ALC6041 05/08/16 à lacarte healthcare limitedisauthorised and regulated bytheFinancial Conduct Authority(FCA). ALC Healthis atradingstyleofàlacarte healthcareltd.Registered inEnglandno4163178. Registeredoffice: Chanctonfold Barn,Chanctonfold, HorshamRoad,Steyning, WestSussexBN44 3AA. Healix Internationalisatrading styleofHealixHealthServicesLtd.Registered inEnglandno3945478.Registeredoffice:30 UpperHighStreet,Thame,Oxon, OX93EZ. AXA PPPInternationalis authorised bythePrudentialRegulationAuthority andregulatedbytheFinancialConductAuthority (FCA)andthePrudentialRegulation Authority(PRA). AXA PPPInternationalis a tradingnameofAXAPPPhealthcarelimited.Registered office:5OldBroadStreet,LondonEC2N 1AD.RegisteredinEnglandandWales. RegisterednumberinEngland3148119. Out-patient Direct Settlement claims team on +44 (0) 20 3764 0760 or send your query to ourclaimsteam [email protected] team on+44(0)2037640760or send your query For aclaimnotreceived any throughALC otherhelp andassistancewhenmaking QHMS,pleasecontact Health also beusedto bookappointments. Please isavailable note butnotguaranteed. thisfacility You QHMSHelpline directlyon+85283018301. cancontact This Helplinenumbergives generaladviceonQHMSandcan PointNorth Fung (Wai Plaza)Mongkok (SinoCentre)Mongkok (FeeMongkok Tat Commercial Centre) OnShan Ma Lam Tin Kwun Tong Station Kowloon Bay () Tower)(Skyline Kowloon Bay Kowloon Garden) Bay (Richland Road) Kowloon (Jordan BayDiscovery Centre) Medical Central (Sports Central (Prince’s Building) Central (Hutchinson House) Central (HolisticHealth) Central (DrAnderson&Partners) Central (Crawford House) Centre) TradeCauseway Bay (World Causeway Bay (EastPoint Centre) Admiralty Centre 16/F Centres:QHMS Medical n n n n MEMBER GUIDELINES treatment covered underyour policy. member you willbeableto receive your treatment atany oneoftheCentres below withouttheneedto pay yourself for Centres ofMedical through across anetwork QHMS provides theregion. awiderangeofmedicalservices As anALC Health with ‘Quality Healthcare Services’ Medical (QHMS) Out-patient Service Settlement Direct Financial Partners HoldingsLtd

Please take yourPlease membershipcard take andsuitable IDwithyou policy with ALCpolicy you Healthandourclaimsteam ifnecessary. willcontact andPolicy of Insurance Wording. You willberesponsible for thecostofany treatment notcovered by your insurance Treatment received fromto benefitsprovided QHMSissubject under your ALC Healthpolicy, asdetailedon your Certificate The Hospital/Clinicwillsubmittheinvoice onyour behalfdirectly to ourclaimsteam for settlement has beenreceived Following treatment to you sign willbeasked aCashless form before leaving treatment theHospital/Clinicto confirm Yuen Long Tuen Mun (Tsuen Wan Centre) Tsuen Wan Tsuen Wan (Fortune Mansion) Tsuen Wan (DungFat St) Tsing Yi (MTR Station) Tsing Yi TsimSha Tsui (Pacific Centre) Tseung Kwan O Shui WaiTin Plaza)Stanley (Stanley Sheung Wan Com/Sheung (HoiKiu Wan Centre) Sheung Wan (CS Tower, So Wing) Shatin ( Wai Station) Shatin Town (New Tower/ST,floor) 10th Shatin Town (New Tower/9thfloor) PoSan Kong Bay (OxfordQuarry House) Bay (Chinachem Exchange Square) Quarry Prince Edward () (Maritime (Nan Fung Centre)