Asking for medical authorisations

Some diagnostic tests, treatments, procedures and/or hospitalisations require a doctor’s prescription and/or prior authorisation from AXA/Agrupació; here are the various ways in which you can apply for them.

Medical authorisation in MyAXA

Ask for and view your authorisations and those for your children under 18 in the MyAXA app and on the website quickly and easily.
You can track your authorisation, upload new documents and download the authorisation.

DOWNLOAD IT

Online form

New application

Use this form to submit a new application

MEDICAL AUTHORISATION APPLICATION

Continue with application in progress

Use this form to retrieve an authorisation you’ve already started

RETRIEVE AUTHORISATION IN PROGRESS

MEDICAL AUTHORISATION APPLICATION

By phone

You can also ask for them over the phone, and we’ll walk you through the process personally.

CALL US

To ask for your authorisation, please have your card details, the prescription for the test and/or treatment and the name of the prescribing doctor to hand, and we’ll give you the authorisation number

What information do you need to ask for your medical authorisation?

You must ask for your authorisation no more than two months and at least 48 hours before the test or procedure takes place. If it is an emergency admission, you have to ask for authorisation within the following 72 hours. What details do we need?

  • Insured number
  • Full name
  • Description of the test and/or procedure
  • Name of the doctor asking for it
  • Town and province where the test and/or procedure will take place
  • Contact phone number and email address

Please note that AXA/Agrupació may ask you for any medical or clinical information we need to assess and process the benefit you ask for.

If you need to send a medical report, you can use the forms below, completed and signed by your doctor.

Alternatively, you can sign this consent form to allow AXA/Agrupació to contact your doctor so that they can provide us directly with details of the process for which you require authorisation for the medical test and/or healthcare service.

Consent to the transfer of data relating to adults (PDF)

 

If the authorisation is for a minor, their parent or legal guardian must also send the completed and signed consent form for the transfer of minors’ personal data.

Consent to the transfer of data relating to minors (PDF)

 

Which tests, treatments, services or procedures require medical authorisation?

  • Aerosol therapy

    Ear, nose and throat: evoked potentials, electronystagmography, electrooculography, computerised vestibular tests.

    Neurophysiology: any functional study or test (e.g. electroencephalogram).

    Ophthalmology: fluorescein angiography. Special ophthalmological tests: visual evoked potentials.

    Radiology and diagnostic imaging: magnetic resonance imaging (MRI), computerised tomography (CT-scan), 3D full body X-ray.

    Rehabilitation: any treatment or physiotherapy session for the musculoskeletal system.

  • Any hospital admission.

    Any surgery or childbirth.

    Prostheses covered: stents (except aorta), coils, surgical meshes in hernia and incontinence surgery; mechanical and biological heart valves, vascular bypass prostheses, pacemakers, implantable pacemaker defibrillator; port-a-cath, chemotherapy infusion pump; monofocal IOL; osteosynthesis material and other internal prostheses in orthopaedic surgery; breast reconstruction following mastectomy (excluding the contralateral implant). Testicular prosthesis following testicular removal surgery due to cancer. Dura mater absorbable implants (exclusively in intracranial or spinal tumour cirrhosis). Only for reimbursement policies: CSF shunt valves in hydrocephalus, spinal implants and stabilisers, oesophageal and colon prostheses, IOL (multifocal) in cataract surgery and posterior chamber IOL (ICL).

    Allergy: provocation tests.

    Cardiac and vascular diagnostic tests: arteriography, catheterisation, heart ablation and cryoablation.

    Digestive system: diagnostic and therapeutic endoscopy (e.g. polypectomy and mucosectomy), hepatic elastography, oesophageal manometry and pH monitoring, lithotripsy (gallbladder and bile duct).

    Ear, nose and throat: laryngoscopy, evoked potentials, electronystagmography, electrooculography, computerised vestibular tests, laryngostroboscopy, dynamic posturography.

    Genetic testing, hormonal or immunological studies.

    Gynaecology and obstetrics: amniocentesis or amnioscopy, childbirth preparation, special gynaecological radiology (hysterosalpingography) and obstetric or gynaecological Doppler echocardiography.

