NAV
Claim Procedure - Group

Claim procedure at a affiliated health services

Step 1   Policy holder visits an afiiliated health services

Step 2  Shows Generali card and personal identity documents

Step 3   Hospital processes the guarantee request

Step 4  Guarantee approval is given to the policy holders

Step 5  Guarantee approval is signed by the policy holder or family member

Step 6  Before the policy holder leaves, the hospital will send the claim

            details to Admedika

Step 7   Admedika will inform the policy holder which expenses are covered,

            and give details of any items in excess to the coverage

Step 8  Policy holders pays any excess to the claim

Step 9   Policy holder leaves the health services

 

Claim procedure at a non-affiliated health services

Step 1  Policy holder visit the health services

Step 2  Policy holder get the standard form of services from the health services

Step 3   Policy holder pays the health services bills

Step 4  Policy holder files their claim to Generali no later than 60 days after being

            discharged from the health services

Step 5   Generali processes the claim within 14 working days

Step 6  Payment is transferred to the policy holder's bank account

 

Claim procedure for death

Step 1   The beneficiary files the claim to Generali

             no later than 60 days after the policy holder dies

Step 2   Generali Processes the claim within 14 working days

Step 3   If approved, the payment will be transferred to the beneficiary's bank account


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