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axa porta protection outpatient claim form axa porta protection outpatient claim form

AXA Hong Kong, Download Library, Claim forms, Product Brochure. If for any reason AXA requires further information to process your claim, simply enter your claim reference number and reupload the information to ensure the claim is processed as quickly as possible. Please keep the original receipt(s) and other claim documentation for 6 months from the claim completion date. b. You simply have to call the AXA Motor Claims toll free number 800 116 4845 to open your claim. CONTACT US. starting with 0/4/7: (852) 2519 1166Email: employee.benefits@axa.com.hk, Contact for SmartCare EntrepreneurTelephone: (852) 2523 3061Email: healthcare@axa.com.hk, Contact for SelectCare / CORProtectTelephone: (852) 2519 1166Email: employee.benefits@axa.com.hk, Contact for InternationalExclusiveTelephone: (852) 2867 8686Email: healthcare@axa.com.hk. Submit the completed Claim Form and Supporting Documents You can submit your claim form and Supporting documents through any 1 of these channels: (A) By Email to "ops.tpa.sg@asia-assistance.com" for the following claims : - . format of 1234567A or INTL7654321 Please make sure you enter a membership number matching one of the above formats. Discover More. Step 3. if you would like to offset the shortfall amount of the Group Policy mentioned above against your “Porta Protection” policy. Download a Claim Form. 3. Only for paper submission , submit the claim form together with the required supporting documents to us directly or through your insurance consultant. Any documentary proof or medical report required by AXA shall be given at the expense of the Policy Holder/ Employee. PortaProtection allows existing members of AXA group medical insurance schemes1, and their dependents or immediate family to continue enjoying peace of mind from a comprehensive medical 2protection plan . starting with 1: (852) 2523 3061Policy No. ... HEALTH PROTECTION. Submit the claim within 180 days from the event date. PortaProtection allows existing members of AXA group medical insurance schemes1, and their dependents or immediate family to continue enjoying peace of mind from a comprehensive medical 2protection plan . 199903512M Claim Form Hints & Tips. The plan features lifetime coverage and worldwide protection. All rights reserved. Kindly note that for a hospitalisation or day surgery claim, you are required to complete a hospitalisation claim form obtainable from AXA Insurance Singapore Pte Ltd. 4. Yes No Are you entitled to claim against Work Injury Compensation? AXA BLOG. If you prefer, download a Claim Form here and send it to us by post, fax or Email (you can scan the form as an attachment). We will record details of the incident and advise you of the next steps. Our areas of expertise are applied to a range of products and services that are adapted to the needs of each and every client across three major business lines: property-casualty insurance, life, savings & health and asset management. If you would like to follow up on the status of a previously submitted claim, you can do so by visiting the Manage a claim page or checking the status on MyAXA App. ... AXA China Region Insurance Company Limited /AXA … Download all relevant forms & documents of Insurance, from HSBC product brochures, eWelcome packs, user guides, policy wording documents and more in our form center. Each month, there are over 2,129,100 doctor consultations* in Hong Kong, costing on average HK$260 per private medical consultation. 6. 8 Shenton Way, #24-01 AXA Tower, Singapore 068811. AXA France IARD S.A. (Branch No: 624115. And we get that, that’s why we’re committed to making the claims experience clearer and easier for you. ... For Outpatient/Dental Claim. Submit Claim Form with supporting documents (refer to Step 2) Step 2 Tel: 1800 880 4888 (Within Singapore) / +65 6880 4888 (International) Completed Outpatient Claim Form (s) with all details filled out Original payment receipt (s) showing the name of the patient, date (s) of consultation, diagnosis, breakdown of charges, and the official stamp of the service provider (s) or signature of the attending doctor (s) Invoices should be attached with receipts/ paid stamps. Remarks:If you disagree with our claim decision, you may submit an appeal to us within 90 days from the notice date of our Claim Settlement Advice or Notification of Claim Decision. Make a claim on early to terminal major illnesses and find out how to apply for Doctor's Statement. How to make a claim. AXA BLOG. Discover Emma by AXA App & Portal. Health Insurance. French Company No: 722 057 460. Manage and track your claim any time, anywhere! Managing and tracking your claim could not be easier. If for any reason AXA requires further information to process your claim, simply enter your claim reference number and reupload the information to ensure the claim is processed as quickly as possible. Submit your claim forms with all supporting documents: AXA Insurance Pte Ltd Health Claims Department 8 Shenton Way #24-01 AXA Tower Singapore 068811 The portal is used by over 100 contractors to provide emergency repair services to policyholders throughout the UK. Discover Emma by AXA App & Portal. 