Medical Expense Reimbursement Application to company Authority
[Here briefly describe on Sample Medical Expense Reimbursement Application to company Authority. You can follow this sample as covering letter for medical claim requesting reimbursement of medical expenses to the company, school or office, etc. You can make changes as per your requirements.]
Date: DD/MM/YY
Concern Authority name…
Job Designation…
Department Name…
Company/Institute name…
Sub: Application for Medical Expense Reimbursement
Dear Sir,
This letter is to formally request reimbursement for medical expenses for (As company terms and policy). I was suffering from (Disease name and type) from the last few months. I was treated at (Hospital name), and it is a private clinic/hospital, now I needed to pay the bill in full. (Describe in your words).
Total expense (Money amount) is incurred. I have enclosed all the documents related to my treatment. I am requesting you to reimburse me (Money amount) in keeping with my health care coverage. (Cordially describe your greetings and requirements). Please reimburse this amount; I have attached all the necessary documents and Invoices.
I shall be highly grateful to you.
Regards,
Your name…
Job Designation…
Department name…
Company/Institute name…
Another format,
Date: DD/MM/YY
Concern Authority name…
Dear hospital manager,
Hospital/Clinic name…
Sub: Application for Reimbursement of Medical Expenses
Dear hospital manager,
I am sending this letter to request reimbursement for the applicable medical expenses I have incurred due to (Accident/Disease type). I was recently involved in a road traffic accident. (Show your actual cause). The other driver was drunk and driving over the speed limit when he drove around the corner right into me head-on. As a result of this, I was badly injured. (Explain all about the situation).
After all the treatment I was given the medical bill and paid. I was later told by my lawyer that I could get the money back because the accident was not my fault and I was not doing anything wrong to contribute to the accident. (Focus all about term and policies). The cost of my medical bill was two thousand pounds. I am enclosing all medical records pertaining to my treatment and hospitalization as well as the amount I am requesting for reimbursement for your perusal. (Cordially describe your greetings and requirements). I hope that you will grant me this request and I look forward to hearing back from you.
Yours sincerely,
Your name…
Address and Contact Info…
