Download a claim form

Making a claim on your health plan is straightforward. Simply download and complete the PDF form below, and then return to the following address: HSF health plan, 5 Westgate Business Park, Kilrush Road , Ennis, Co.Clare. Alternatively, you can call us on 1890 473 473 where a member of our claims team will be happy to assist with your query.

If your claim is for professional fees, we will require original receipts for any treatment or optical appliances you have paid for and these should be included with your claim form. Please always check any restrictions that may have been applied to your policy at the outset of cover or subsequently before making a claim.

Irish Distillers Claim Form Download

Family Scheme Claim Form Download

The ONE Scheme Direct Claim Form Download


Have you visited your MyPolicy page yet? Through MyPolicy you can check your benefit balances, download a claim form, check your scheme details and access information on your HSF Assist® service.