Emergency Availment
STEP 1:
Go to the Emergency Room (ER) of an accredited hospital.
STEP 2:
Present your AVEGA card to the ER staff for validation of your membership status. If APPROVED, ER LOE will be printed. Sign the LOE. If DECLINED, staff will call AVEGA's Customer Service for assistance.
STEP 3:
Undergo medical treatment.
STEP 4:
If declared as an OUT-PATIENT CASE, sign the hospital bill upon charges and settle non-covered charges.
STEP 5:
If for ADMISSION, notify AVEGA's Customer Service within 24 hours. Occupy allowed room. (NOTE: Please double check room category/plan limit to avoid paying incremental charges)
STEP 6:
File PhilHealth for PhilHealth-required procedures.
STEP 7:
Patient's Relation Officer (PRO) will issue an AVEGA RCS 3 for the in-patient. Sign the RCS 3. Settle any incremental and miscellaneous charges upan discharge (please validate if items charged are correct).
Avail the treatment at the Emergency Room.
If FOR CONFINEMENT, notify AVEGA's Customer Service within 24 hours.
Settle hospital bill upon discharge. Secure all pertinent documentation and RECEIPTS for reimbursement.
File for reimbursement.
If treated in a non-accredited facility, you may file for reimbursement of your hospital bill (subject to plan coverage). The process of reimbursement is as follows:
1. Download AVEGA Reimbursement Form from AVEGA's website or secure a copy from your HR representative.
2. Fill-out the reimbursement form completely and attach required documents (Please note: all attached receipts must be original copies).
3. Submit the form and the required documents to AVEGA within 30 days from expiration of treatment/hospital discharge.
4. AVEGA will process the request within 30 days upon receipt of complete form and documents.