​​​​​​​​​​​​In order to expedite your refund (see hereunder), you can send in medical expenses associated with a hospital stay (e.g. post-discharge doctors’ appointments) as well as costs to treat a critical illness. If your plan includes outpatient care coverage, expenses unrelated to an inpatient stay (e.g. dental care) are also eligible for a refund.

How exactly does it work?

All you need are your scanned or photographed documents, your bank account details and, ideally, your card or contract number.

Tip: What kind of receipt should be sent in?

  • Itemised hospital bills (+ any attachments)
  • Invoices for emergency medical transport (N.B.: submit this invoice to your Sickness Fund first)
  • Receipts for prescription medication (pharmacy receipts):
    Ask your pharmacist for an itemised receipt for supplementary insurance purposes ("BVAC attestation"). This will contain the name of the patient and the doctor, the date the prescription was filled, a list of products purchased and the price. 
  • Outpatient care expenses (e.g. doctors’ appointments):
    Ask your Sickness Fund to issue you an overview per patient of all services provided over a given period.
  • Other benefits: The invoices and/or fee invoices

Patient details


Contact details


Bank details


Medical expenses

Please upload your costs below.

Remark : If you haven’t reported yet your hospital admission to AG Insurance, please complete the claim notification form and upload it together with your costs: Claim notification form

In case you want to upload several files, which together exceed the maximum of 18MB, you have to fill out the form repeatedly.

Only files of types jpg-, png-, pdf- are allowed - max. 18 MB.
Click here or drag files to upload.

Comments


Processing of health data

AG Insurance is controller for the processing of these data and undertakes to comply with its obligations under the applicable privacy legislation. More information can be found in the information document and in the general terms and conditions.

AG Insurance is controller for the processing of these data and undertakes to comply with its obligations under the applicable privacy legislation. More information can be found in the information document and in the general terms and conditions.


Processing of personal data - more information

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