General information
d) If the amount to be claimed is less than the deductible figure under your plan, keep
collecting all out-patient receipts and claim forms until you reach an amount in excess of
your plan deductible, then forward to us all completed Claim Forms together with
supporting receipts/invoices.
e) Please specify on the Claim Form the currency in which you wish to be paid.
Unfortunately, on rare occasions, we may not be able to make a payment in the currency
you requested on the Claim Form, due to international banking regulations. In this
instance we will review each case individually to identify a suitable alternative currency
option. If we have to make a conversion from one currency to another, we will use the
exchange rate that applies on the date on which the invoices were issued, or we will use
the exchange rate that applies on the date that claims payment is made.
f) Only costs incurred as a result of eligible treatment will be reimbursed within the limits of
your policy, after taking into consideration any Treatment Guarantee requirements.
Any deductibles or co-payments outlined in the Table of Benefits will be taken into
account when calculating the amount to be reimbursed.
g) If you are required to pay a deposit in advance of any medical treatment, the cost incurred
will only be reimbursed after treatment has taken place.
h) You and your dependants agree to assist us in obtaining all necessary information to
process a claim. We have the right to access all medical records and to have direct
discussions with the medical provider or the treating physician. We may, at our own
expense, request a medical examination by our medical representative when we deem
this to be necessary. All information will be treated in strict confidence. We reserve the
right to withhold benefits if you or your dependants have not honoured these obligations.
Claims for accidental death
If this benefit is provided on the healthcare plan selected, please note that claims must be
reported within 90 working days following the date of death and the following documents
must be provided:
•
A fully completed Accidental Death Claim Form.
•
A death certificate.
•
A medical report indicating the cause of death.
•
A written statement outlining the date, location and circumstances of the accident.
•
Official documentation proving the insured member’s family status, and for the
beneficiaries, proof of identity as well as proof of relationship to the insured member.
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Allianz Worldwide Care
