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
(Admiralty) Shop 71, 1/F, Tower 2, Admiralty Centre 18 Harcourt Road Admiralty Island +852 (0)2866 9288 () Rm 128, 1/F, Commercial Complex Richland Garden +852 (0)2759 4804 () Rm 907, Sino Centre, 582 Nathan Road +852 (0)2332 8382 (Tin Shui Wai) Shop F10, 1/F, Kingswood Richly Plaza 1 Tin Wu Road Tin Shui Wai +852 (0)2617 1490 ( - Nan Fung Centre) Rm 722-723, Nan Fung Centre 264-298 Castle Peak Road +852 (0)2499 3322 ( - Centre New Shopping Arcade) Shop 18C, Ground Floor Ctr New Shopping Arcade, Tsuen King Circuit +852 (0)2499 3300 (Tuen Mun) Shop 52, G/F, Richland Garden Shopping Arcade Wu Chui Rd Tuen Mun +852 (0)2618 7122 AmMed Cancer Center 2/F, Pier 3, No. 11 Man Kwong Street Island +852 (0)3607 7600 http://ammed.com/ Asia Medical Specialists 8/F AON China Building 29 Queen's Road Island +852 (0)2521 6380 http://asiamedical.hk Health Medical Practice 3rd Floor Baskerville House 13 Duddell Street, Island +852 (0)2824 0822 http://centralhealth.com.hk Health Medical Practice - Island Health Family Practice Suite 109A Discovery Bay Plaza Discovery Bay Lantau +852 (0)2987 7575 http://islandhealth.com.hk Health Medical Practice - Southside Family Health Centre First Floor, 2H South Bay Road Repulse Bay Island +852 (0)2592 9000 http://southside.com.hk Healthway Medical Centres - Pier 3, Level 2 11 Man Kwong Street Island +852 (0)3607 7711 http://healthway.com.hk Healthway Medical Centres - () 10/F Wai Fung Plaza 664 Nathan Road +852 (0)2868 6020 http://healthway.com.hk Healthway Medical Centres - () Shop 115, 1/F, CDW Building 388 Castle Peak Road, N.T. +852 (0)2402 3299 http://healthway.com.hk Ken Lee Medical Centre Rm 1103-4, Melbourne Plaza, 33 Queen s Road,, Island +852 (0)2787 0222 http://kenleemed.biz.com.hk Ken Lee Medical Centre Clinic Rm 1825-27, Argyle Centre Phase 1 688 Nathan Road, +852 (0)2787 0222 http://kenleemed.biz.com.hk The London Medical Clinic () Suite 902 1 Duddell Street, Island +852 2537 6898 http://thelondonmedicalclinic.co m Matilda International Hospital 41 Mount Kellett Road The Peak Island +852 (0)2849 0111 http://matilda.org Matilda Medical Centre Suite 2601, 9 Queen's Road Island +852 (0)2537 8500 http://matilda.org Matilda Medical Centre, Suite 1215, 12/F Ocean Centre, Harbour City, 5 Canton Road, +852 (0)3922 7500 http://matilda.org New Physiotherapy Mega Centre Page 2 of 7
7 /F, Fee Tat Commercial Centre No. 611-615 Nathan Road Monkok +852 (0)2369 1203 Premier Medical Centre Hongkong Clinic 718-733 Building 1 Pedder Street, Island +852 (0)3651 1718 http://premiermedical.com.hk Premier Medical Centre Clinic Suite 1001, 26 Nathan Road +852 (0)2724 1001 http://premiermedical.com.hk Medicine (Admiralty) Unit 1605-09, 16/F, Tower 1 Admiralty Centre, 18 Harcourt Road Admiralty Island +852 (0)2861 0333 Medicine ( Centre) 8/F, Wai Fung Plaza 664 Nathan Road +852 (0)2392 7388 Medicine (Prince Edward West) G/F, Tak Fung Building 85 Lai Chi Kok Road +852 (0)2380 3313 Medicine () Rm 905-907, New Town Tower +852 (0)2699 6100 Medicine (Taikoo Place Centre) Suite 304, Oxford House, Taikoo Place 979 King's Road Island +852 (0)2250 5600 Medicine (Telford) G/F, Block I, Telford Gardens +852 (0)2148 7666 Medicine () Shop 234-236, 2/F, Phase 1 Metro City Plaza +852 (0)2623 7383 Medicine (Tsing Yi) Shop Unit 308D, Level 3, Maritime Square 33 Tsing King Road Tsing Yi +852 (0)2434 1233 Medicine Medical Centre Unit 2, 2/F, Hoi Kiu Commercial Building 158 Connaught Road Sheung Wan Island +852 (0)2975 2333 Dental Room 520, Prince?s Building Island +852 (0)8301 8301 or +86 (0)400 777 018 http://qhd.com.hk Centre (Admiralty) Units 1605-09, 16/F