what to do in case of a Medical Claim?

In Emergency's cases:

  1. Go to the nearest hostpital.
  2. Present your insurance access card and your ID card.
  3. The approval will be transmitted to you through the hostpital or the delegate (if available).

Note: if you are co-insured with the National Social Security Fund (NSSF), make sure to get the NSSF's late approval.        

 

In Non-emergency's cases:

Provide The following documents to the Insurance offices (or your agent) preferably 24 hours a head of time.

  1. The official original medical report and supportive documents.
  2. The access card
  3. Your ID card
  4. In case you are co-insured with the NSSF (National Social Security Fund), make sure to get your prior NSSF approval.

 

Out hospital (Laboratory tests, X-rays....) you can head directly to one of "La Phenicienne" laboratory network with the following documents:

  1. The official original medical report and supportive documents.
  2. The access card.
  3. Your ID card.

The laboratory will provide you with the approval.

 

Remarks

  1. For assisstance outside working hours call the claims center at 03/865 724
  2. Coverage are limited to the hospital Network that you are subscribed to.
  3. All the above is subject to the policy terms conditions and exclusions.