Ensuring Quality Care and Preventing Fraud

Health insurance fraud is an ongoing concern, and while most of our members are honest, it is essential for all of us to remain vigilant to protect the integrity of the healthcare system. At Allianz, we are committed to ensuring that you receive the best possible care and that resources are used appropriately.

By consulting reputable healthcare providers and utilizing our pre-authorization process, you help ensure that you receive the right treatment, while also supporting your employer in managing healthcare costs effectively.

We encourage you to take the following steps:

1. Use the Provider finder:

We provide an international directory of pre-screened hospitals, doctors, and healthcare practitioners. These providers are part of our trusted network, ensuring that you receive high-quality care. You can easily access this service via the MyHeath digital services.

2. Use the Pre-Authorisation Process:

Before receiving treatment, please ensure that you use our pre-authorisation process. This helps us assess your case, arrange hospital preparations, and facilitate direct payment, ensuring you receive the right care without unnecessary costs. Simply follow these steps:

Step 1: Confirm that your Table of Benefit covers the treatment you're seeking.
Step 2: Download and complete the Pre-authorisation Form.
Step 3: Submit the form to us at least five working days before your treatment.

3. Seek a Second Medical Opinion:

If you're facing a diagnosis of a rare disease, a complex surgery, or an invasive treatment plan, we strongly recommend seeking a second medical opinion. This is a simple yet powerful way to ensure the quality and appropriateness of the care you receive, while also helping prevent fraudulent claims. To access our service, simply contact us.

By following the above steps you play a vital role in helping prevent fraud and ensuring that resources are directed where they are most needed. If you suspect any type of fraudulent activity or behaviour, please contact us. These practices also help your employer manage the health benefits efficiently and sustainably.

Need Help?

MYHEALTH
Submit claims, view benefits available, access our Telehealth Hub and more.

24/7 HELPLINE
General Helpline & Emergency Assistance.

EXPAT ASSISTANCE PROGRAMME
Expat security and safety support services.

ONCOLOGY CASE MANAGER
Personal oncology case management service.

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AWP Health & Life SA, acting through its Irish Branch, is a limited company governed by the French Insurance Code. Registered in France: No. 401 154 679 RCS Bobigny. Irish Branch registered in the Irish Companies Registration Office, registered No.: 907619, address: 15 Joyce Way, Park West Business Campus, Nangor Road, Dublin 12, Ireland.