For any planned hospitalisation or treatment, you must request pre-approval from APRIL at least 5 working days in advance:
1) Submit your request on Easy Claim
Click on the "Hospitalisation" button, fill in the required fields and attach the relevant documents.
OR Fill in the Advance Request Form with the help of your attending physician, including the name of the medical facility, planned admission date and full breakdown of estimated cost and send it to firstname.lastname@example.org.
2) APRIL will assess your request.
If some information is missing, we will contact you to finalise your request, so make sure that the phone number you indicated is correct.
3) When your request for hospitalisation or planned treatment is approved, we will provide you with the supporting documents (written approval or Letter of Guarantee).
REQUESTING PRE-APPROVAL FOR PLANNED SURGERIES IS COMPULSORY. IF YOU DON’T REQUEST PRE-APPROVAL, WE MAY APPLY A 20% CO-PAYMENT ON YOUR MEDICAL EXPENSES.
Which treatments require pre-approval?
- Hospital Benefits (other than in emergencies)
- Rehabilitation Treatment
- Surgery performed while a day-patient
Why is pre-approval compulsory?
With APRIL, you are not obliged to consult a particular doctor or go to a particular hospital. You are free to choose your own doctor or the hospital where you want to be treated.
However, if you have a serious health problem, our experts will always look at each individual case. The local experience of our medical teams means we are able to make the best possible assessment of the treatment plans and rates offered by healthcare providers to ensure the treatments being proposed are appropriate and medically required and that they are in line with the usual and customary rates in the region.
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