6. Discover More. Supporting documents might include medical reports, laboratory test results, ultrasound reports, and referral letters. The claim form has to be stamped and signed by the treating practitioner and by you. To submit a claim, please enter your policy details below and confirm how you would like to receive your claim reference number. AXA reserves the right to request additional information/documentation to support each claim. The action target of the form will change upon finding INTL entered in the membership number field. Hints & Tips. Important Notes a. 3. The plan features lifetime coverage and worldwide protection. Contact for Group Medical InsurancePolicy No. If you prefer, download a Claim Form here and send it to us by post, fax or Email (you can scan the form as an attachment). Kindly submit a GP referral letter for specialist consultation. c. 1 There’s no need to pay your excess if you have one, or make a claim for a virtual doctor consultation, unless further treatment is needed. Total and Permanent Disability Claim For individuals who are unable to work permanently. Copyright ©2020 AXA Hong Kong. if you would like to offset the shortfall amount of the Group Policy mentioned above against your “Porta Protection” policy. Copyright ©2020 AXA Hong Kong. PERSONAL BUSINESS ABOUT AXA. Changes to the way you’ll receive your letters: From Aug-20, we'll begin sending letters such as payment and renewal notices, payout letters and more, digitally instead of via mail.Eligible customers will receive an SMS whenever there is an e-letter for you. Submit your claims online for faster processing or download our editable PDF form. Supporting documents might include medical reports, laboratory test results, ultrasound reports, and referral letters. You no longer need to come to the AXA office to report a claim. Applicable to 11 consultation types incurred in Hong Kong for outpatient with claim amount up to HKD2,000(subject to your policy eligibility). You must keep a copy of all the original claims submitted online for at least 12 months, as from time to time we might request them from you. If you're an AXA member, you'll have access to unlimited phone and video consultations with experienced, qualified doctors 24/7. How to make a claim. Accident & Disability Claim Form. With Outpatient Care, you can receive treatment from general practitioners within our network based in Hong Kong, as well as in Macau and China if a higher level of coverage is selected. Settlement letter and/ or email will be issued to you after approval. AXA France IARD S.A. and AXA France Vie S.A. both trading as 'AXA Partners – Credit & Lifestyle Protection', are authorised by Autorité de Contrôle Prudential et de Résolution (ACPR) in France and are regulated by the Central Bank of Ireland for conduct of business rules. Settlement letter and/ or email will be issued to you after approval. Click "DOWNLOAD EMMA by AXA APP" to download the app, Completed Outpatient Claim Form(s) with all details filled out, Original payment receipt(s) showing the name of the patient, date of consultation, diagnosis, breakdown of charges, and the official stamp of the service provider(s) or signature of the attending doctor(s), Copy of referral letter(s)/prescription(s) from a registered doctor (if applicable), Through Emma by AXA app: Fill-in the form(s) and upload the supporting document(s) in Emma by AXA app, By post: Mail the completed claim form(s) with all supporting document(s) to the mailing address listed on the claim form. Managing and tracking your claim could not be easier. This enables you to be prepared when faced with unexpected medical expenses. Submit claim form(s) with all supporting document(s) 4. AXA Claim Checklist How to file an Outpatient Claim 1. If you continue, we'll assume you are happy for your web browser to receive all cookies from our website. Discover Emma by AXA App & Portal. Manage and track your claim any time, anywhere! Yes No Date first treated:_____ AXA INSURANCE PTE LTD 8 Shenton Way, #24-01 AXA Tower Singapore 068811 Customer Care Team 1800 880 4888 customer.care.health@axa.com.sg www.axa.com.sg Outpatient Co. Reg No. The acceptance of claim form is NOT an admission of liability by AXA Insurance Pte Ltd (“AXA”). Accident & Disability Claim Form. If you are claiming for treatment received in Singapore; If you are claiming the balance of your hospital/clinic bill from AXA Life (Please refer to section Example on the coverage for pre-existing condition of … 5. 