Out-patient Direct Settlement
n n n n MEMBER GUIDELINES need to pay yourself for treatment covered underyour policy. As anALC Healthmemberyou willbeableto receive your treatment atany oneoftheHospital/Clinicsbelow withoutthe for Cambodia, China,HongKong, Thailand and Vietnam Out-patient Service Settlement Direct Financial Partners HoldingsLtd
www.royalphnompenhhospital.com F: +85523986992 T: +85523991000 Sok Sen Khan ToeukSangkat Thla Russian Confederation Blvd No 888 Royal Phnom Penh Hospital www.royalangkorhospital.com T: +85563761888 (Angkor) Siem Reap SraNgea Khum Phum Kasekam Road) (Airport National Route #6 Hospital Royal Angkor International CAMBODIA T: +86(10)59277005 100600 Chaoyang District East Road 19 Dongfang 2nd Floor GrandSummit United Family Llangma Clinic T: +86(10)80465432 Estate Zone Shunyi 101312 Tian ZhuReal Pinnacle Plaza Unit#818 Clinic –Shunyi UnitedBeijing Family T: +86(10)5927 7000 2 JiangtaiLu 100016 UnitedBeijing Family Hospital BEIJING CHINA treatment hasbeenreceived Following treatment to you sign willbeasked aCashless form before leaving theHospital/Clinicto confirm yourPlease membershipcard take andsuitable IDwithyou covered withALC by your insurancepolicy you Health andourclaimsteam ifnecessary. willcontact Insurance and of detailed onyourPolicy Certificate Wording. You willbe responsible for thecostofany treatment not Treatment received from to benefitsprovided theseHospitals/Clinics issubject under your ALC Healthpolicy, as The Hospital/Clinicwillsubmittheinvoice onyour behalfdirectly to ourclaimsteam for settlement T: +86(23)89038837 Yuzhong 400015 District Zhong ShanSanLu ChongqingNo139 Hilton 701Business Room Tower Clinic Doctor Global CHONGQING T: +86(28)8528 3638 610041 2nd Floor 9-11 S Section Lippo Tower Road ofKehua No. 62north Clinic Doctor Global CHENGDU www.hkclinic.com F: +861065539752 T: +861065532288 Da JieBeijing100027 Beijing #2Chao Yang Bei Men International Clinic Hong Kong T: +86(10)85296618 100020 Chaoyang District No 1GuangHuaRoad Center B29 Kerry Vista Clinic T: +86(769)22030011 Dongguan Dynatown No. Block 30IEOInternational Clinic Doctor Global DONGGUAN T: +86(25)86519991 Jianye District ParkNo 6Mochou East Road Zuolinfengdu Garden Clinic Doctor Global NANJING F: +862037591472 T: +86203758 5328 GZ 510623 Zhu JiangNew Town 19 HuaLiRoad 1/F, Pearl Ocean Building CenterMedical Eur Am International T: +86(20)87106000 District YuexiuMiddle 301 GuangzhouAve F Annex,PICC Building ClinicGuangzhou United Family T: +86(20)38906699 Tianhe District No 136LinhezhongRoad Tianyu Garden D1 2ndAnnex Clinic Doctor Global GUANGZHOU CHINA continued HONG KONG THAILAND Central Health Medical Practice Bangkok Hospital SHANGHAI 3rd Floor Baskerville House 2 Soi Soonvijai 7 Raffles Medical Centre-Shanghai 13 Duddell Street New Petchburi Road Level 2 1801 Hongmei Road Central Bangkapi Innov Tower Xuhui District 200233 T: +852 2824 0822 Huay Khwang T: +86 (21) 6197 2300 www.centralhealth.com.hk Bangkok 10310 T: +66 2310 3000 Southside Family Health Centre F: +66 21081546 Shanghai Ren-Ai Hospital 6th Floor One Island South www.bangkokhospital.com No. 133, Caoxi Road Suite 615 (near Shanghai Indoor Stadium) 2 Heung Yip Road Bangkok Hospital Chanthaburi Xuhui District 200235 T: +852 2592 9000 25/14 Thaluang Road T: +86 (21) 5489 3781 www.centralhealth.com.hk T.Watmai A.Mueang OT&P – Doctors Shanghai United Family Hospital Chanthanburi 22000 5/F Century Square T: +66 3931 9888 1139 Xianxia Lu Changning District 1 D’Aguilar Street Shanghai 200336 F: +66 3932 1202 Central www.bangkokhospital.com/ T: +86 (021) 2216 3900 T: +852 2521 3181 chanthaburi F: +852 2521 3858 www.chanthaburihospital.com Shanghai United Family OT&P – Therapists Pudong Clinic Bangkok Hospital Hua Hin 5/F Century Square Ground Floor Area A 888 Petchkasem Road 1 D’Aguilar Street 525 Hongfeng Lu Hua Hin Central Pudong District (Jinqiao Area) Prachuapkhirikhan 77110 T: +852 2121 1402 201206 T: +66 3261 6800 F: +852 2521 3858 T: +86 (21) 5030 9907 www.bangkokhospital.com/huahin OT&P Shanghai United Family 20/F Century Square Bangkok Hospital Pakchong Minhang Clinic 1 D’Aguilar Street 5/1 Mitraparp Road