FAQs

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Purchasing A Plan Online

? Are there any fees added to the total when you pay online?

? I made a payment that was unsuccessful, but I have been debited. What do I do?

? Are my transactions secure?

? What payment methods are available on avonhealthcare.com

? How do I make payment online?

? What payment options can I use?

FAQS

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General Questions

? What is an exclusion?

? What is a pre-existing condition?

? Can I select a different health plan for each member of my family?

? What is the 'waiting period'?

? Can I upgrade my plan whenever I wish?

? What is the maximum age that can be enrolled?

? What happens if I misplace my ID card especially when I need to visit the doctor?

? Can I call the Contact Centre anytime?

? Can I use my card to get treatment or drugs for my dependants or relative?

? How many people does the family plan cover?

? What is the maximum age that can be enrolled?

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Membership

? How many people will the family plan cover?

? What happens if I go to the hospital and I am told that the service I require is not covered?

? How can I change my hospital?

? If I travel out of station (resident city), what happens?

? Can I pay my premium on a monthly basis?

? What are the main differences between the health plans?

? If I am on an international health plan, how do I arrange treatment?

? Can I call the Contact Centre anytime?

? Can I register with more than one hospital?

? How do you monitor the activities of the hospitals on the scheme?

? Do you cover children?

? Is there a guide for the treatment provided by the hospitals?

? After payment for the health plan, what next?

? How do you ensure that only hospitals of high standards are on your network?

? What happens if I am dissatisfied with the quality of care from a particular hospital?

? What ages are eligible to apply?

? Can I choose other hospitals apart from those on your network?

? In a medical emergency, am I allowed to obtain treatment from healthcare providers within the Avon HMO provider network that I am not registered with?

? What happens in a life-threatening emergency situation or I get involved in an accident and none of your provider hospitals is nearby?

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Providers

? How soon before we start seeing your members at our hospital?

? Who can become a contracted healthcare provider with Avon HMO?

? What are the eligibility criteria for capitation?

? How do you develop your tariffs?

? What is your fee schedule?

? Who do I contact for more information?

FAQs

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Understanding Health Insurance

? How does it work?

? What is an HMO?

? I currently have a health plan through my employer. What happens if I leave?

? Why should I get a health plan?

? What is a moratorium?

? What is health insurance?

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