Seeking health insurance through ALC Health will not only provide you with a wide range of affordable and comprehensive international cover against medical expenses but set you up with a plan approved for residing in Germany.
Further to this, they have their own 24/7 "in-house" claims team to assure swift settlements and assistance whenever needed, offering 8 toll-free numbers, including one for their customers living in Germany.
When asked to cherry pick ALC Health’s unique selling points, it has always been a pleasure to assure our clients that ALC welcome applicants up to the age of 74 along with guaranting lifetime renewals without claim-related premium increases, regardless of the ailment during the customer's time with them.
Also, offering direct billing at private Helios clinics in Germany, worrying about settling invoices is a matter of the past too. And should an outpatient claim need to be submitted by the customer themselves, ALC provide a full-featured Customer Portal for quicker means of communication using webchat and swifter claim handling.
Lastly, arriving in Germany as an expat, assurances are key to settling in smoothly. Health insurance playing a crucial part, ALC Health's 'Global Prima Medical Insurance' plans are recognised at the German Foreigners' Office, therefore no nasty surprises of having purchased just travel insurance when applying for a resident/ work permit.
1. Full Medical Underwriting
áLC Health cover most medical conditions and to access the health status require answers on 16 medical questions.
These include questions about disorders to: digestion, gynaecological parts, ear, endocrine system, eye, heart or blood vessels, liver and gall bladder, mental status, metabolism, neurological functions, nose, respiratory system, skin, throat, teeth, urinary tract and also ALC want to know if any medical issues are related to: AIDS & HIV, cancer, growths, cysts, moles, muscular or skeletal problems and tumours.
2. Moratorium Clause
Any medical condition for which, within the 5 years prior to date of entry as shown on the Certificate of Insurance, the insured person:
a) had experienced and or suffered from any signs or symptoms, whether investigated or not;
b) had sought or received advice;
c) had been recommended to have or had received medical treatment, including lifestyle changes and special diets, drugs,
medication and injections; or
d) to the best of the insured person's knowledge, was aware he/she had.
After a continuous period of 2 years of insurance cover with ALC Health, any pre-existing conditions that were excluded will be insurable providing the insured person has not:
a) experienced and or suffered from any signs or symptoms, whether investigated or not;
b) sought or received advice;
c) been recommended to have or have received medical treatment, including lifestyle changes and special diets, drugs, medication and injections.
for that specific condition.
The majority of our clients in Germany insured by ALC Health are expats, freelancers, self-employed or students in major German cities like Aachen, Berlin, Cologne, Dusseldorf, Frankfurt, Hamburg, Munich, Stuttgart and from our experience remain insured with ALC as an international provider for as long as they are legally entitled to.
Furthermore, through us our clients are able to sign up for compulsory German Long-Term-Care insurance, also know as "Pflegepflichtversicherung" (PVN). For more information on 'PVN' please follow this internal link.
To share sensitive data such as credit card/ bank details, updates on your health condition, changes to your current plan or to submit claim relevant documentation we stongly advise to use ALC's Secure Messaging (link) before considering the following means.
Application forms: | privateclient@alchealth.com |
Renewal queries: | renewals@alchealth.com |
Personal details and contractual matters: | privateclient@alchealth.com |
Claims: | claims@alchealth.com |
Customer complaints can be filed using email: managingdirector[at]alchealth.com
Head Office:
3rd Floor, Fitzalan House,
Cardiff, CF24 0EL,
United Kingdom
T +44 (0) 1903 817 970
F +44 (0) 1903 879 719
Available annual excesses:
Euros: Nil | 50| 150 | 300 | 500 | 1,000 | 2,500 | 5,000 | 7,500
GBP: Nil | 50 | 150 | 300 | 500 | 1,000 | 2,500 | 5,000 | 7,500
USD: Nil | 50| 150 | 300 | 500 | 1,000 | 2,500 | 5,000 | 7,500
Available areas of covers:
Europe | Worldwide excluding the USA and any USA territories | Worldwide
Mandatory 50% co-insurance
For treatment received in the USA and outside of the PPO Network
EXCLUSIONS:
aLC Health's GMPI plans list a total of 68 general exlusions but not all apply to every plan.
