Make a medical expenses application

demande de remboursement santé homme docteur
When you have used health care services in Luxembourg, this is how to submit your refund request at AXA Luxembourg according to your insurance conditions.

Request a refund of your health care costs

Request a status on my health claims

Other requests

  • Download the medical expenses application form according to your type of need:
REIMBURSEMENT OF MEDICAL EXPENSES PAGE 

Hospitalisation prior agreement request

Make an application for a prior approval to cover medical expenses in the event of hospitalisation.

DOWNLOAD THE FORM 

Series of acts prior agreement request

Make an application for a prior approval for recurrent medical procedures such as psychological treatment, alternative treatment & therapeutic or accessory equipment.

DOWNLOAD THE FORM 

Hospitalisation prior agreement request:

Hospitalisations can only be reimbursed if they have been previously approved by our Medical Department. The application for prior approval must be completed by the doctor requesting hospitalisation and sent at least 15 days before the planned date of hospitalisation (or 3 days after admission in the event of a medically justified emergency) by post, fax or e-mail to: Médecin-conseil d’AXA Luxembourg / Service Remboursement Santé 1, place de l’Etoile L-1479 LUXEMBOURG healthclaims@axa.lu Tel (+352) 44 24 24 48 48 Fax (+352) 44 24 24 46 31

Series of acts prior agreement request:

Treatments can only be reimbursed if they have been previously approved by our Medical Department. The application for prior approval must be completed by the treating practitioner and sent at least 15 days before the scheduled start date of the treatment by post, fax or e-mail to: Médecin-conseil d’AXA Luxembourg / Service Remboursement Santé 1, place de l’Etoile L-1479 LUXEMBOURG healthclaims@axa.lu Tel (+352) 44 24 24 48 48 Fax (+352) 44 24 24 46 31

Request a refund of your health care costs in Luxembourg

When you have used health care services in Luxembourg, this is how to submit your refund request at AXA Luxembourg according to your insurance conditions.

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