DKV Claims Assistance

Quick links:

• Where should I receive medical treatment?
• How to claim for Hospital treatments
• How to claim for Emergency treatments
• How to claims for Outpatient and Dental treatments

Where should I receive medical treatment?

• The policy holder is free to select their doctor or treating hospital, given the medical facility is a recognised institution within the country of residence.
• The hospital or medical facility should have qualified staff, quality diagnostic and medical equipment, and keep authorised medical records.
• DKV members should call the DKV Hotline for information on quality, bilingual doctors and hospitals are in their local area.

How to claim for Hospital treatments

• Call the DKV Hotline to confirm your policy benefits and limitations on treatments.
• DKV should be advised of the proposed hospital treatment 10 days prior to admission.
• The policy holder may be asked to submit further information as requested by DKV.
• The policy holder or hospital will be issued a guarantee of treatment.
• DKV will normally organise direct settlement of medical bills with the treating Hospital, especially in the case of major medical treatments.
• If direct settlement is not possible, the policy holder will pay for medical treatment and submit a claim form to DKV for reimbursement of medical expenses.

How to claim for Emergency treatment

• In the case of an emergency*, the policy holder does not need to obtain pre-authorisation.
• Call the Medical Emergency Hotline available 24 hours a day, 7 days a week, to advise of emergency treatments, hospital and doctor.
• A declaration of assignment must be signed by the hospital, for direct settlement of medical bills, with no need to submit a claim form.

*An Emergency is an acute illness that threats the person's general state of health.

How to claims for Outpatient and Dental treatments

• Policy holder must obtain an invoice after receiving treatments.
• Invoices should generally include: policy holder's name, date of birth, diagnosis or description of illness, outline of costs for each treatment received.
• Policy holder can download a claim form from the DKV website or online members area.
• Policyholder sends the claim form to the address shown on the form, or emails the claim form (with invoices and other required documentation scanned and attached).
• If the policy holder is claiming for prescription drugs, a copy of the doctor's prescription should be submitted together with the doctor's invoice.
• When claiming for dental treatments, the invoice must detail which tooth has been treated.
• Policyholders can call the DKV Hotline to confirm policy benefits and limitations on treatments.

For more information about Deutsche Krankenversicherung Health Insurance Plans, or to receive a free Health Insurance Quote, please contact one of our dedicated advisers today.