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    Etiqa Step by Step Guide For Availment and Reimbursement

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    dauzjenny42
    This document provides guidelines for availing outpatient, inpatient, and teleconsultation services covered by Etiqa health insurance. It explains the reimbursement processes and requirements for outpatient and inpatient claims. During quarantine periods, claims can be filed online and original documents later submitted. It addresses common questions about office operations, leave of absence, reimbursements, and using the Etiqa mobile app.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Etiqa Step by Step Guide For Availment and Reimbursement

    Uploaded by

    dauzjenny42
    71 views18 pages
    This document provides guidelines for availing outpatient, inpatient, and teleconsultation services covered by Etiqa health insurance. It explains the reimbursement processes and requirements for outpatient and inpatient claims. During quarantine periods, claims can be filed online and original documents later submitted. It addresses common questions about office operations, leave of absence, reimbursements, and using the Etiqa mobile app.

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    Etiqa Step by Step Guide for Availment and Reimbursement

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    This document provides guidelines for availing outpatient, inpatient, and teleconsultation services covered by Etiqa health insurance. It explains the reimbursement processes and requirements for outpatient and inpatient claims. During quarantine periods, claims can be filed online and original documents later submitted. It addresses common questions about office operations, leave of absence, reimbursements, and using the Etiqa mobile app.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    71 views18 pages

    Etiqa Step by Step Guide For Availment and Reimbursement

    Uploaded by

    dauzjenny42
    This document provides guidelines for availing outpatient, inpatient, and teleconsultation services covered by Etiqa health insurance. It explains the reimbursement processes and requirements for outpatient and inpatient claims. During quarantine periods, claims can be filed online and original documents later submitted. It addresses common questions about office operations, leave of absence, reimbursements, and using the Etiqa mobile app.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    ETIQA Out-Patient, In-

    Patient and Teleconsultation


    Availment Guide
    • Etiqa Availment Process
    • Etiqa Reimbursement Process during ECQ and GCQ
    • Etiqa Medical Information Center (MIC)
    • FAQs
    How to apply for Out-Patient (OP) reimbursement How to apply for Hospitalization reimbursement
    Out-Patient Claim Reimbursement Requirements: In-Patient (IP) Claim Reimbursement Requirements:
     OP Claim Form, properly signed  IP Claim Form, properly signed
     Medical Certificate for the diagnosis and/or doctor’s  Medical Certificate for the diagnosis and/or doctor’s
    request request
     Laboratory request, if applicable  Valid Official Receipt, not expired
     Valid Official Receipt, not expired  Detailed Statement of Account (SOA), to identify the
     Other valid supporting document breakdown of expenses
     Other valid supporting document
    Additional requirement – complete bank account details
    of employee, can be clearly printed in the OP Claim Form Additional requirement – complete bank account details
     Complete and correct employee name of employee, can be clearly printed in the IP Claim Form
     Mobile # / contact #  Complete and correct employee name
     Bank, Branch of the Bank, Bank Account #  Mobile # / contact #
     Home address maintained/ enrolled in the bank  Bank, Branch of the Bank, Bank Account #
    account for verification purposes  Home address maintained/ enrolled in the bank
    account for verification purposes

     During ECQ and GCQ, medical reimbursement claims shall be received and processed online at a limited capacity. Claim
    documents may be sent to [email protected].
     All original copy of documents are still required and has be to submitted to Etiqa.
     Payment for reimbursement is through bank deposit. Etiqa will notify the company once amount has been credited to the
    employee’s account
    Frequently Asked Questions
    Q: Are Etiqa offices already opened?
    A: Etiqa is business as usual. Some are working on site while the rest remains working from home

    Q: How do we manage LOA?


    A: Medical Information Center (MIC) is working status quo (24 x 7), same with the liaison officers (remotely
    assisting members).

    Q: How do we file for reimbursement claim during community quarantine status?


    A: Filing of reimbursement is still via on-line/scanned copies. Claim documents may be sent to
    [email protected]. Please note that original documents still need to be submitted to Etiqa
    once community quarantine is lifted.

    Q: How can we get our reimbursement check?


    A: Payment for reimbursement is through bank deposit. Etiqa will notify the company once amount has been
    credited to the employee’s account.
    Frequently Asked Questions
    Q: How do we reimburse Teleconsult?
    A: Teleconsult is not reimbursable. ETIQA has an in-house tele-consulta platform (on a limited capacity) during
    this community quarantine status.

    Q: What do I need to do to make my hospital discharge faster?


    A: You or your companion should call MIC immediately if you are already advised by your doctor of your
    discharge so that Etiqa Rep can issue the letter of guarantee (LOG) to the hospital for your discharge.

    Q: What should I do if I lose my AsianLife health card?


    A: You must notify your HR, Marsh or call the Medical Information Center immediately for proper and timely
    endorsement of request for a new card. If you need to seek medical care while you do not have your card, you
    can seek assistance for LOA issuance by calling the MIC prior to your visit to an accredited hospital or clinic.
    To avail applicable Bayer benefits thru Etiqa, always bring your Etiqa card and additional valid IDs like company ID.
    Download Etiqa’s SMILE Ph mobile app and avail services thru the assistance of the app.
    Thank you!!!

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