Ground Floor Central A.Pakchong Nakhonratchasima 30130 Shanghai Racquet Club T: +852 2155 9380 T: +66 4431 6611 Lane 555 Jinfeng Lu Huacao Town F: +852 2155 9382 F: +66 4427 9899 Minhang District OT&P www.bangkokhospitalpakchong.com/ 201107 1501 Shui On Centre bhp T: +86 (21) 2201 0995 8 Harbour Road Bangkok Hospital Pattaya Wanchai 301 Moo 6 Sukhumvit Road WorldPath Clinic International T: +852 2824 9112 Km. 143 No.399 North Nanquan Road F: +852 2824 6123 Banglamung Pudong 200120 Chonburi 20150 OT&P T: +86 (21) 2020 7888 T: + 66 3825 9999 G205 the Repulse Bay F: +66 3825 9990 109 Repulse Bay Road www.bangkokpattayahospital.com/en/ Repulse Bay T: +852 2813 1978 Bangkok Hospital Phuket SHENYANG F: +852 2813 2998 Global Doctor Clinic 2/1 Hongyok Utis Road No 54 OT&P Muang District Bangiang Street 1/F Razor Hill Dairy Farm Shopping Centre Phuket 83000 Dadong District Clearwater Bay Road T: +66 7625 4425 110042 Pik Uk, New Territories F: +66 7625 4430 T: +86 (24) 2433 0678 T: +852 2719 6366 www.bangkokhospital.com/phuket F: +852 2719 9262 www.phukethospital.com THAILAND continued Bangkok Hospital Udon VIETNAM Bangkok Hospital Ratchasima 111 Thongyai Road FV Hospital (French Viet Hospital) 1308/9 Mitrapap Road Markkaeng Muang district No 1 Phoung Mai Nai Muang Udonthani 41000 Dong Da Hanoi T: + 84 4 3577 1100 Nakhon Ratchasima 30000 T: +66 4234 3111 F: + 84 4 3576 4443 F: +66 4234 5044 T: +66 4442 9999 www.hfh.com.vn F: + 66 4425 6421 www.bangkokhospitaludon.com www.bkh.co.th Family Medical Practice Hanoi Medconsult Clinic Van Phuc Compound The Racquet Club 3rd Floor Bangkok Hospital Rayong 298 I Kim Ma Road Sukhumvit Soi 49/9 8 Moo 2 Ba Dinh District Hanoi, Wattana Bangkok 10110 Soi Saengchan Neramit Vietnam T +66 2018 7855 Nernpra T: +84 4 3843 0748 F: +66 2018 7856 Rayong 21000 F: + 84 4 3846 1750 www.medconsultasia.com T: + 66 3892 1999 www.vietnammedicalpractice.com www.bangkokrayong.com/th Samitivej Sukhumvit Hospital Family Medical Practice Da Nang 133 Sukhumvit 49 Bangkok Hospital Samui 50-52 Nguyen Van Linh Street Klongtan Nua 57 Moo 3 Nam Duong Ward Vadhana Bangkok 10110 Thaweerat Phakdee Road Hai Chau District T: +66 2711 8181 Bophut Da Nang, Vietnam F: + 66 2391 1290 Koh Samui T: +84 511 3582 699 www.samitivejhospitals.com Suratthani 84320 F: + 84 511 3583 049 T: +66 7742 9500 www.vietnammedicalpractice.com F: +66 7742 9540 Samitivej Srinakarin Hospital www.samuihospital.com 488 Srinakarin Road Family Medical Practice HCMC Suanluang Bangkok 10250 Diamond Plaza Bangkok Hospital Trat T: +66 2378 9000 34 Le Duan Street 376 Moo 2 Sukhumwit Road F: +66 2731 7044 District 1 Wangkrajae www.samitivejhospitals.com Ho Chi Minh City, Vietnam Muangtrat T: +84 8 3822 7848 Trat. 23000 BNH Hospital F: +84 8 3822 7859 T: +66 3953 2735 9/1 Convent Road www.vietnammedicalpractice.com F:+ 66 3952 2566 Silom Bangkok 10500 www.bangkoktrathospital.com T: +66 2686 2700 Care 1 Excutive Health Care Centre F: +66 2632 0578 The Manor www.bnhhospital.com 91 Nguyen Huu Canh Street Binh Thanh District Ho Chi Minh City, Vietnam For any other help and assistance when making a claim not received through the above T: +84 8 3514 0757 providers, please contact ALC Health claims team on +44 (0) 20 3764 0760 or send your F: +84 8 3514 0758 enquiry to our claims team via email at [email protected] www.vietnammedicalpractice.com
AXA PPP International is a trading name of AXA PPP healthcare limited. Registered office: 5 Old Broad Street, London EC2N 1AD. Registered in England and Wales. Registered number in England 3148119. AXA PPP International is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority (FCA) and the Prudential Regulation Authority (PRA).
Healix International is a trading style of Healix Health Services Ltd. Registered in England no 3945478. Registered office: 30 Upper High Street, Thame, Oxon, OX9 3EZ.
ALC Health is a trading style of à la carte healthcare ltd. Registered in England no 4163178. Registered office: Chanctonfold Barn, Chanctonfold, Horsham Road, Steyning, West Sussex BN44 3AA.
ALC6040 05/08/16 à la carte healthcare limited is authorised and regulated by the Financial Conduct Authority (FCA).