Hong Kong Out-patient Direct Settlement Network - April 2015

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1 Allianz Worldwide Care Out-patient Direct Settlement Network - April 2015 In order to provide our insured membership with access to the best possible medical care and service, AWC has developed a network of medical practices, where insured members having an AWC International Plan membership card may receive medical treatment which will be settled by us directly with the clinic/medical centre. When visiting any of the clinics/medical centres within this network, please follow the processes outlined below: 1. Present your AWC membership card and proof of identification to the receptionist prior to the consultation. 2. Sign the Claim Form to acknowledge receipt of the treatment following the consultation. 3. Settle any co-payments, or deductible/excess payments with the clinic/medical centre prior to leaving. For example, if your policy with us has a 20% co-payment for out-patient treatment, you should settle 20% of the total bill prior to leaving the clinic/medical centre. In such a case, if your total bill is $300, we will pay $240 direct to the clinic/medical centre and you will pay $60 following your treatment and prior to leaving the clinic/medical centre. IMPORTANT NOTES i) The direct settlement network should not to be used to obtain any treatment, which falls outside the scope of your policy. ii) The direct settlement network is dependent upon the level of cover that you have purchased from Allianz Worldwide Care. iii) Allianz Worldwide Care will not provide cover for any membership fees that may be demanded by any medical provider. iv) If you use a Hospital outside of our Network, please ask the Hospital to contact us directly and we will arrange direct settlement. v) We also have access to an extensive network of providers through our third party administrators in the USA. Members with Worldwide Cover can contact the toll-free number as indicated on the reverse of the membership card for more information. Page 1 of 7

2 (Admiralty) Shop 71, 1/F, Tower 2, Admiralty Centre 18 Harcourt Road Admiralty Island +852 (0) () Rm 128, 1/F, Commercial Complex Richland Garden +852 (0) () Rm 907, Sino Centre, 582 Nathan Road +852 (0) (Tin Shui Wai) Shop F10, 1/F, Kingswood Richly Plaza 1 Tin Wu Road Tin Shui Wai +852 (0) ( - Nan Fung Centre) Rm , Nan Fung Centre Castle Peak Road +852 (0) ( - Centre New Shopping Arcade) Shop 18C, Ground Floor Ctr New Shopping Arcade, Tsuen King Circuit +852 (0) (Tuen Mun) Shop 52, G/F, Richland Garden Shopping Arcade Wu Chui Rd Tuen Mun +852 (0) AmMed Cancer Center 2/F, Pier 3, No. 11 Man Kwong Street Island +852 (0) Asia Medical Specialists 8/F AON China Building 29 Queen's Road Island +852 (0) Health Medical Practice 3rd Floor Baskerville House 13 Duddell Street, Island +852 (0) Health Medical Practice - Island Health Family Practice Suite 109A Discovery Bay Plaza Discovery Bay Lantau +852 (0) Health Medical Practice - Southside Family Health Centre First Floor, 2H South Bay Road Repulse Bay Island +852 (0) Healthway Medical Centres - Pier 3, Level 2 11 Man Kwong Street Island +852 (0) Healthway Medical Centres - () 10/F Wai Fung Plaza 664 Nathan Road +852 (0) Healthway Medical Centres - () Shop 115, 1/F, CDW Building 388 Castle Peak Road, N.T (0) Ken Lee Medical Centre Rm , Melbourne Plaza, 33 Queen s Road,, Island +852 (0) Ken Lee Medical Centre Clinic Rm , Argyle Centre Phase Nathan Road, +852 (0) The London Medical Clinic () Suite Duddell Street, Island m Matilda International Hospital 41 Mount Kellett Road The Peak Island +852 (0) Matilda Medical Centre Suite 2601, 9 Queen's Road Island +852 (0) Matilda Medical Centre, Suite 1215, 12/F Ocean Centre, Harbour City, 5 Canton Road, +852 (0) New Physiotherapy Mega Centre Page 2 of 7

