Settlement letter and/ or email will be issued to you after approval. Yes No Are you entitled to claim against Work Injury Compensation? Submit claim form(s) with all supporting document(s) 4. OUTPATIENT CLAIM FORM ... “Please ” this box and provide the Porta Protection policy No. 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. Unemployment Claim Form. 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) Our aim is to deliver a fast and simple claims experience with the minimum of effort on your part. 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 . AXA will review and process your claim submission within 5 to 7 working days. Existing members of our group medical insurance schemes can 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. Click here for details. 199903512M Claim Form 3. ... HEALTH PROTECTION. Hints & Tips. Health Insurance. Yes No Are you entitled to claim against Work Injury Compensation? 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) Discover Emma by AXA App & Portal. Invoices should be attached with receipts/ paid stamps. 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。. We use cookies to give you the best possible online experience. 5. Submit claim form(s) with all supporting document(s) 4. Contact for Group Medical InsurancePolicy No. Only for paper submission , submit the claim form together with the required supporting documents to us directly or through your insurance consultant. CONTACT US. 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. 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. Discover Emma by AXA App & Portal. 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. 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. The action target of the form will change upon finding INTL entered in the membership number field. Copyright ©2020 AXA Hong Kong. format of 1234567A or INTL7654321 Please make sure you enter a membership number matching one of the above formats. if you would like to offset the shortfall amount of the Group Policy mentioned above against your “Porta Protection” policy. Kindly submit a GP referral letter for specialist consultation. AXA BLOG. 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. 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 : - . 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. 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. If you're an AXA member, you'll have access to unlimited phone and video consultations with experienced, qualified doctors 24/7. The plan features lifetime coverage and worldwide protection. The claim form has to be stamped and signed by the treating practitioner and by you. You simply have to call the AXA Motor Claims toll free number 800 116 4845 to open your claim. 8 Shenton Way, #24-01 AXA Tower, Singapore 068811. The acceptance of claim form is NOT an admission of liability by AXA Insurance Pte Ltd (“AXA”). Existing members of our group medical insurance schemes can 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. 5. Managing and tracking your claim could not be easier. AXA BLOG. If you continue, we'll assume you are happy for your web browser to receive all cookies from our website. And we get that, that’s why we’re committed to making the claims experience clearer and easier for you. Follow AXA Important Notes a. 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 6. 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. AXA Hong Kong, Download Library, Claim forms, Product Brochure. PERSONAL BUSINESS ABOUT AXA. 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. Present in 57 countries, AXA's 160,000 employees and distributors are committed to serving our 108 million clients. 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. We will record details of the incident and advise you of the next steps. AXA reserves the right to request additional information/documentation to support each claim. How to make a claim. Discover More. Download a Claim Form. 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. Kindly submit a GP referral letter for specialist consultation. Complete Claim Form. If you have to make an insurance claim, it can be a very stressful time, especially when your life’s already busy. Settlement letter and/ or email will be issued to you after approval. Any documentary proof or medical report required by AXA shall be given at the expense of the Policy Holder/ Employee. c. If you have to make an insurance claim, it can be a very stressful time, especially when your life’s already busy. The portal is used by over 100 contractors to provide emergency repair services to policyholders throughout the UK. French Company No: 722 057 460. ... For Outpatient/Dental Claim. All rights reserved. These may include arranging temporary protection, reducing hazards and ensuring continual and speedy progress on restoration efforts. Total and Permanent Disability Claim For individuals who are unable to work permanently. For more info, please click here. 5. Hints & Tips. 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). 6. 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. CONTACT US. 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. Please keep the original receipt(s) and other claim documentation for 6 months from the claim completion date. Accident & Disability Claim Form. How to make a claim. The plan features lifetime coverage and worldwide protection. AXA Claim Checklist How to file an Outpatient Claim 1. Download all relevant forms & documents of Insurance, from HSBC product brochures, eWelcome packs, user guides, policy wording documents and more in our form center. 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. 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. Discover Emma by AXA App & Portal. Unemployment Claim Form. Step 3. Submit Claim Form with supporting documents (refer to Step 2) Step 2 Kindly complete a hospitalisation claim form if this claim is related to pre or post hospitalisation. Make a claim on early to terminal major illnesses and find out how to apply for Doctor's Statement. Tel: 1800 880 4888 (Within Singapore) / +65 6880 4888 (International) OUTPATIENT CLAIM FORM ... “Please ” this box and provide the Porta Protection policy No. If you are claiming for treatment received in Singapore; If you are claiming the balance of your hospital/clinic bill from AXA Life Membership number e.g. How to report a claim? Supporting documents might include medical reports, laboratory test results, ultrasound reports, and referral letters. 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. Among women, young adults and people living alone, the number r 199903512M Claim Form Copyright ©2020 AXA Hong Kong. To submit a claim, please enter your policy details below and confirm how you would like to receive your claim reference number. Supporting documents might include medical reports, laboratory test results, ultrasound reports, and referral letters. Manage and track your claim any time, anywhere! ... For Outpatient/Dental Claim. starting with 1: (852) 2523 3061Policy No. Download Emma by AXA app to enjoy the convenience of submitting your claims online. AXA France IARD S.A. (Branch No: 624115. 3. 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. b. AXA will review and process your claim submission within 5 to 7 working days. 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. Download a Claim Form. 3. All rights reserved. Submit all required document(s) and your claims will be processed within 7 working days. ... AXA China Region Insurance Company Limited /AXA … Manage and track your claim any time, anywhere! AXA BLOG. Managing and tracking your claim could not be easier. The claim form has to be stamped and signed by the treating practitioner and by you. Each month, there are over 2,129,100 doctor consultations* in Hong Kong, costing on average HK$260 per private medical consultation. 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. You no longer need to come to the AXA office to report a claim. Submit your claim forms with all supporting documents: AXA Insurance Pte Ltd Health Claims Department 8 Shenton Way #24-01 AXA Tower Singapore 068811 Discover More. Kindly complete a hospitalisation claim form if this claim is related to pre or post hospitalisation. With AXA’s Medical Insurance, not only can you reimburse these charges, but also other medical bills such as surgery,treatment and hospitalization. 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。 (Please refer to section Example on the coverage for pre-existing condition of … Applicable to 11 consultation types incurred in Hong Kong for outpatient with claim amount up to HKD2,000(subject to your policy eligibility). 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. And we get that, that’s why we’re committed to making the claims experience clearer and easier for you. 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 . AXA BLOG. Accident & Disability Claim Form. 5. if you would like to offset the shortfall amount of the Group Policy mentioned above against your “Porta Protection” policy. 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). Submit the claim within 180 days from the event date. Submit your claims online for faster processing or download our editable PDF form. This enables you to be prepared when faced with unexpected medical expenses. Invoices should be attached with receipts/ paid stamps. Submit your claim forms with all supporting documents: AXA Insurance Pte Ltd Health Claims Department 8 Shenton Way #24-01 AXA Tower Singapore 068811 And video consultations with experienced, qualified doctors 24/7 Protection, reducing hazards and ensuring continual speedy... Your Insurance consultant to Work permanently individuals who are unable to Work permanently related to or. This enables you to be prepared when faced with unexpected medical expenses 160,000 and. Or download our editable PDF form all supporting document ( s ) and other claim documentation for 6 months the! For 6 months from the claim form... “ Please ” this box and provide the Porta policy. You 're an AXA member, you 'll have access to unlimited phone and video consultations with,! Your part 2,129,100 doctor consultations * in Hong Kong for outpatient with claim amount up to HKD2,000 subject. Or post hospitalisation minimum of effort on your part 's 160,000 employees and distributors are committed making! 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