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Helan advantages

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Your documents

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Narrow your choice*

Make your choice*

Take out a new insurance

Dentalia insurance

Hospitalia insurance

Medicalia insurance

Questions regarding contributions paid in excess

Questions regarding premarital saving

My question*

First name of third party or healthcare provider*

Name of third party or healthcare provider*

Email of third party or healthcare provider*

Telephone of third party or health care provider*

Name healthcare institution

First name patient *

Last name patient*

Patient's date of birth*

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Identification stickers or envelopes

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Report my move abroad

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Name of third party or healthcare provider*

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Name healthcare institution

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Last name patient*

Patient's date of birth*

Day *

Month *

Year *

Your documents

Add your documents. Maximum 5 documents no larger than 4 Mb.

Do you want to add more than 5 documents? Fill in a new form to send additional documents.

You have a question about the following reimbursement*

Helan advantages

Physical therapist and speech therapist

Doctors

Pharmacist (medecines, oxygen, ... )

Optician and other care providers

Medical agreement

Dental care and dental insurance Dentalia

Hospitalisation insurance Hospitalia

Insurance medical costs Medicalia

Cares abroad

My question*

First name of third party or healthcare provider*

Name of third party or healthcare provider*

Email of third party or healthcare provider*

Telephone of third party or health care provider*

Name healthcare institution

First name patient*

Last name patient*

Patient's date of birth*

Day *

Month *

Year *

Your documents

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Do you want to add more than 5 documents? Fill in a new form to send additional documents.

My question*

First name of third party or healthcare provider*

Name of third party or healthcare provider*

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Telephone of third party or health care provider*

Name healthcare institution

First name patient*

Last name patient*

Patient's date of birth*

Day *

Month *

Year *

Your documents

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Reporting incapacity for work

Maternity protection

Change of family situation

Application for part-time work resumption

Full-time work resumption

My question*

First name of third party or healthcare provider*

Name of third party or healthcare provider*

Email of third party or healthcare provider*

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