How to use your WPA cover
1) Get a referral (if required)
Many policies use a GP referral route, but WPA also offers “fast track” pathways for some symptoms/presentations on certain policies. If you’re unsure what your WPA cover requires, enquire and we’ll advise what’s typically needed.
2) Pre-authorise your claim with WPA
WPA generally asks members to pre-authorise before tests or treatment. This is often done via the WPA Health app or My WPA. Once approved, WPA provides an authorisation reference you’ll use to proceed.
3) Enquire with your WPA details
Tell us what you need (consultation, diagnostics, treatment) and share:
- your WPA membership details
- the authorisation reference (if you already have it)
- your referral letter (if applicable)
4) Booking and treatment
Once pre-authorisation is confirmed, we’ll book you in and clarify what’s covered under your policy, including any outpatient caps, excess, or shared-responsibility/co-pay features.
What to have ready
If possible, have the following to hand:
- WPA membership number
- Your pre-authorisation / authorisation reference (if already issued)
- GP referral letter (if required)
- A short summary of symptoms or the service you’re seeking
- Any excess or shared-responsibility amount noted on your policy
Don’t worry if you don’t have everything yet — you can still enquire and we’ll tell you what to request next.
FAQs for Vitality patients
In many WPA policies, yes – WPA commonly requires claims to be pre-authorised before tests or treatment.
Yes. WPA highlights that members can pre-authorise claims through the WPA Health app and manage cover via My WPA.
It depends on your WPA policy and the route you’re using. Some WPA options may allow access without a GP referral via specific pathways, while others require a referral letter.
Some policies have an annual outpatient cap that applies to consultations, tests and scans. Once reached, WPA may not cover further outpatient costs that policy year.