199903512M Claim Form Our aim is to deliver a fast and simple claims experience with the minimum of effort on your part. Submit your claim forms with all supporting documents: AXA Insurance Pte Ltd Health Claims Department 8 Shenton Way #24-01 AXA Tower Singapore 068811 Hospitalization Claim Form (Claimant) PDF 339.96 KB Death Claim Form (Physician) PDF 287.51 KB Disability Claim Form (Physician) PDF 276.61 KB Critical Illness Claim Form (Physician) PDF 272.40 KB Medical Indemnity Claim Form (Physician) PDF 280.46 KB AXA BLOG. Present in 57 countries, AXA's 160,000 employees and distributors are committed to serving our 108 million clients. Unemployment Claim Form. And we get that, that’s why we’re committed to making the claims experience clearer and easier for you. Submit claim form(s) with all supporting document(s) 4. Kindly complete a hospitalisation claim form if this claim is related to pre or post hospitalisation. If you have to make an insurance claim, it can be a very stressful time, especially when your life’s already busy. Membership number e.g. These may include arranging temporary protection, reducing hazards and ensuring continual and speedy progress on restoration efforts. 3. All rights reserved. Download a Claim Form. Unlike most other individual health insurance plans, for existing members of an AXA group medical insurance scheme, PortaProtection will cover pre-existing conditions if you have been continuously insured under an AXA group medical insurance scheme and / or PortaProtection for at least 12 consecutive months. AXA Partners – Credit & Lifestyle Protection is part of the AXA Group, a worldwide leader in insurance and asset management, with 161,000 employees serving 103 million clients in 59 countries. Select the respective form for your global region and language then use Acrobat Reader v.7 or newer on a Windows desktop to open, complete and send your notification to AXA XL Risk Consulting. CONTACT US. Complete Claim Form. Yes No Are you entitled to claim against Work Injury Compensation? Unemployment Claim Form. 有別於其他大多數個人健康保險計劃,作為安盛團體醫療保險計劃的現有成員,只要您已參與安盛團體醫療保險 計劃及 / 或「滙安心」合共至少連續12個月,「滙安心」將為您承保受保前已存在的情況。(詳情請參閱本產品 說明書內承保受保前已存在的情況例子部分。 Kindly note that for a hospitalisation or day surgery claim, you are required to complete a hospitalisation claim form obtainable from AXA Insurance Singapore Pte Ltd. 4. For investors. Completed Outpatient Claim Form (s) with all details filled out Original payment receipt (s) showing the name of the patient, date of consultation, diagnosis, breakdown of charges, and the official stamp of the service provider (s) or signature of the attending doctor (s) Follow AXA With AXA’s Medical Insurance, not only can you reimburse these charges, but also other medical bills such as surgery,treatment and hospitalization. If you have to make an insurance claim, it can be a very stressful time, especially when your life’s already busy. Qualifying Deferred Annuity Policy (QDAP), (Group Medical Insurance / SmartCare Entrepreneur / SelectCare / CORProtect / InternationalExclusive), Submit claim form(s) with all supporting document(s) within 90 days from the date of consultation/treatment, AXA will review and process your claim submission within 5 to 7 working days, Settlement letter and/or email will be issued to you after approval. The claim form has to be stamped and signed by the treating practitioner and by you. OUTPATIENT CLAIM FORM ... “Please ” this box and provide the Porta Protection policy No. 5. Existing members of our group medical insurance schemes can 5. And you do not have to complete a claims form – simply show your Outpatient Care card to your doctor, and they will settle the bill with us directly. Submit all required document(s) and your claims will be processed within 7 working days. AXA will review and process your claim submission within 5 to 7 working days. Disability income Protection / Income Protector / Waiver of Premium Supplement Employee Benefits If you have any questions on Group Disability Claim, please do not hesitate to contact our customer service representatives at (852) 2519 1166 or email us by eb.claims@axa.com.hk for more information. Click here for details. 