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.