Submission of a Treatment Guarantee Form is required for the following:
- All in-patient treatments
- MRI (Magnetic Resonance Imaging), PET (Positron Emission Tomography) and CT-PET scans
- Nursing at home or in a convalescent home
- Routine maternity, complications of pregnancy and childbirth (in-patient treatment only)
- Oncology (in-patient and day-care treatment only)
- Out-patient surgery
- Day-care treatment
- Occupational therapy (out-patient treatment only)
- Rehabilitation treatment
- Palliative care and long term care
- Medical evacuation (or repatriation, where covered)
- Expenses for one person accompanying an evacuated/repatriated person
- Repatriation of mortal remains
By following the
Treatment Guarantee process, we can ensure that your treatment will be free from financial worries, allowing you to concentrate on getting better.
Treatment Guarantee Form (Editable Word Version)
Treatment Guarantee Form (PDF Version)
Allianz Worldwide Care offers policy documents in English, German, French, Spanish or Italian. However, for the convenience of our members, we also offer our Treatment Guarantee Form in the following languages:
Arabic Treatment Guarantee Form - (PDF Version)
Bulgarian Treatment Guarantee Form - (PDF Version)
Latvian Treatment Guarantee Form - (PDF Version)
Russian Treatment Guarantee Form - (PDF Version)