A detailed description can be found in their Policy Wording, pages 13/14. (link)
The following pre-existing conditions are generally not insurable though:
Arterial disease, cataract, diabetes, diabetic renal disease, diabetic retinopathy, ischaemic heart disease, stroke.
Addictions/Misuse of substances | |
Congenital anomalies, | |
Development delays/disorders | |
Expenses arising from or related to ...
| |
Foetal surgery | |
Genetic deformities/disorders or birth injures | |
Genetic testing | |
Home visits, | |
Hormone Replacement Therapy (HRT) | |
Impotence, sexual dysfunction | |
Parent Accommodation | |
Plastic surgery | |
Reimbursement for:
| |
Treatment arising from or related to ...
|
The ALC Health Prima Travel plans are underwritten by: Millstream Underwriting Limited on behalf of AWP P&C S.A.- Dutch Branch, trading as Allianz Global Assistance Europe
ALC Health insure 3 different geographical areas, which are:
*Area 1 is defined as:
Albania, Andorra, Armenia, Austria, Azerbaijan, Belarus, Belgium, Bosnia & Herzegovina, Bulgaria, Canary Islands, Channel Islands, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Georgia, Germany, Gibraltar, Greece, Greenland, Hungary, Iceland, Ireland, Italy, Kazakhstan, Kyrgyzstan, Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia, Madeira, Malta, Moldova, Monaco, Montenegro, Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, San Marino, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Tajikistan, Turkey, Turkmenistan, Ukraine, United Kingdom, Uzbekistan
Claim Handler:
International Medical Group Limited
254 Upper Shoreham Road,
Shoreham-By-Sea,
West Sussex BN43 6BF
United Kingdom
Tel.: +44 330 333 6686 (24h)
Fax.: +44 330 333 6687
WhatsApp: +44 29 2066 2410
Email: claims[at]alchealth.com
Web: www.alchealth.com/claims.htm
Pre-authorisations required:
aLC Health's Policy Wording on their Prima plans states that the following treatments/ benefits require pre-authorisation and should this condition not be fulfilled, they reserve the right to decline the claim in full or, in the event of in-patient or day-patient treatment, will pay only 50% of eligible benefits if treatment is subsequently proven to be covered.
A claim can be pre-authorised before the visit to the doctor, specialist or hospital by calling ALC Health on 0044 330 333 6686 or emailing: preauthorisation[at]alchealth.com.
Claim submission deadline:
6 months, as of treatment date and regardless of policy status.
Introducing their new international private medical insurance product Global Prima Medical InsuranceSM, ALC Health offer five revised tariffs, optional add-on benefits and multiple annual policy excesses.
With this Global Prima replaces ALC Health’s legacy Prima plans and IMG'sGlobalFusionSM and GlobalSelect® products.
ALC Health now being a part of IMG's global family brands, will undergo a carrier change for all plans renewed or purchased on or after 1st January 2022. The new parent company of ALC and IMG, SiriusPoint International Insurance Corporation is a top global insurer and reinsurer with a financial strength rating of A- (excellent) from rating companies such as: AM Best, S&P, and Fitch.
Being part of IMG’s global family of brands, coming soon ALC Health will introduce expanded product lines with IMG, which include a full suite of international full private medical and travel medical insurances, with telemedicine and Employee Assistance Program (EAP) services.
In addition, Patient Direct Billing facilitation has been extended to include the Quiron Group of Hospitals as well as other clinics and hospitals in Germany and Spain.
ALC Health has announced enhanced features available in the member area MyALC, the most convenient and efficient way for clients to access and manage their plans (link to MyALC).
With MyALC you can currently: | These additional improvements are launching soon: |
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For more information about MyALC and "How-to Videos" please follow this link.
Most recently, the COVID-19 outbreak has escalated into a global pandemic and we are closely monitoring the situation for any new developments.
We want to assure you that ALC has extensive experience working with governments and medical organizations to assist our members during serious medical situations, including all global health emergencies. Throughout this outbreak and after, customers can rely on ALC to be there for them during their travels.
We are currently experiencing a significant increase in the number of calls, emails, and inquiries to our team regarding COVID-19. We appreciate your patience as we quickly work to respond to all inquiries. For information regarding COVID-19 and how benefits may be affected, please visit our dedicated resource page, which includes frequently asked questions regarding IMG and ALC products.
