FAQ

The Insured Party/User shall contact the provider of the desired speciality directly (he may obtain the contacts thereof by consulting our Clinical Directory which he may access via the Internet or by ringing our help line) and making his appointment, always identifying himself as the AdvanceCare Health Card Holder.

Should a specialist refer him to another specialist, the Insured Party/User shall make a direct appointment in the manner described in 1.

By accessing the Directory available on the Internet or on our helpline.

The Insured Party/User shall send AdvanceCare the request for a refund duly completed along with the original of the receipt and the prescription from the doctor where necessary (examples: medications, tests, medical exams etc.). The expense refund form, receipts and medical prescriptions shall be photocopied and remain in the possession of the Insured Party/User.

 

The annex contains the Refund Request form which you should send us along with your health expenses. The respective fields shall be completed legibly in accordance with the instructions:

 

 

Identification of the Insurance Company – Identifies the Insurance Company with which you took out your Health Insurance contract as well as the address to which you should send us your expenses;

Product – Identifies the type of insurance you took out as well as the policy to which you are bound.

Identification of Family – Identifies the number which has been assigned to your family unit as well as your address. We would like to suggest that you confirm whether it is up-to-date.

Identification of the Insured Party – You should select the Insured Party (ies) to which the expenses presented relate;

Identification of the Provider – Data relating to the Heath Care Provider. In case of doubt, we suggest that you ask your Heath Care Provider for help;

Place – Select the type of Place where the health services were provided;

Cause of Illness – State the reason for the expenses;

ICD-9 (Diagnosis Code) – Pathology Coding – identifies the pathology which brought about the provision of the service – ask your doctor to help you complete this field;

Consultations, Treatments and other Clinical Acts – You should indicate the date of the occurrence, a description of the medical act and the respective coding of the medical acts practiced and the amount paid for each medical act. In case of doubt, we suggest you ask your doctor.

Stomatology Scheme – Should there be stomatology treatments, we would recommend you to ask your Doctor to help you identify the teeth which are being subjected to treatment;

Signature and Authorisation of the Insured Party – You should sign the respective document, thereby authorising our services to have access to the information you provide us with, thereby safeguarding the National Data Protection Law;

Number of Documents Attached – In this field, indicate the no. of expenses you are presenting us with;

Signature of the Provider – Ask the Heath Care Provider to sign the document too.

Notes – Accept our suggestion and photocopy this document for future uses, thereby helping us to improve the service we provide you with.

This means the need to obtain authorisation/check-up prior to the medical act/exam so as to ensure that it conforms to the Health Plan.

If the doctor is on the AdvanceCare network, he will know how to act, in other words, depending on the medical act in question, he will make a phone contact or shall complete the pre-authorisation request (comprising a specific form with clinical information) and shall send it directly to AdvanceCare.

Should you decide not to use the AdvanceCare Provider Network, you shall pay the medical act carried out in full and then send the duly completed Refund request along with the health expenses (originals of the receipts) and the medical prescriptions, where applicable.

Yes, when carried out at an Agreed AdvanceCare Network Provider.

Yes, for those on the list of pre-authorisations/check up and when carried out at an Agreed AdvanceCare Network Provider.

• Hospitalisation with Medical or Surgical internment;
• Interventional Cardiology;
• Outpatient Surgery;
• Childbirth;
• Chemotherapy;
• Lithotripsy;
• Physical Medicine and Rehabilitation

• Sedation associated with certain Complementary Diagnostic Means;
• Radiotherapy Treatments;
• Dental Implants;
• Varicose vein sclerotherapy (Injection, Lasertherapy,
• All procedures which do not fin with the remit of the Pre-Authorisation regime, and when a medical team or days of hospitalization are requested.

This means a share of the cost of the appointment, the exams carried out in an outpatient regime, hospitalization etc. borne by the Insured Party/User on the AdvanceCare Provider Network.

The Well-being Network is a Network of Accredited Providers with new services which help to improve the quality of life of the Insured Party/User, such as Psychology, Health Clubs, Nutrition, Genetics, Acupuncture, Homeopathy, Chiropractic, Shiatsu, Talasso and Spas, etc.

Access to the Well-being Network is gained directly by the Insured Party/User, to this end merely consulting the Directory on the Internet or consulting our helpline. After choosing, the Insured Party/User shall book the desired service directly and identify him/herself by presenting the Health Card. In this way, the Insured Party/User shall have access to the discount agreed with the Provider in question and this may not be subject to any refund by AdvanceCare.