HEALTH CLAIM REIMBURSEMENT REQUIREMENTS

In order to ensure quick settlement of reimbursement claims please find below the documents required:

The following are the type of reimbursement that you can initiate

Outpatient Reimbursements


You can report immediately or within 60 days using the following platform:
1. The Website
2. Email to customercare.uganda@apainsurance.org
3. Letter
4. Call
5. Walk in to the nearest Branch or Office

Inpatient reimbursements


The following are the information that you will be required :
1. Scheme Name
2. Name of member
3. Name of person reporting
4. Cellphone Number of person reporting

Overseas Reimbursement claims : Outpatient


One of our agent will call you once your claim is initiated.

Overseas Reimbursement claims : Inpatient


You can report immediately or within 60 days using the following platform:
1. The Website
2. Email to customercare.uganda@apainsurance.org
3. Letter
4. Call
5. Walk in to the nearest Branch or Office

Last Expense Reimbursement claims


Required documentation / information
- Death certificate
- Copy of Identity card for the deceased.
- Employer Letter confirming the death for corporate clients
- Notification of death either from Hospital or mortuary
- Fully completed payee bank details / copy of Identity car

TERMS & CONDITION

Duration of claim


All claims will be considered for settlement if they are forwarded fully documented and received within 60 days from the date of treatment. Claims received after 60 days will be time barred and returned unpaid.

Drug Purchase


Drugs dispensed by doctors are not payable. A doctor should only prescribe the drugs and the member will then buy them from a registered chemist or pharmacy. All drugs must be prescribed by a doctor. Drugs bought over the counter will not be payable.

Consultation


Consultation fee is payable up to the maximum limit as per the policy terms and conditions unless accompanied by a referral letter.