3 7 /F, Fee Tat Commercial Centre No Nathan Road Monkok +852 (0) Premier Medical Centre Hongkong Clinic Building 1 Pedder Street, Island +852 (0) Premier Medical Centre Clinic Suite 1001, 26 Nathan Road +852 (0) Medicine (Admiralty) Unit , 16/F, Tower 1 Admiralty Centre, 18 Harcourt Road Admiralty Island +852 (0) Medicine ( Centre) 8/F, Wai Fung Plaza 664 Nathan Road +852 (0) Medicine (Prince Edward West) G/F, Tak Fung Building 85 Lai Chi Kok Road +852 (0) Medicine () Rm , New Town Tower +852 (0) Medicine (Taikoo Place Centre) Suite 304, Oxford House, Taikoo Place 979 King's Road Island +852 (0) Medicine (Telford) G/F, Block I, Telford Gardens +852 (0) Medicine () Shop , 2/F, Phase 1 Metro City Plaza +852 (0) Medicine (Tsing Yi) Shop Unit 308D, Level 3, Maritime Square 33 Tsing King Road Tsing Yi +852 (0) Medicine Medical Centre Unit 2, 2/F, Hoi Kiu Commercial Building 158 Connaught Road Sheung Wan Island +852 (0) Dental Room 520, Prince?s Building Island +852 (0) or +86 (0) Centre (Admiralty) Units , 16/F Admiralty Centre Tower 1 18 Harcourt Road, Island +852 (0) Centre (Causeway Bay) Suite , 24/F, World Trade Centre 280 Gloucester Road Causeway Bay Island +852 (0) Centre ( - Crawford House) Rooms , 7/F, Crawford House 70 Queen's Road Island +852 (0) Centre (Discovery Bay) Shop 108, 1/F, Block B Discovery Bay Plaza Discovery Bay +852 (0) Centre () G/F, Block I, Telford Gardens +852 (0) Centre (Ma On Shan) Shop 210, Level 2, Ma On Shan Plaza 608 Sai Sha Road Ma On Shan +852 (0) Centre () 8/F, Wai Fung Plaza 664 Nathan Road +852 (0) Centre (North Point) Suites /F North Point Asia Pacific Center, 10 North Point Road North Point Island +852 (0) Centre () Suite 304, Oxford House Taikoo Place, 979 King's Road Island +852 (0) Page 3 of 7

4 Centre () Rm , New Town Tower +852 (0) Centre (Sheung Wan) 17/F, CS Tower No. 50 Wing Lok Street Sheung Wan +852 (0) Centre (Stanley) Shop 406, Level 4, Shopping Centre Stanley Plaza Stanley Island +852 (0) Centre (Tseung Kwan) O) Shop , 2/F, Phase 1 Metro City Plaza +852 (0) Centre () Rm , Pacific Centre 28 Hankow Road +852 (0) Centre (Tsing Yi - Maritime Square) Shop 308D, Level 3, Maritime Square 33 Tsing King Road Tsing Yi +852 (0) Centre (Tsing Yi - MTR Station) Shop TSY 47, G/F MTR Tsing Yi Station Tsing Yi +852 (0) Centre () Shop H2, G/F, Carson Mansion 4-6 Dung Fat Street +852 (0) Centre (Tung Chung) Shop 18, G/F Tung Chung Crescent, 1 Hing Tung Street Tung Chung +852 (0) Centre (West - MTR Station) Concession No. KOW 83 L2 Airport Express Line Arrival Concourse MTR Station, Tsim Sha Tsui +852 (0) Quality Healthcare Medical Services (QHMS) Rm 501, Prince's Building, 10 Chater Road Island +852 (0) or +86 (0) Oncology Centre Rm 710, 7/F, Crawford House 70 Queen?s Road Island +852 (0) (Causeway Bay) Room 1002, 10/F The Goldmark, 502 Hennessy Road Causeway Bay Island +852 (0) Unit 2407, 24/F World Wide House, 19 Des Voeux Road Island +852 (0) (Discovery Bay) Shop 108, 1/F Block B, Discovery Bay Plaza Discovery Bay +852 (0) (Mong Kok) Room 401-3, 4/F Wai Fung Plaza, 664 Nathan Road +852 (0) (Quarry Bay) Suite 1505, 15/F Chinachem Exchange Square, 1 Hoi Wan Street Island +852 (0) () Room 712, New Town Tower +852 (0) (Sheung Wan) 17/F, CS Tower No. 50 Wing Lok Street Sheung Wan Island +852 (0) () Shop , 2/F Phase 1, Metro City Plaza +852 (0) (Tsim Sha Tsui) Room , Pacific Centre Page 4 of 7

