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.}

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How should you submit your case for prior medical approval?

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?

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?

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

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.

Download for iOS

Download for Android

Request a Medical Approval

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