaccination) – proof of expense (the service invoice and proof of its payment).
  • Optical products – an earlier prescription issued no more than three years ago, a new prescription issued during the current insurance period before purchasing glasses or contact lenses, and proof of the purchase cost (the purchase invoice and proof of its payment).
  • Dental treatment – proof of expense (the service invoice and proof of its payment).
  • Outpatient rehabilitation – proof of expense (the service invoice and proof of its payment) and, where the service requires a doctor’s referral, a referral letter or another document confirming the referral.
  • Inpatient treatment – proof of expense (the service invoice and proof of its payment) and a document confirming the doctor’s referral or the medical record.
  • Prescription medicines and orthopaedic aids – proof of the purchase cost (the purchase invoice and proof of its payment) and a doctor’s prescription.
  • Pregnancy-related services – proof of expense (the service invoice and proof of its payment) and a document confirming the referral by a doctor or midwife and the medical indication for the service.

The proof of expense must state the name of the healthcare provider, the name of the recipient of the service, the name and price of the service, and the date on which the service was provided. If the invoice does not show whether it has been paid, please also submit a payment receipt or payment order.
The doctor’s referral must be issued for the specific healthcare service before the service is provided. The referral is valid for one year from the date of issue, except for an occupational health doctor’s decision, which is valid until the date stated in the decision.

A doctor’s referral is evidenced by a referral letter, digital referral, entry in the medical record, occupational health doctor’s decision or prescription.

The insurer and the insurance agent are entitled to request additional documents if these are necessary to establish the circumstances related to the insured event or to determine the amount of the insurance benefit.

To avoid sharing excessive personal data, please submit only the information required. For example, you may submit a screenshot or extract showing only the information necessary for processing the claim. Information unrelated to the insured event may be concealed.

Further information is provided in The General Terms and Conditions of the Health Plan.

Useful information
Visiting Confido clinics
  • You can book an appointment at Confido clinics by calling the short number 1330 or writing to kindlustus@confido.ee.
  • By mentioning Confido Health Plan when making an appointment, we can ensure a care-free checkout. This means that the patient only pays for exceeding the deductible or compensation limit, either at the clinic or on the basis of an invoice, and the rest of the billing is done for them by the Health Plan.
Visiting Health Plan partners
  • Confido Health Plan cooperation partners list can be found here.
  • By mentioning Confido Health Plan when visiting a partner, we can ensure worry-free billing. This means that the insured only pays for exceeding the deductible or compensation limit, either at the clinic or on the basis of an invoice, and the rest of the billing is done by the Health Plan.
Visiting another service provider
Would you like additional information?
Send us an inquiry and we will contact you soon!
kindlustus@confido.ee