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Our Claims Service |
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Allianz Worldwide Care has a simple claiming process in place to ensure that our member's claims are processed in a timely and effective manner.
We have outlined a brief summary of this process below.
For In-patient Treatment:
- Members have the freedom to select a hospital, doctor, specialist or clinic of their choice to seek treatment.
- To arrange direct settlement of in-patient treatment (i.e. where we pay provider directly for treatment), members need to submit a Treatment Guarantee Form, completed by treating physician to us prior to treatment.
- Our Medical Services Team will then oversee the treatment, ensuring that admission is smooth and arrange direct settlement so that members are free from financial worry.
- We will respond to treatment guarantee requests with 48 hours of receipt of a fully completed form.
For Out-patient and Dental Treatment:
- Out-patient and dental expenses are generally paid for by our members and costs claimed from us after the event.
- A separate Claim Form needs to be completed when member visits a GP, dentist physician or specialist for out-patient or dental treatment.
- However, if invoices/prescriptions contain details of the diagnosis, there is no need for the doctor to complete the medical section of the form.
- All claims should be submitted to us within 6 months after the end of the Insurance Year, or if cover is cancelled within the Insurance Year, within 6 months after the end of the insurance cover. Beyond this time we are not obliged to settle the claim.
- We reimburse claims by either cheque or bank transfer in over 100 currencies worldwide
- A settlement letter and statement of account is sent to you to confirm the status of the claim. Payment will then follow directly from Citibank.
- All fully completed claims are processed, payment issued and member notified within a maximum of 24 to 60 hours.
The claiming process above is subject to the Policy Terms and Conditions as set out in the Employee Benefit Guide (above right). |
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