SUPPORTING DOCUMENT(S) CHECKLIST (for Non-network Arrangement only)

Please keep the pre-authorisation documentation for 6 months from the pre-authorisation completion date. AXA reserves the right to request additional information/documentation to support each pre-authorisation.

1. Macau Individual Medical Plan Pre-Authorisation Form I
2. Macau Individual Medical Plan Pre-Authorisation Form II

PRE-AUTHORISATION SUBMISSION

For Network Arrangement

1. Network Doctors will submit the application to AXA for you

For Non-network Arrangement

1. By email: Send the completed pre-authorisation form(s) with all supporting document(s) to individual.preauth@axa.com.hk
2. By fax: Fax the completed pre-authorisation form(s) with all supporting document(s) to  (852)3009 4548/ (853)2878 0022