5 28 Hankow Road +852 (0) Physiotherapy Centre () Room 713, Nan Fung Centre Castle Peak Road New Terriotories +852 (0) Specialty Centre () Room , New Town Tower +852 (0) Silver Cross Medical Group 19/F Sino Cheer Plaza Jordan Road +852 (0) ( Hiu Lai) Shop 202, Hiu Lai Shopping Centre, Hiu Lai Court, Sau Mau Ping Sau Mau Ping (North Point) Shop 11, Healthy Village Redevelopment Phase 2, 668 King's Road, North Point North Point Island (Beverly Garden) Shop 88 G/F, Beverly Garden, 1 Tong Ming Street, (Lung Mun Oasis) Shop 2 G/F, Lung Mun Oasis, 43 Lung Mun Road, Tuen Mun Tuen Mun (Cheung Sha Wan) Shop 3 G/F, Hand Fair Court, 255 Castle Peak Road, Cheung Sha Wan Sham Sui Po (MTR Station) Shop 9-10, MTR Tseung Kwan O Station,, (Yau Tong) Shop 131 1/F, Lei Yue Mun Plaza,, Yau Tong (MTR Hang Hau Station) Shop 8, MTR Hang Hau Station,, (MTR Po Lam Station) Shop 3, MTR Po Lam Station,, Medical Centre (Tung Chung Crescent) Shop 19, Tung Chung Crescent, 1 Hing Tung Street, Tung Chung Tung Chung (MTR Yau Tong Station) Shop 6, MTR Yau Tong Station,, Yau Tong (MTR Tung Chung Station) Shop 20, MTR Tung Chung Station,, Tung Chung Tung Chung Medical Centre (Tseung Kwan O centre) Shop B01b, Park, 9 Tong Tak Street, Tseung Kwan O Medical Centre (MTR Tsing Yi Station) Concession Shop 44-45, MTR Tsing Yi Station,, Tsing Yi Kwai Tsing (MTR Tiu Keng Leng Station) Shop 9-10, MTR Tiu Keng Leng Station,, Tiu Keng Leng Medical Centre (MTR Station) Concession KOW85 L2, MTR Station,, Tsim Sha Tsui (Choi Ying) Shop 5 G/F, Choi Ying Place Commercial Centre, Choi Ying Estate, Choi Wan Road, Ngau Tau Kok Medical Centre (MTR Yuen Long Station) Shop 20-21, MTR Station,, Page 5 of 7

