HEALTH INSURANCE
Group & Employees Health Plans.
Protection that really matters. Your employees are the lifeblood of your business and good healthcare coverage can significantly increase your company’s output.
KnowYouCan
Whatever your business model, SME or large corporate, we offer the most suitable health insurance product. Our Group & Employees Health plan offers value adding and comprehensive healthcare solutions to guarantee a healthy workforce.
Why Choose us?
Award winning HMO service provider
Wide Provider Network
Get access to over 400 health providers (hospitals, dentists, eye clinics, etc.) nationwide
Self-Service
Pre-book hospital visits and more with our self-service app and online dashboard
Corporate/Retail Plans
Customised corporate HMO plans and off-the-shelf plans for individuals, families and domestics
24/7 Support
We are available 24/7 to handle any medical emergencies
Features
- Comprehensive plans with access to a wide range of local and international plans. Our ‘Comprehensive’ Plan includes cover for In-patient, Out-patient, Dental, Optical, Maternity and various other benefits provided by different types of medical providers across the globe including hospitals, clinics, pharmacies, medical centers, radiology, dentists and optical.
- Cover for Pre-existing and Chronic conditions. All plans provide you with cover for any pre-existing conditions (whether chronic or not) from day one.
- Bespoke Benefits extensions. Flexibility to add benefits in your policy such as; Wellness (Health check-up), Alternative/Complementary treatment, Maternity, Dental, Optical, and Psychiatric treatment.
Third Party Administrator
TPA refers to a system of managing healthcare in which a third party (e.g. an HMO), ‘The Administrator’, is contracted to manage provider networks and medical claims for employees of the company, according to the client’s desired scope of cover.
The TPA scheme ensures prompt access to high quality medical care. It minimizes the financial impact of employee poor health, reduces the burden of health administration on the company, and ensures the containment of medical costs and the provision of management control.
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Scope of coverage
The scope of coverage is unlimited and is designed to meet the organization’s requirement and budget.
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Service Delivery
Subscribers will have access to additional services such as 24hr customer care, emergency ambulance and medical assistance services.
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Reduced Healthcare Costs
AXA Mansard Health reimburses the health care provider for services provided at a pre-negotiated rate.
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Quality Management
AXA Mansard Health will ensure high quality care delivery by accrediting and monitoring contracted health providers. A second opinion will be required for non-emergency medical procedures.
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Reduced administrative burden
The HMO takes on the responsibility for administering medical benefits and payments.
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Nationwide Emergency Coverage
Subscribers are guaranteed access to our nationwide emergency care coverage.
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Utilization Reports
The HMO shall provide an annual analysis of the scheme’s operations and performance as well as periodic reports on payments, expenses and utilization trends.
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Funding and Payments
The administrator develops and administers a revolving medical claim fund (deposit) which allows for cash flow advantage. The TPA system eliminates the issue of premiums but embraces payments for only genuine medical services rendered.
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Flexibility
The subscribing organisation sets the financial, dependents and healthcare provider limits according to the company’s condition of service.
Looking for a corporate plan or something tailored?
If you require Third-Party Administrator Plans, simply send us an email below or request a call back.
Get in Touch
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