Additionally, earlier in the year, ALC’s systems were down for an extended period due to a cyber incident beyond our control. Our systems were recently restored, but we are still working through our backlog of requests from this incident.
While there has been no evidence of a data breach or access, we are requesting all members reset their password upon logging into the ALC member portal as an additional security precaution.
We are actively working to return our service levels back to normal. Please note the following capabilities we will continue to utilize during this difficult time:
For more important updates please visit their coronavirus resource page as new information is published here as soon as it becomes available.
ERICON broker would like to inform all our clients how as of 31st October, the expected date when the UK is to leave the EU, this could influence ALC Health's trading in the German market.
Over the last months ALC has appointed a new underwriter, 'XL Insurance Company SE', located in Ireland and therefore not subject to BREXIT.
Consequently, should the UK leave the EU, all Prima plans will not be affected, consequently are still valid in Germany, thus will not jeopardise a residence permit (VISA).
We would like to advise all our clients that we will react to safeguard your current situation in Germany as our commitment to you is to ensure that all our international insurance partners meet the set requirements and are registered with BaFin (German Federal Financial Supervisory Authority).
Therefore, should you decide that you may be at risk, please be assured we will work with you in securing an alternative.
Link to the official statement.
On 1st March 2011 the European Union introduced a Directive which required all insurances to be non-discriminatory in respect of gender. This was originally intended to be aimed at property (motor) insurances but was extended to apply to all insurance sectors and came effective for health insurance on 21st December 2012.
German health insurances had always traditionally included pregnancy cover for all females – rates calculated according to age. Consequently rates for men were lower. When it was announced that unisex would be implemented to the health sector optimists believed the female rates would reduce to the male level – but of course insurance companies would not miss such an opportunity, and simply INCREASED the male rates to those of females. Naturally the men complain that they have to bear the cost of pregnancy cover and in return women however will now find that they are paying for the cost of prostate cover!
aLC never included pregnancy cover in their core benefits, which are and always have been, the same for male and female. As it always was – and still is – pregnancy cover is a separate option – not one of the core benefits. Therefore, it has not been necessary to rationalise the core benefit rates as they are inline with the EU Directive - being the same for both male and female. Also offering pregnancy as an option is also fairer – females who do not want this cover do not have to take it –EXCEPT if the German "Auslaenderamt" insist saying the insurance should be on the same lines as German insurance.
It is unlikely that any German insurer would adopt the same structure as aLC – they would after all be losing potential revenue!
The actual Law does not help too much as it relies on interpretation and the we have experienced that the Foreigners Offices also tend to apply their own ‘rules’ despite the Law.
The health insurance act enacted by the Dutch government requires any person who is classed as a resident to hold a health insurance policy that includes cover for such things as chronic and pre-existing medical conditions. Latter are not covered or have been specifically excluded on the aLC Prima plans! For this reason and by Dutch law aLC Healthcare is obliged to advise their clients that any cover provided is 'additional' and/or 'supplementary' towards existing Dutch compulsory health insurance.
ALC Health, in conjunction with their underwriter Catlin Insurance Company (UK) Ltd., has authorisation in form of a irrefragably certificate from the German Financial Supervisory Authority (BaFin), confirming that their health plans Prima Classic, Prima Premier & Prima Platinum comply with requirements, hence are fully legal. With this authorisation aLC are eligible to trade in Germany and can offer health insurance to any resident in Germany, regardless of nationality.
The above-mentioned is subject of payment in line with §193 paragraph 3 VVG (German Insurance Contract Act) and must include dental and pregnancy coverage!
All insurances are subject to inflation, yet health insurance inflation is invariably higher than normal inflation. For a more detailed explanation please read this article.
ALC Health suspend cover on the 7th day after payment is due and unless payment is received by 21st day the contract will be cancelled due to non-payment! Once cancelled, a policy can however be reinstated, yet may require satisfactory completion of a health declaration.
It just takes 2 minutes to complete our aLC Health enquiry form to receive a quotation within 48 hours- this we guarantee!
Our obligation-free quote will not only state the premiums of all 3 suitable plans for Germany (Prima Platinum, Prima Premier and Prima Classic) but includes all information necessary to get a clear picture of aLC Health's Prima plans benefits and exclusions.