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AMS OSIGURANJE a.d.o.

Kontakt centar 0-24h:


11000 Beograd, Ruzveltova 16 Tel. +41 22 929 5252
Tel. + 381 11 30 84 900 Fax: +41 22 929 5255
e-mail: dpzo@ams.co.rs
www.ams.co.rs e-mail:amso@evasan.com

UPUTSTVO ZA OSIGURANIKA: INSTRUCTIONS FOR THE INSURED:

Kada nastane osigurani sluaj: In case of an accident or illness abroad:


1. odmah pozovite kontakt centar +41 22 929 5252, pruite neophodne 1. contact immediately the call center, at the phone number
podatke i prihvaite leenje u zdravstvenoj ustanovi u koju Vas upute + 41 22 929 5252, ofer necessary data from your insurance policy
ili se obraite deurnom lekaru/medicinskoj ustanovi. Ukoliko zbog and accept the treatment at the referral medical center or contact
zdravstvenog stanja niste u mogunosi da prijavite osigurani sluaj, the physician or medical centre on duty. If unable to report the
uinite to im Vam to zdravstveno stanje dozvoli, ali ne kasnije od 7 insured medical case instantly, due to your health condiions, you
dana od dana nastanka osiguranog sluaja, a obavezno pre izlaska have to do it at your earliest convenience, following your health
iz bolnice i pre povratka u zemlju prebivalita. Ovu obavezu, umesto condiions, but not later than 7 days from the day the insured case
osiguranika, moe izvrii i drugo lice; occurred, nor before leaving the hospital and going back to the
country of origin. A third party can report the insured case, instead
2. omoguite uvid u polisu lekaru koji Vas je primio na neophodno of the insured him/herself;
leenje;
2. Make sure your insurance policy is available to the referral physician;
3. obavezno proverite da li originalni rauni za zdravstvene usluge 3. Make sure the original bill for rendered medical services contains
sadre: ime i prezime, adresu, dijagnozu bolesi ili povrede, sa the following details: full name, address, diagnosis of the illness or
opisom i nainom leenja, speciikaciju trokova, datum pruene injury, descripion and method of treatment, list of service costs,
zdravstvene usluge, naziv, cenu, datum kupljenih ili prepisanih date of ofering medical service, name, cost and date of purchased
lekova, a za stomatoloke usluge i speciikaciju pruenih usluga. Svi or prescribed medicaions, and for dental services the list of
rauni moraju bii overeni peatom i potpisom lekara medicinske ofered services. All the bills must be stamped and signed by the
ustanove i farmaceuta. physician from the referral insituion and by the pharmacist.
Ukoliko osigurani sluaj nije prijavljen osiguravau, a visina tete prelazi If the insured case has not been reported to the insurer, and the amount of
iznos od 500, iskljuena je obaveza osiguravaa, osim kada prijava nije the damage exceeds 500, the obligaion of the insurer will be excluded,
izvrena iz objekivnih razloga. except when the case has not been reported due to objecive reasons.

UPUTSTVO ZA LEKARE I MEDICINSKE USTANOVE: INSTRUCTIONS FOR PHYSICIANS AND MEDICAL INSTITUTIONS:

1. prijavite osigurani sluaj kontakt centru +41 22 929 5252 u roku od 1. report the insured case to the call center, at the phone number
48h; + 41 22 929 5252, within 48 hours at the latest;

2. dostavite na e-mail: 2. Send an e-mail with the following data:


kopiju polise osiguranja; copy of insurance policy
kopiju pasoa; copy of passport and
medicinski izvetaj koji sadri dijagnozu i detaljan opis medical report containing the diagnosis and a detailed
medicinskog tretmana, zdravstveni karton pacijenta i descripion of the medical treatment, medical report of
opaanja lekara, kao i vrstu prepisane terapije-leka; the paient and physicians observaions, as well as the
prescribed therapy-medicaions.
3. obavezno stupite u kontakt sa osiguravaem ili kontakt centrom, 3. You are required to make a contact with the insurer or the call
ako predvieni trokovi leenja prelaze iznos od 500, i u sluaju center, if the anicipated medical costs exceed the amount of 500,
potrebe za hospitalizacijom. or if it is necessary to be hospitalized.
Svi rauni/izvetaji moraju obavezno da glase na ime i prezime All the bills/reports must necessarily bear the name of the insured,
osiguranika, da sadre dijagnozu, speciikaciju trokova, datum pruene contain the diagnosis, list of costs, date of the service rendered, and
usluge i da budu overeni peatom i potpisom ovlaenog lica. also be stamped and signed by the authorized person.
Dostupnost kontakt centra je od 0 do 24h. The call center is available 24 hours a day.

RAZREDI OPASNOSTI: RISK LEVELS:

RO1-30.000 Geografska teritorija Evrope RO1-30.000 Geographic territory of Europe


RO2-10.000 Geografska teritorija Evrope i ostale zemlje sveta, RO2-10.000 Geographic territory of Europe and of other countries of
osim RO3 the world, except RO3 countries
RO3-30.000 Australija i Okeanija, Novi Zeland, Japan, Kanada, SAD. RO3-30.000 Australia and Oceania, New Zeland, Japan, Canada, USA