FAQs Archive

Q: Q. Are there deductibles?

A. With all EHP plans, you can choose whether or not to have a deductible against your policy. You will be required to pay for covered services before the insurer will begin to pay. Considerable savings can be made on your premium by selecting a deductible.

Q: Q. What happens where Inpatient treatment is needed in an Emergency?

A. Whilst we normally ask that any in-patient treatment is pre-approved prior to the commencement of any treatment, in a medical emergency it is important to get treatment as soon as possible. All we ask is that either the patient or a family member/colleague contacts our 24-hour emergency assistance centre as soon as reasonably possible so that we can provide any additional assistance that may be required.

Q: Q. How often can an individual make a claim?

[fusion_builder_container type="flex" hundred_percent="no" equal_height_columns="no" menu_anchor="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" background_color="" background_image="" background_position="center center" background_repeat="no-repeat" fade="no" background_parallax="none" parallax_speed="0.3" video_mp4="" video_webm="" video_ogv="" video_url="" video_aspect_ratio="16:9" video_loop="yes" video_mute="yes" overlay_color="" video_preview_image="" border_color="" border_style="solid" padding_top="" padding_bottom="" padding_left="" padding_right=""][fusion_builder_row][fusion_builder_column type="1_1" layout="1_1" background_position="left top" background_color="" border_color="" border_style="solid" border_position="all" spacing="yes" background_image="" background_repeat="no-repeat" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="0px" margin_bottom="0px" class="" id="" animation_type="" animation_speed="0.3" animation_direction="left" hide_on_mobile="small-visibility,medium-visibility,large-visibility" center_content="no" last="true" min_height="" hover_type="none" link="" border_sizes_top="" border_sizes_bottom="" border_sizes_left="" border_sizes_right="" first="true"][fusion_text]A. There are no limits to the number of times a member can make a claim, however some benefits do have sub-limits to the overall monetary amount of cover provided.[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Q: Q. How are claim forms obtained?

A. Your account executive or broker can email the form to you, alternatively, claim forms can be downloaded from www.executive-healthcare.com

Q: Q. What hospitals can be used?

A. Unlike some insurers, EHS and Allianz Care do not have a Hospital Bed Directory and therefore your employees are free, with a few exceptions, to use any hospital that they may choose, so long as adequate facilities and suitable treatment is provided.

Q: Q. What happens if I want to cancel my cover?

A. You have 15 days from the commencement date of your cover to review your benefits. If you decide to cancel and no claims have been made, we will arrange a full refund of any premium paid, provided we receive a written request to cancel your cover.

Q: Q. Can my family members also be covered?

A. Yes. Your spouse or adult partner, who is permanently living with you, can be included as a dependant. Also eligible for cover are unmarried children not more than 18 years old and living with you, or not more than 26 years old and in full-time education. Again, this is subject to a completed Application form.

Q: Q. How quickly does my cover go into effect?

A. As soon as we receive a completed application form (email or original), we can confirm immediate cover for 15 days, subject to underwriter’s acceptance and pending receipt of the premium. If you wish to be covered immediately, please contact Executive Healthcare Solutions on (254) 20 291 0000 or (254) 709 337 000 . You may also reach us via email at info@executive-healthcare.com .

Q: Q. Is a medical examination required to enrol in the plan?

A. No. In the rare instance that we require additional information for fair and accurate underwriting purposes, we will ask you to submit a medical report from your doctor.