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Allianz Worldwide Care

Claim Forms



International Healthcare Plans

Please select one of the following options:

For members of a group scheme...


Claim Form for members who are part of a group that was not underwritten

(Typically, these groups consist of 10 or more members)

Claim Form for non-underwritten groups


Claim Form for members who are part of a group that was underwritten

(Typically, these groups consist of 3 to 9 members)

Claim Form for underwritten groups
   

For individual members...

If you applied for your policy (independent of an employer) and pay your own premium, you are an individual member. Please use the following claim form...

Claim Form for individual members




If you are a medical provider, please click here to access the Medical Provider Claim Form.