Health Insurance
Managing Your Plan
This page gives information you may need to help you manage your plan.
For any forms you may need to download, please visit the Literature & Forms section of our website.
If you have any queries at all, please feel free to contact us .Managing your plan
Eligibility
Our services are available to full time employees and retirees, an employee's legal spouse and/or an employee's children and an enrolment form must be completed for each individual (employee & dependant).
Changes and amendments to your plan
We require immediate notification for any changes in employee status, terminations/leavers, changes in life benefits, newborn children to be covered under the plan, extension of dependant child coverage, changes in beneficiaries and/or death of any individuals covered.
Pre-certification is required for all hospital confinements, all major out-patient procedures and/or overseas treatment.
Making a claim
For all claims, you should submit the following documentation within six months of the incurred date:
- Original claim form certified by attending physician (incl. diagnosis and relevant CPT codes).
- All related bills and receipts.
How to make a medical, dental or vision claim
- Complete a separate claim form for each insured member making a claim.
- Complete a Health Insurance Claim Form for medical expenses, an Attending Dentist's Statement for dental claims and/or a Vision Claim form for vision claims.
- Ensure all claims being submitted include a diagnosis and relevant CPT codes for each procedure performed by the attending physician, the insured and claimant's signatures and/or all related bills and receipts.
- Submit claims to Generali Worldwide within 6 months of the date incurred.


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