In case of a health problem

What should I do?

For reimbursement of expenses for medical examinations, it is necessary to fill out the forms, listed below, as well as provide a set of documents (also listed below). These documents should be provided at an office of DZI or sent to the insurance intermediary, with whom the insurance policy has been concluded. The Insurer has the right to require submission of other documents as well.

Needed Documents

A filled in Claim Payout Form (for natural persons) as per the Insurer’s template – an original with all particulars
Outpatient card, issued by the attending physician, filled in with all particulars and explicitly indicating the illness onset, signed and stamped by the attending physician and signed by the Insuree – a copy
A detailed invoice in the Insuree’s name (reflecting the conducted medical examination, by type and price) and a fiscal receipt, attached to it – an original
An official document, containing the Insuree’s bank account, if it has not been indicated in the Claim Payout Form

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Offices and centers

In case of a health problem

What should I do?

Needed Documents