Third Party Administrator

This is a healthcare management system where an HMO is contracted to manage service providers & medical claims for employees.


International Health Plan

The AXA Mansard International Health Plan is a comprehensive health plan providing cover worldwide including USA.


Group & Employees Health Plan

Our Group and Employees Health Plan offers value adding and comprehensive healthcare solutions to guarantee a healthy workforce.


Personal & Family Health Plan

Personal & Family Health Plan is designed to be flexible and customizable to suit individual needs.

Our bouquet of plans is designed to be flexible and customizable to suit individual needs while providing the required access to quality health care and best service delivery.

Our Personal & Family Basic Plans include:
• Platinum
• Gold
• Silver
• Bronze


Our plans offer you access to:
• 24 Hour Call Center
• Dedicated Client Relationship Manager
• Nationwide Hospital Network
• Quality Service Delivery

Our Group and employees Health plan offers value adding and comprehensive healthcare solutions to guarantee a healthy workforce.

Our Individual Basic Plans include:
• AXA Mansard Platinum
• AXA Mansard Gold
• AXA Mansard Silver
• AXA Mansard Bronze

Our plans offer you access to:
• 24 Hour Call Center
• Dedicated Client Relationship Manager
• Nationwide Hospital Network
• Quality Service Delivery

The AXA Mansard International Health Plan is a comprehensive health plan providing cover worldwide including USA.  The plan is administered by AXA PPP International, with over 40 years’ experience in medical insurance.

On the AXA Mansard Plan, access is provided to over 11,000 hospitals around the world and you enjoy the ease of prompt access to eligible treatment, choice and flexibility.

There are four standard Plans to choose from.  These are:

i. Standard (with the option of outpatient)

ii. Comprehensive (with the option of dental cover)

iii. Prestige (with the option of dental cover)

iv. Prestige Plus

Our plans have the following key features:

    1. A robust in-patient and evacuation component
    2. Outpatient and day patient services
    3. Worldwide health benefits
    4. Maternity and childbirth
    5. Health Check
    6. Cancer care
    7. Dialysis
    8. Psychiatry
    9. Optical and dental care

You also have the option of our in-patient and emergency evacuation services provided in collaboration with Hollard Group Risk International.  The service on this plan is provided by Cigna a global health service company.

The plan offers the ability to purchase any of the platinum, gold and silver plans offering in-patient benefits and emergency evacuation or the evacuation plan by itself serving as a top up to local plans, providing emergency evacuation and treatment.

 

WHAT IS A TPA?

TPA refers to a system of managing healthcare in which a third party (e.g. an HMO), ‘The Administrator’, is contracted to manage provider networks and medical claims for employees of the company, according to the client’s desired scope of cover.

The TPA scheme ensures prompt access to high quality medical care. It minimizes the financial impact of employee poor health, reduces the burden of health administration on the company, and ensures the containment of medical costs and the provision of management control.

BENEFITS
• Scope of coverage:

The scope of coverage is unlimited and is designed to meet the organization’s requirement and budget.
• Service Delivery:

Subscribers will have access to additional services such as 24hr customer care, emergency ambulance and medical assistance services.
• Reduced Healthcare Costs:

AXA Mansard Health reimburses the health care provider for services provided at a pre-negotiated rate.
• Quality Management:

AXA Mansard Health will ensure high quality care delivery by accrediting and monitoring contracted health providers. A second opinion will be required for non-emergency medical procedures.
• Reduced administrative burden:

The HMO takes on the responsibility for administering medical benefits and payments.
• Nationwide Emergency Coverage:

Subscribers are guaranteed access to our nationwide emergency care coverage.
• Utilization Reports:

The HMO shall provide an annual analysis of the scheme’s operations and performance as well as periodic reports on payments, expenses and utilization trends.
• Funding and Payments:

The administrator develops and administers a revolving medical claims fund (deposit) which allows for cash flow advantage. The TPA system eliminates the issue of premiums but embraces payments for only genuine medical services rendered.
• Flexibility:

The subscribing organisation sets the financial, dependents and health care provider limits according to the company’s condition of service.