6 (Maritime Bay) Shop 6 G/F, Maritime Bay Shopping Centre, 18 Pui Shing Road, Tseung Kwan O (Metrocity Phase II) Shop 18 G/F, Metrocity Phase II, 8 Yan King Road, (Tuen Mun Fa Yuen) Shop R G/F, Tuen Mun Fa Yuen, 6 Tsing Hoi Circuit, Tuen Mun Tuen Mun (Tin Hau) G/F, Pak Lee Building, 6-8 King's Road, Tin Hau Tin Hau Island (Hung Hom) G/F, Whampoa Estate, 30B Tak Man Street, Hung Hom Hung Hom (Wong Tai Sin) Shop , 3/F, Lung Cheung Plaza, 136 Lung Cheung Road, Wong Tai Sin Wong Tai Sin (Tai Wai) Shop 29B G/F, Grandway Garden, 73 Tai Wai Road, Tai Wai (Tai Po Plaza) Shop 34A G/F, Tai Po Plaza, 1 On Tai Road, Tai Po Tai Po (Sau Mau Ping) Shop 305 3/F, Sau Mau Ping Shopping Centre,, Sau Mau Ping (Tin Shui Wai Chung Fu) Shop 230, Chung Fu Plaza (Phase 2),, Tin Shui Wai () Shop 22A2 Level3, Centre Shopping Arcade,, () Shop 2C G/F, Bo Fung Gardens, 1090 King's Road, Eastern Island ( Po Tat) Shop 119, Po Tat Shopping Centre, Po Tat Estate, Sau Mau Ping (Sunshine Bazaar) Shop 13A G/F, Sunshine Bazaar,, Ma On Shan (MTR City One Station) Shop 6, MTR City One Station,, (MTR Kwai Fong Station) Shop 17, MTR Kwai Fong Station,, Kwai Fong Kwai Tsing (Tin Yan Estate) Shop 120 1/F, Tin Yan Shopping Centre,, Tin Shui Wai Medical Centre () Shop B G/F, Fu Hing Building, 220 Castle Peak Road, Yuen Long Medical Centre (Tsim Sha Tsui) Shop 2-3 G/F, Lucky Building, 59 Austin Road, (Tai Po Fortune Plaza) Shop 28B G/F, Fortune Plaza, 4 On Chee Road, Tai Po Tai Po (Aberdeen) Shop 4, Shek Pai Wan Shopping Centre, Shek Pai Wan Estate, Aberdeen Southern Island Page 6 of 7

7 Medical Centre (Kwai Hing) Shop A29 G/F, Kwai Chung Centre, 102 Kwai Hing Road, Kwai Chung Kwai Tsing Medical Centre (Hip Wo Street) G/F, Yen Fu Mansion, 131 Hip Wo Street, ( Science Park) Unit S012 G/F of Core Building Two, Phase One, 1 Science Park West Avenue, Science Park, (Liberte Shopping Centre) Shop 105B 1/F, Liberte Shopping Centre, 833 Lai Chi Kok Road, Lai Chi Kok Sham Sui Po Medical Centre (MTR Tai Wai Station) Shop 3 G/F, MTR Tai Wai Station,, Tai Wai Shop No 1, Wing On Cheong Building, 5 Wing Lok Street, & Western Island (Hong Ning Road) Shop 3 G/F, Yee On Centre, 45 Hong Ning Road, () No. 3 M/F, Belvedere Garden Phase 1, Castle Peak Road, Human Heatlh Integrated Medical Centre (Sheung Shui) Shop 25 Level 1, Lung Fung Garden, 33 Lung Sum Avenue, Sheung Shui North (Telford Plaza) Shop Unit P39B, Telford Plaza, Human Heatlh Medical Centre (MTR Lohas Park Station) Shop 6, MTR Lohas Park Station, PolyHealth Specialists (Jordan Specialists) 1/F & 3/F, Pearl Oriental Tower, 225 Nathan Road, Jordan PolyHealth Specialists ( Specialists) Shop B03a, Park, 9 Tong Tak Street, Tseung Kwan O Poly Dental () 17/F, Pearl Oriental Tower, 225 Nathan Road, Jordan Dr. Vio and Partners - Outpatient Medical Centre 3/F., New World Tower, Block Two 18 Queen's Road HONG KONG ISLAND +852 (0) Dr. Vio and Partners - Outpatient Medical Centre () Unit 712, 7/F., Nan Fung Centre NEW TERRITORIES +852 (0) Dr. Vio and Partners - Outpatient Medical Centre (Tsimshatsui) 10/F., & 11/F., Kaiseng Commercial Centre 4-6 Hankow Road, Tsimshatsui +852 (0) Page 7 of 7

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