How To Make A Claim
AHI provides outstanding claims service for our
brokers/intermediaries and clients. Speed and accuracy when
settling claims is important.
When submitting a claim, a claim form must be fully
completed with Policy Number or Policy Holder Name in full (i.e.
Employer, University, Sporting or Volunteer Organisation)
All supporting documentation must be included with your
Claim (see each section under How to Make a Claim for further
details)
Claims can be lodged as follows:
- Fax - (02) 9252 4385
- Email - to claims@acchealth.com.au
- Email - Direct to claims assessor if you have their
details
- Post - to GPO Box 4213, Sydney, NSW, 2001
All losses for baggage, money and travel documents must be
reported to local authorities within 24 hours and a written report
obtained.
Medical claims, should be submitted to your local health
providers prior to lodgement with AHI.
Immediately report any baggage loss or damage to the airline
or carrier involved and submit a claim against the airline. They
may be responsible for damage and or loss and compensation must be
obtained through this avenue first.
- Receipts for all medical expenses incurred. This may also
include any hospital invoices that indicate itemised accounts or
treatment services provided
- Medical benefit refund documents
- Doctors Certificate or letter from the hospital specifying
exact nature of medical condition suffered by insured person
- A copy of your travel itinerary or travel tickets
- Copies of any relevant Police reports if they were called
to assist in any matters
- Additional Expenses claim receipts and tickets
- Letter from Travel Agent or carrier verifying reason for
additional expenses and full details of any refund obtained
Additional or curtailment expenses occur after
your journey has commenced. These are extra expenses that you would
not normally have incurred if the claimable event had not taken
place.
Please ensure that the currency in which expenses were
incurred is clearly indicated on the claim form.
Accident & Health may request that original receipts with
respect to hospitalisation costs be provided.
- A Police report or declaration if items were stolen. All
losses or stolen property should be reported to the Police or
appropriate local authorities and acknowledgement obtained
- Report or letter from authority such as Police or Airline
confirming the loss occurred and the amount of compensation
provided
- Proof of ownership of items claimed. Receipts, valuations,
Guarantee Certificates, Instruction Manuals, credit card
statements or other proof of purchase and supporting documentation
- If baggage was lost or damaged by an airline or carrier it
should immediately be reported and a claim first lodged against
them. In most cases they may be liable for some or all of the
damage or loss.
- Bank Statement, transaction receipts, foreign currency
conversion receipt or other proof of cash claimed
- Quotation for repair or replacement of items
- Copy of travel itinerary or travel tickets
- Original Tickets or Vouchers if a refund has not been
obtained
- Copy of any itemised costs and or deposits that you paid
for your proposed journey
- Doctor's Certificate or a letter from the hospital
specifying exact nature of medical condition suffered by Insured
person
- Letter from Travel Agent verifying total cost of Journey,
value of unused portion of journey, cancellation charges incurred
and total amount of refund received
- Medical certificates to support any illness, or a copy of
a death certificate if your travel was cancelled due to a death in
the family
- A letter from your Travel Agent, Tour Operator or Airline
indicating any refunds that you have already received or may be
eligible to receive
Loss of deposits or cancellation expenses are incurred if a
claimable event occurs before you
undertake your proposed journey.
- Letters or Demands of a claim against the insured person
- A copy of the Rental Agreement or contract showing the
excess
- Receipt from the rental company indicating payment of
excess
- A Statement from the rental company indicating the cost of
damaged to the vehicle
- The vehicle repair invoice
- If damage to the vehicle was of a minor nature and costs
were less than the excess, then we will also require the repair
invoice that indicates the amount that was paid
Accident & Health may appoint a
loss assessor to assist with the collection of any further
information that may be required.
Download
Corporate Travel Claim Form
- The Attending Physicians Statement must be fully completed
and signed by Your regular or treating doctor
- You may also attach additional medical certificates to
your claim form
- If your claim involves the payment of a weekly benefit you
must also provide documentation to support your weekly earnings.
This may be;
- A copy of Your weekly pay slip if You are employed by
someone else; or
- You may have Your Company's payroll officer complete and
sign the relevant section of the claim form; or
- If You are self-employed You must provide a copy of Your
most recent personal income tax return or assessment. This may
also be supplemented with copies of any relevant 'profit and
loss' statements.
Voluntary Workers additional
information
- Policy Club Secretary/President or appropriate are to sign
the declaration stating the incident occurred during an authorised
sporting, club or association activity
- If your claim involves the reimbursement of out of pocket
non-Medicare medical expenses or other expenses then also complete
the attached spreadsheet itemising your costs. (Receipts must be
provided for all expenses claimed including corresponding Private
Health Fund Benefit Statements)
Accident & Health may appoint a loss
assessor to assist with the collection of any further information
that may be required.
Download
Personal Accident, Personal Accident & Sickness, Journey Cover,
Voluntary Workers Claim Form Download
Voluntary Workers Cost Itemising Spreadsheet
- A copy of a Police report if the Police were called to the
event
- A copy of original Death Certificate
- Copy of Coroner's Depositions and Findings (if applicable)
Important Information:
Benefits will normally only be paid to the Estate of the
"Deceased Person". Any other payment direction will need to be
supported by the appropriate legal correspondence.
Accident & Health may appoint a
claims assessor to assist with the collection of any further
information that may be required.
Download
Accidental Death Claim Form
Provide receipts for all medical, hospital, pharmaceutical or
other expenses etc for which you are claiming (We may request that
original receipts be provided)
Any other relevant documentation supporting reimbursement
Submit the actual medical account along with any payment
receipts. The medical account contains specific item codes and
treatment codes that are required to assess your claim. Please note
that credit card receipts alone are not accepted.
Inbound
For any medical expenses occurred in Australia, please quote
your claim number and post the original receipt to us at:
Claims Department
Accident & Health International
GPO Box 4213
Sydney NSW 2001
Important Information
If you are about to undergo planned or elective surgery or
you are pregnant; it is advisable that you contact Accident &
Health International as soon as possible 'during normal business
hours'.
Many hospitals require full payment or guarantee of payment
for treatment services prior to the treatment. We may be able to
liaise directly with the hospital for payment of larger accounts.
For routine treatment services such as doctors visits or
dental check ups etc., You must first pay and then make a claim
against your Insurance.
Expatriates
Expatriates who return to Australia on a temporary basis
(such as on leave or business), may be eligible for some
reimbursement by Medicare even for up to periods of 5 years after
leaving Australia. If medical treatment of this nature is
contemplated please contact the claims department for assistance
prior to the treatment.
Those Expatriates living and working overseas should contact
Accident & Health Assist (24/7) for any treatment (elective or
emergency) that has been received in a hospital. Even simple
procedures undertaken in an American Hospital may cost many
thousands of dollars. Our Global medical networks may be able to
deal directly with the Hospital with respect to payment of these
larger accounts.
Download
Expatriate Medical Expenses Claim Form Download
Inbound Medical Expenses Claim Form