Allianz Premium Plan Details
At Camunda, we are committed to providing our Camundi with competitive benefits that support their well-being. In addition to statutory benefits, we have partnered with Remote to offer Enhanced Health Insurance in many locations, with the Allianz Premium plan being a cornerstone of this offering.
Key Benefit Coverage Highlights (2025 Plan)
This table provides a summary of some key coverages available under the Allianz Premium plan. This is not an exhaustive list. For complete details, including all specific limits, conditions, and exclusions, please always refer to your Insurance Certificate, full Table of Benefits document, and the Allianz Care Benefit Guide. Pre-authorisation is often required for in-patient and high-cost treatments.
What the Plan Covers:
| Benefit Category | Specific Benefit Example(s) | Coverage Highlight (Subject to overall plan limit) |
|---|---|---|
| Overall Plan Limit | Per member, per Insurance Year | $1,000,000 USD |
In-Patient Care | Hospital Accommodation (Private Room) | Full refund |
| Intensive Care | Full refund | |
| Surgical Fees & Physician Fees | Full refund | |
| Organ Transplant | Full refund | |
Out-Patient Care | Maximum plan benefit for Out-Patient Plan | $5,060 USD |
| Video Consultation Services | Full refund | |
| Medical Practitioner Fees | Up to $1,350 USD | |
| Diagnostic Tests & Specialist Fees | Full refund (within out-patient limit) | |
Maternity Care | Routine Maternity (In-patient & Out-patient) | Up to $6,000 USD |
| Complications of Pregnancy & Childbirth | Up to $13,500 USD | |
Mental Health | Psychiatry & Psychotherapy (In-patient/Day-care) | Full refund |
| Psychiatry & Psychotherapy (Out-patient) | Max 10 visits (referral needed for psychotherapy) | |
Dental Care | Maximum plan benefit for Dental Plan | $1,000 USD |
| Preventative, Routine & Major Restorative Treatment | 100% refund (up to dental plan maximum) | |
Emergency & Evacuation | Local Ambulance | Full refund |
| Medical Evacuation | Full refund | |
| Emergency Treatment Outside Area of Cover (max 6 wks/trip) | Up to $50,000 USD | |
Other Key Coverages | Oncology (Cancer Treatment) | Full refund |
| CT, MRI, PET Scans (In-patient & Out-patient) | Full refund |
Important Plan Information & Support Services
Beyond the direct medical coverages, your Allianz Premium plan includes several important features and support services:
- Treatment Guarantee/Pre-authorisation: Certain treatments require pre-authorisation from Allianz. Failure to obtain this may lead to a reduced payment or claim denial if treatment isn't deemed medically necessary. Always contact Allianz before such treatments.
- Chronic & Pre-existing Conditions: These are generally covered within the terms of your policy. Refer to the Benefit Guide definitions for specifics.
- Benefit Limits Explained: The policy has an overall annual limit ($1,000,000 USD). Some benefits also have specific individual limits (per year, per lifetime, or per event). "Full refund" is always subject to these limits.
- Employee Assistance Programme (EAP): Offers 24/7 multilingual support including confidential counselling, legal/financial referrals, and a wellness website.
- Travel Security Services: Provides 24/7 access to personal security information, an emergency hotline, country intelligence, and travel safety alerts.
- Olive - Health & Wellness Support: Includes a fitness app, access to online health assessments, wellness resources (webinars, articles), and a mind coaching app.
- Second Medical Opinion Service: Get expert help on treatment options if diagnosed with a serious illness or if surgery is recommended.
- TeleHealth Hub (Video Consultation Services): Direct access to online doctor appointments for medical advice, treatment recommendations, and prescriptions where available and appropriate.
How to Use Your Plan
- Choosing a Provider: You have the freedom to receive treatment from any licensed medical provider worldwide. Allianz can help you locate one via the MyHealth app or their website, but you are not restricted to their network.
- MyHealth Digital Services (App & Online Portal): This is your primary tool for managing your plan:
- Find medical providers, submit and track claims, access policy documents and your digital membership card, and contact Allianz via live chat.
- Utilize tools like the symptom checker, pharmacy aid, and medical term translator.
- To register: Visit myallianzcare.com/myhealth or download the 'Allianz MyHealth' app. You'll need your policy number.
- Arranging Treatment:
- Out-patient visits: Schedule your appointment, pay the provider directly, and then submit a claim for reimbursement. You generally don't need to present your Allianz card beforehand.
- In-patient treatment & high-cost services: Contact Allianz for pre-authorisation before treatment. They can often arrange direct payment with the provider.
- Emergencies: Seek necessary treatment immediately. If hospitalized, you or someone on your behalf must inform the Allianz Helpline within 48 hours. Pre-authorisation details can often be taken over the phone in emergencies.
- Submitting Claims for Reimbursement:
- After paying for out-patient services, submit invoices and medical records via the MyHealth app or online portal.
- Claims are typically processed within 48 hours if all required information (including diagnosis) is provided.
- Ensure claims are submitted no later than six months after the end of the Insurance Year or cover cancellation.
- Medical Evacuation & Repatriation: Contact the Allianz Helpline immediately at the first indication of need. Do not arrange these services independently, as Allianz will coordinate them.
Getting Help
For any assistance with your plan:
- 24/7 Multilingual Helpline: +353 1 630 1301 (Note: international charges may apply from your country).
- Email: client.services@e.allianz.com
- MyHealth App: Use the live chat feature.
- Website: Check www.allianzcare.com for toll-free numbers, FAQs, and more resources.