General information

ADV Angola does not sell health insurance. To access our network of approved health care providers, you must contact the Insurance Companies that are our Clients to purchase the intended health insurance. Check out the Clients menu and get to know the Insurance companies that are Clients of ADV Angola.

To select a Provider from the AdvanceCare network, you may access the Provider Network menu or directly contact the Customer Service Line indicated by your Insurance Company..

You must directly contact the Provider of the speciality and make the appointment for the medical procedure you wish. You may obtain contact information from the Provider in the Provider Network menu, or call the Customer Service Line indicated by your Insurance Company.

On the day of the appointment, identify yourself to the Provider with your insurance card, along with your personal identification document (ID Card or Passport).

The Provider, in the administrative area, will list the eligibility of the medical procedures to be performed, and, according to the Conditions of your policy, if applicable, charge you the amounts for which you are responsible.

You should always sign the medical expense summary/eligibility that the clinic will give you, and in addition you will be given a statement of the medical procedures undergone, indicating, if applicable, the amount you owe and the amount to be borne by the Insurance Company.

If the Provider indicates that you should be referred to another specialist, you must make an appointment directly with that specialist, as described previously.

The reimbursement for expenses incurred outside the Providers Network shall occur according to the rules set out by the Insurance Company and indicated in the General Conditions of the policy. If you need more information, you may directly contact the customer service line indicated by your Insurance Company.

To request reimbursement expenses, you must:

• Fill in the Reimbursement Request Form (available at the menu Procedure/Forms) with the information provided therein;
• Attach the original receipt;
• Copy of your identification – insurance card and personal identification (ID card/Passport)
• If applicable, copy of the medical prescription (e.g.,: medications, medical exams, etc.).

The receipts must be original, indicate the name of the patient, list the services provided, the medical speciality and follow legal standards (namely those of a tax nature).

All documentation submitted shall be photocopied, so the respective photocopies remain in your possession.

You may contact the customer service line indicated by your Insurance Company directly, or send us an e-mail at geral@adv-angola.com

It is a document that guarantees the authorization and the consequent access to certain health care guaranteed by the health insurance/plan. If the Provider is from the AdvanceCare Network, it will know how to proceed and may fill in the pre-authorization request (on the specific form that must be accompanied by the respective clinical information) through its reserved area or sending it by another means.

If you aren’t using the AdvanceCare network of approved health care providers, you must make full payment for the medical procedure performed and then send the request for reimbursement, properly filled out along with the health expenses (original receipts), the medical prescriptions (if applicable) and the clinical information you have.

Please note that expense reimbursement will occur according to the Conditions of your policy. For more details, we suggest you check the conditions that are part of your insurance.

If the surgery is performed at an AdvanceCare Providers, generally you must obtain pre-authorization. However, it is always important to check the conditions of your insurance/benefits plan.

There are some complementary diagnostic tests which, due to their complexity, cost or specificity, need pre-authorization (e.g., CT scan and MRI scan). Less complex tests, such as clinical tests, x-rays, ultrasounds, among others, generally do not require pre-authorization, even on the Providers Network.

For more details, we suggest you check the conditions that are part of your insurance.

• Hospitalization;
• Surgery (either inpatient or outpatient);
• Childbirth and abortion;
• Chemotherapy and Radiation Therapy;
• Physical medicine and rehabilitation (physiotherapy, speech therapy, kinesiotherapy);
• CT scan and MRI scan

For more details, we suggest you check the conditions that are part of your insurance.

You may contact the customer service line indicated by your Insurance Company directly.

In order to correctly analyse the pre-authorization cases, sometimes it is necessary to request information not contained in the file, such as the “Description of the situation that caused the injury”. In these situations you will be contacted by our services and we will indicate the missing information.

When you have all the information requested, you may send them by e-mail to dac.ao@adv-angola.com.

If you need more information, you may contact the customer service line indicated by your Insurance Company directly.

It is the part of the cost of the appointment, the outpatient exams, hospitalization, etc., borne by the Insured/Patient on the Providers network.

Is time interval between the start of the insurance contract and when you may use its benefits. The grace period may be general in nature (all coverage) or partial (applied to certain coverages and/or pathologies).

This is a clause in the insurance contract, which identifies certain risks/situations that are outside the scope of health insurance.