Allianz outpatient claim form

If you have any questions about your claim, please feel free to contact allianz global assistance. We will contact the beneficiary if additional information is needed. Allianz group outpatient clinical enhances your employees hospitalisation and surgical benefits. Please visit fwd hong kong website for more information. Claims information allianz global assistance ireland. Allianz travel insurance products are distributed by allianz global assistance, the licensed producer and administrator of these plans and an affiliate of jefferson insurance company. If a minor was treated, a parent or guardian should sign and date this section. International health insurance plans china allianz.

It provides coverage for outpatient general practitioner care with cashless facility to all panel clinics and outpatient specialist care. Section 3 hospital services a inpatient charges, b outpatient emergency charges. If this claim is resulting from an accident or workrelated illnessinjury and you hold any other insurance. Hospitalisation and surgical claim outpatient treatment claim accident claim total and permanent disability critical illness claim death claim. Corporate claimants statement group hospitalisation and surgical claim group outpatient claim group total and permanent disability claim group critical illness claim group death claim. We provide a simple 3step claim process should you have any outpatient related claims. If you have changed your contact details, please let us know on the claim form. To get started with your claim, select your policy from the list below. Allianz travel insurance claim file claim form online. Select the type of plan that works best with your type of travel. If you are covered by our international healthcare plans for lebanon, use this form to claim back eligible medical expenses that occurred outside of lebanon. For minor illnesses or accidents needing simple outpatient treatment where the. Allianz global assistance and allianz travel insurance are marks of aga service company dba allianz global assistance or its affiliates.

Green shield canada travel assistance, allianz global assistance. So call 10 or use our online motor claims form or property claims form, anytime, day or night. Emergency room report andor hospital records if treated at a hospitaloutpatient facility. The beneficiary will receive a claim form packet from allianz. Please fill in and return the claim form with all the information and documents. A fully completed form will speed up the assessment and payment of your claim all relevant original invoices must be attached. Hospitalisation and surgical claim outpatient treatment claim accident claim. If you dont see your policy, you can search for a new one using the search tools below. Lodging claims download forms ais insurance brokers. Allianz global assistance is here to assist and provide services and information. If you are covered by one of our globalpass plans for latin america, choose the relevant form below to claim back eligible medical expenses. Youll still receive allianzs great customer service, but youll avoid phone queues, and youll be allowing those whove been hardest hit to receive urgent assistance.

Claims department, allianz worldwide care, place du samedi 1. Upon receipt of the completed claim form packet and proof of death i. Incomplete claim forms will be returned to you and this will delay the. Claims department, allianz care, 15 joyce way, park west business. For your convenience, this form pdf and editable word versions is available on our. Unfortunately, photocopies, receipts and credit card slips cannot be. To help us provide you with a fast and efficient service, we kindly ask you to note the following.

Stepbystep guide to submitting a claim allianz life. If you dont see your policy in the list above, you can search for a new one below. Our products are flexible, complete and offered via. Outpatient physicians treatment claim form if you have any questions regarding benefits available, or how to file your claim, or if you would like to appeal any determination, please contact our customer care center at.