Behaviour in the event of a claim

Important references in the case of a claim of the health insurance

The benefits of the tariff are limited to acute, curative treatments of newly occurred diseases.

On stationary treatment in a hospital, before extensive ambulatory treatment or stationary diagnostic and therapeutic treatment, as well as prior to the release of a payment acknowledgment, please contact the ELVIA emergency assistance centre without delay:

24 hour emergency hotline:
Telephone +49 (0) 89 6 24 24 – 4 96
Telefax +49 (0) 89 6 24 24 – 2 46

Together with your insurance contract you will receive treatment documents to hand over to the doctor in case of an incident. Please hand over the treatment papers before the actual treatment begins.

With outpatient treatments, the doctor will give you an invoice afterwards. Please visit always a general practitioner before consulting medical specialists.

What to do in case of toothache?
Please inform the dentist before being treated about the limited coverage and the maximum covered claim with the help of your documents.
In case of new and acute toothache you will receive preferential treatment. The insurance covers only alleviation of pain and medication for the pain causing tooth.
Extensive reconstructions of teeth are not covered even if this seems to be necessary from the medical point of view.

For prescribed, refundable medications you will receive a stamped prescription in the pharmacy, on which the prices of the medication will be listed. Please send only the original bills and prescriptions together with the number of your bank account to:

Mondial Assistance International AG
Ludmillastr. 26
81543 München
Germany

Telephone: ++49 (0) 89 6 24 24 460
Facsimile: ++49 (0) 89 6 24 24 244

Important
The bills must include the following details: the name of the treated person, a description of the illness, details about the treatment and a list of the medical services provided and the associated costs. Prescriptions must include the following details: the prescribed medication, prices and the chemist’s official stamp.

The proceeding time for refunding the expenses will be about 2 weeks.

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