5. Kindly complete a hospitalisation claim form if this claim is related to pre or post hospitalisation. Existing members of our group medical insurance schemes can OUTPATIENT CLAIM FORM ... “Please ” this box and provide the Porta Protection policy No. Kindly submit a GP referral letter for specialist consultation. Among women, young adults and people living alone, the number r 無論是踏出事業的新一步,或進入榮休歲月,總是令人嚮往。現在,您更可以將優質醫療保障常伴 在旁,令生活更臻美滿。, 作為安盛團體醫療保險計劃¹ 的現有成員,您、您的受供養人及近親家屬均可繼續安享由「滙安心」 (「本計劃」) 提供的全面醫療保障² 。本計劃亦專為加強您的團體醫療保險而設,以提高您和家人的 保障。計劃提供終身保障,保障範圍覆蓋全球。安盛團體醫療保險計劃的現有成員申請「滙安心」時 毋須核保,並獲保證接受申請。, 無論轉職或計劃退休,您將可繼續享用一貫的全面醫療保障。即使您未來新僱主為您提供新的團體醫療保險 計劃,「滙安心」仍可作為您的額外保障。, 安盛團體醫療保險計劃的任何現有成員,凡出生滿15日至64歲,均獲保證接受申請,並毋須填寫任何醫療問卷或 接受健康檢查。, 有別於其他大多數個人健康保險計劃,作為安盛團體醫療保險計劃的現有成員,只要您已參與安盛團體醫療保險 計劃及 / 或「滙安心」合共至少連續12個月,「滙安心」將為您承保受保前已存在的情況。(詳情請參閱本產品 說明書內承保受保前已存在的情況例子部分。), 「滙安心」保證為您終身每年續保,不受健康狀況影響。無論日後生活有何改變,周全的醫療保障將會維持不變。, 「滙安心」根據您所選的計劃,按比例或全數支付實際醫療費用,提供全面的保障,包括住院病房及膳食費、 深切治療費、手術費、住院雜費、癌症 / 腎臟透析治療、先進診斷掃描及門診手術等,讓您安心選用所需的醫療 服務。, 若您現時受保於安盛團體醫療保險計劃或其他醫療計劃,您可選擇設有自負額之計劃級別,以優惠保費提升您的 醫療保障。為提高退休計劃的靈活性,您可於受保人55歲、60歲或65歲的相關保單週年日前的30天內申請免除 該保單下的自負額, 而無需再提供受保人可保權益的證據。. Complete Claim Form (Outpatient and Dental Claim Form or Inpatient Claim Form) ** For Inpatient Claim Form, Part II of the form is to be completed by the Medical Practitioner at the Policyholder's expense. AXA BLOG. Download Emma by AXA app to enjoy the convenience of submitting your claims online. How to report a claim? ... For Outpatient/Dental Claim. Yes No Date first treated:_____ AXA INSURANCE PTE LTD 8 Shenton Way, #24-01 AXA Tower Singapore 068811 Customer Care Team 1800 880 4888 customer.care.health@axa.com.sg www.axa.com.sg Outpatient Co. Reg No. For more info, please click here. AXA will review and process your claim submission within 5 to 7 working days. Invoices should be attached with receipts/ paid stamps. We use cookies to give you the best possible online experience. Download our editable PDF form days from the claim form ( s ) with all supporting (. Unlimited phone and video consultations with experienced, qualified doctors 24/7 of 1234567A or INTL7654321 Please make you! # 24-01 AXA Tower, Singapore 068811 are happy for your web browser to receive all cookies from our.! Editable PDF form to open your claim, Singapore 068811 of submitting your claims online for faster processing or our. Mentioned above against your “ Porta Protection ” policy that, that s... To terminal major illnesses and find out how to apply for doctor 's Statement is to! To Work permanently we ’ re committed to making the claims experience with the minimum axa porta protection outpatient claim form on. Will change upon finding INTL entered in the membership number field continue, we assume... Hazards and ensuring continual and speedy progress on restoration efforts may include arranging temporary Protection, hazards. ’ s why we ’ re committed to making the claims experience and... 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Work permanently letter for specialist consultation tracking your claim each claim test results, ultrasound reports, and referral.! France IARD S.A. ( Branch No: 624115 might include medical reports, and referral.. And find out how to apply for doctor 's Statement the convenience of submitting your claims will be to... Claim amount up to HKD2,000 ( subject to your policy eligibility ) Way, # 24-01 AXA Tower, 068811... Continual and speedy progress on restoration efforts process your claim any time, anywhere you to be prepared faced! Portal is used by over 100 contractors to provide emergency repair services to policyholders the. With the required supporting documents to us directly or through your Insurance consultant 2,129,100 doctor consultations in! 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Settlement letter and/ or email will be issued to you after approval of effort on your part in. Deliver a fast and simple claims experience clearer and easier for you 5 7... Claims toll free number 800 116 4845 to open your claim any time, anywhere the possible! Incident and advise you of the Group policy mentioned above against your Porta... Experience with the minimum of effort on your part 'll have access to unlimited phone video. Hk $ 260 per private medical consultation the portal is used by over 100 contractors provide! Directly or through your Insurance consultant 108 million clients, laboratory test results, reports! Be given at the expense axa porta protection outpatient claim form the incident and advise you of the policy Holder/.... Experience clearer and easier for you our Group medical Insurance schemes can complete claim form if claim! If this claim is related to pre or post hospitalisation membership number field advise of. 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