YOUR HEALTHCARE MEMBERSHIP GUIDELINES

Transcription

1 YOUR HEALTHCARE MEMBERSHIP GUIDELINES Benefits for the employees of HONG KONG ACADEMY Cover Period: 1 st August st July 2018

2 Client Service Unit YOUR CONTACTS Henner-GMC Asia Pacific Pte Ltd 137 Telok Ayer Street #07-01/02/03 SINGAPORE Tel: Fax:

3 TABLE OF CONTENTS

4 REGION INSURANCE COMPANY LIMITED AXA CHINA 1 YOUR MEDICAL BENEFITS -

5 CONTRACT EFFECTIVE DATE : 01/08/2017

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8 *Treatment subject to prior agreement

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12 2 CLAIMS REIMBURSEMENT Please keep the card with you at all times. In the event that you lost the card, please notify us via , telephone, or fax to arrange for a replacement as soon as possible. We remain at your disposal should you need any further details regarding your policy.

13 ? DID YOU KNOW If any of the following information has not been submitted at the point of enrollment, kindly include them in your first claim reimbursement request: To make your reimbursement easier, please provide every document required and remind us your Henner-GMC ID (Your ID can be found in your membership card). Said supporting documents must be sent together.

14 E-CLAIMING Log on to your personal space. Complete the application in few steps : Standard Claim Service by Mail!

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16 An application for Prior Agreement is mandatory prior to certain treatment and series of procedures. Did? you know Hospitalization and procedures in case of emergency (accident & unexpected illness) are not subject to the prior agreement procedure. «Prior Agreement Application Series of procedures and Prostheses» «Prior Agreement Application for Hospitalization» «Prior Agreement Application Dental Care»

17 Henner-GMC Henner-GMC provides beneficiaries with direct payment facilities in the case of hospitalization (including childbirth). After you application for prior agreement request has been submitted and the approval of the Medical Board obtained, Henner-GMC will issue and send a guarantee of direct payment to the healthcare facility, with a copy sent to your address. When covered, Henner-GMC will immediately send a guarantee of direct payment to the healthcare facility. A copy will be sent to your personal address registered in our database.

18 3 HENNER-GMC SERVICES For First time login : Internet Login ID : Henner-GMC medical network Consult and/ or download forms : Consult and/ or download your reimbursement statement Manage your claim : Modify your personal details : online refund statement ; client service team contacts details

19 ! Did you know? You can access and search for a healthcare professional within Henner-GMC medical network from your personal web-portal at

20 ? Did you know HOW TO AVOID UPFRONT PAYMENTS FOR YOUR HEALTHCARE? Prior Agreement is mandatory for series of treatment and scheduled hospitalization, please refer to «Prior Agreement» direct settlement service? TYPES OF CARE AVAILABLE WITH DIRECT SETTLEMENT

21 Procedure of Direct Settlement 1 Check the Henner-GMC Medical Networks (MedNet) to find health care providers who offer Direct Settlement Arrangements. 2 Present the following documents to the healthcare professional 3 Pay the healthcare professional Emergency Hospitalization: Within the Henner-GMC medical network: Outside of Henner-GMC medical network: Scheduled Hospitalization:.

22 Henner - Simplified private joint stock company - Registered capital of 8,212,500 - RCS Nanterre VAT No. FR Brokerage license ORIAS No Regulated by the ACPR - ISO 9001 certified - Headquarters: 14 bd du Général Leclerc, Neuilly-sur-Seine-France. GMC SERVICES ASIA PACIFIC PTE.LTD., Private Company Limited by Shares, registered in Singapore under number D, having its Registered office & è Telok Ayer Street, # 07-01/02/03 Singapore AXA China Region Insurance Company Limited is the insurance underwriter of this policy and is solely responsible for all content, coverage and benefit payment of the plan. AXA China Region Insurance Company Limited is an authorized insurer in Hong Kong with its Hong Kong office at 20/F, AXA Centre, 151 Gloucester Road, Wanchai, Hong Kong