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Request a Medical Approval

To help you get the best possible support, our medical officers are readily available to review your proposed medical treatment to ensure:

  • Your medical needs are always being met
  • The necessity of the medical treatment you require
  • How eligible you may be for this treatment
  • The treatment is covered within your available policy limit
  • Guidance and recommendations on the best possible provider within the network

*Prior approvals are not required during emergency cases. 

How should you submit your case for prior medical approval? Collapsed Expanded

Submitting your documents is very simple, choose any of the below methods available:

  • Now you can Request a medical Approval using the MetLife eServices Application & E-service Website.
  • HCIS* Medical provider with prior approval facility on site.
  • Emailing MetLife at approval.requests@metlife.com

o   We are open 24/7 & will reply within 2 to 3 hours for completed requests.

  • Sending a fax to: (+202) 279 29 166 / (+202) 279 29 174

 

*Prior approval is valid for 7 days and only at the approved location.
*You may follow up on any previous queries by dialing us on 19097.

When do you need to request a prior medical approval? Collapsed Expanded

You may request a prior medical approval in any of the following cases:

  • Physiotherapy
  • Out-patient surgeries
  • Non-emergency hospital admissions
  • Advanced cardiovascular investigations
  • Outpatient medication above 1000 EGP per prescription
  • Advanced radiology test (MRIS & CT scans with contrast, nuclear scans)
  • Advanced lab investigations (hormonal assay, viral or tumor markers)
What documents do you need to submit to receive prior approval? Collapsed Expanded

To help smoothen your prior medical approval process you are requested to submit the following documents:

  • Your credentials (name/ group number/ certificate number)
  • Medical report or treating physician prescription for the requested procedure
  • Name specialization of desired provider
  • Any further supporting documents (radiology report/ lab analysis/ detailed medical report) relevant to the desired medical service 
Find a Medical Provider

Choose the right doctor for your unique healthcare needs.

e-Services

Our website and mobile app make it easy for business policy holders to locate medical providers, submit a claim or request for medical approval. Click here to visit our website.