Admiralty Centre Tower 1 18 Harcourt Road, Island +852 (0)2529 8668 Centre (Causeway Bay) Suite 2405-06, 24/F, World Trade Centre 280 Gloucester Road Causeway Bay Island +852 (0)2890 3118 Centre ( - Crawford House) Rooms 706-709, 7/F, Crawford House 70 Queen's Road Island +852 (0)2525 9800 Centre (Discovery Bay) Shop 108, 1/F, Block B Discovery Bay Plaza Discovery Bay +852 (0)2987 5633 Centre () G/F, Block I, Telford Gardens +852 (0)2750 0782 Centre (Ma On Shan) Shop 210, Level 2, Ma On Shan Plaza 608 Sai Sha Road Ma On Shan +852 (0)2631 6992 Centre () 8/F, Wai Fung Plaza 664 Nathan Road +852 (0)2390 3398 Centre (North Point) Suites 2101-2102 21/F North Point Asia Pacific Center, 10 North Point Road North Point Island +852 (0)2508 6858 Centre () Suite 304, Oxford House Taikoo Place, 979 King's Road Island +852 (0)2560 2177 Page 3 of 7
Centre () Rm 905-907, New Town Tower +852 (0)2698 9378 Centre (Sheung Wan) 17/F, CS Tower No. 50 Wing Lok Street Sheung Wan +852 (0)2975 2328 Centre (Stanley) Shop 406, Level 4, Shopping Centre Stanley Plaza Stanley Island +852 (0)2812 2392 Centre (Tseung Kwan) O) Shop 234-236, 2/F, Phase 1 Metro City Plaza +852 (0)2623 7200 Centre () Rm 608-613, Pacific Centre 28 Hankow Road +852 (0)2367 3011 Centre (Tsing Yi - Maritime Square) Shop 308D, Level 3, Maritime Square 33 Tsing King Road Tsing Yi +852 (0)2431 0230 Centre (Tsing Yi - MTR Station) Shop TSY 47, G/F MTR Tsing Yi Station Tsing Yi +852 (0)2436 1622 Centre () Shop H2, G/F, Carson Mansion 4-6 Dung Fat Street +852 (0)2413 1919 Centre (Tung Chung) Shop 18, G/F Tung Chung Crescent, 1 Hing Tung Street Tung Chung +852 (0)2403 6623 Centre (West - MTR Station) Concession No. KOW 83 L2 Airport Express Line Arrival Concourse MTR Station, Tsim Sha Tsui +852 (0)2314 8380 Quality Healthcare Medical Services (QHMS) Rm 501, Prince's Building, 10 Chater Road Island +852 (0)8301 8301 or +86 (0)400 777 018 Oncology Centre Rm 710, 7/F, Crawford House 70 Queen?s Road Island +852 (0)2563 7311 (Causeway Bay) Room 1002, 10/F The Goldmark, 502 Hennessy Road Causeway Bay Island +852 (0)2577 9328 Unit 2407, 24/F World Wide House, 19 Des Voeux Road Island +852 (0)2523 6933 (Discovery Bay) Shop 108, 1/F Block B, Discovery Bay Plaza Discovery Bay +852 (0)2987 5633 (Mong Kok) Room 401-3, 4/F Wai Fung Plaza, 664 Nathan Road +852 (0)2397 2232 (Quarry Bay) Suite 1505, 15/F Chinachem Exchange Square, 1 Hoi Wan Street Island +852 (0)2214 0623 () Room 712, New Town Tower +852 (0)2606 0803 (Sheung Wan) 17/F, CS Tower No. 50 Wing Lok Street Sheung Wan Island +852 (0)2975 2323 () Shop 234-236, 2/F Phase 1, Metro City Plaza +852 (0)2623 7320 (Tsim Sha Tsui) Room 606-607, Pacific Centre Page 4 of 7
28 Hankow Road +852 (0)2369 1203 Physiotherapy Centre () Room 713, Nan Fung Centre 264-298 Castle Peak Road New Terriotories +852 (0)2402 8060 Specialty Centre () Room 1005-6, New Town Tower +852 (0)2699 1830 Silver Cross Medical Group 19/F Sino Cheer Plaza 23-29 Jordan Road +852 (0)2850 6986 http://silvercrossmedical.hk/ ( 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
(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 303-304, 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
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, 530-590 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)2890 2222 http://www.drvio.com.hk/ Dr. Vio and Partners - Outpatient Medical Centre () Unit 712, 7/F., Nan Fung Centre NEW TERRITORIES +852 (0)2415 6777 http://www.drvio.com.hk/ Dr. Vio and Partners - Outpatient Medical Centre (Tsimshatsui) 10/F., & 11/F., Kaiseng Commercial Centre 4-6 Hankow Road, Tsimshatsui +852 (0)2369 3329 http://www.drvio.com.hk/ Page 7 of 7