    Nephrology: dialysis and haemodialysis, extracorporeal shockwave lithotripsy and laser intraurethral lithotripsy.

    Neurophysiology: any functional study or test (e.g. polysomnography, EEG).

    Nuclear medicine: any examination or treatment with radioisotopes. PET-CT 18FDG and PET Choline for monitoring and diagnosis in oncology. In reimbursement options, PET-CT for refractory epilepsies.

    Oncology: combined chemotherapy treatments, radiotherapy and the tests required for these treatments.

    Ophthalmology: fluorescein angiography, ophthalmic, orthoptic and pleoptic laser (covered only in children aged 6-10), visual evoked potentials.

    Pain management: nerve blocks and radiofrequency treatments.

    Radiology and diagnostic imaging: interventional radiology, vascular radiology, magnetic resonance imaging (MRI), computerised tomography (CT-scan), multidetector computed tomography (MDCT), 3D radiology of the spine.

    Rehabilitation: any treatment or physiotherapy session for the musculoskeletal system, vocal cords (phoniatrics/speech therapy), postpartum pelvic floor recovery and mild urinary incontinence. Shock waves. Cardiac rehabilitation in reimbursement options.

    Respiratory medicine: bronchoscopy, endobronchial ultrasound (EBUS), oxygen therapy, ventilotherapy, respiratory polygraphy.

    Urology: urodynamic and/or endoscopic assessment; GreenLight, Thulium and Holmium lasers in prostate surgery.

    Medical check-up.

    Psychological consultations or assessments.

  • Any hospital admission.

    Any surgery or childbirth.

    Prostheses: prostheses for heart valves, with the exception of those implanted via percutaneous catheterisation, pacemakers, internal orthopaedic prostheses, vascular bypasses, vascular stents and vascular coils. Bifocal or monofocal intraocular lenses, and breast and testicular prostheses.

    Allergy: provocation tests.

    Cardiovascular diagnostic tests.

    Digestive system: diagnostic and therapeutic endoscopy (e.g. polypectomy and mucosectomy), hepatic elastography, oesophageal manometry and pH monitoring, lithotripsy (gallbladder and bile duct).

    Ear, nose and throat: laryngoscopy, electronystagmography, electrooculography, computerised vestibular tests, laryngostroboscopy, dynamic posturography and laser treatment in surgery for tonsils, adenoids and Renke’s oedema.

    Genetic testing.

     Gynaecology and obstetrics: amniocentesis or amnioscopy, childbirth preparation course, gynaecological radiology and obstetric or gynaecological Doppler echocardiography.

    Nephrology: dialysis and haemodialysis, extracorporeal shockwave lithotripsy and laser intraurethral lithotripsy.

    Neurophysiology: any functional study or test (e.g. polysomnography, EMG,EEG) and visual and auditory evoked potentials.

    Nuclear medicine tests

    Oncology: combined chemotherapy treatments, radiotherapy and the tests required for these treatments.

    Ophthalmology: fluorescein angiography, YAG and argon laser ophthalmic surgery, orthoptics, tomography, HRT.

    Pain management.

    Radiology and diagnostic imaging: interventional radiology, vascular radiology, magnetic resonance imaging (MRI), computerised tomography (CT-scan), breast CT scan, multidetector computed tomography (MDCT), PET.

    Rehabilitation: any type of treatment.

    Respiratory medicine: bronchoscopy, endobronchial ultrasound (EBUS), oxygen therapy, ventilotherapy, respiratory polygraphy, continuous positive airway pressure (CPAP).

    Urology: urodynamic and/or endoscopic assessment and laser treatment.

The terms set out on this website are subject to the terms and conditions and schedule of these policies and the insurance option taken out. The contract must also be current in payment.  

 

 

Legal and regulatory information: AXA Seguros Generales S.A. de Seguros y Reaseguros, registered address Calle Monseñor Palmer nº 1, 07014 Palma de Mallorca, is listed in the Directorate General of Insurance and Pension Funds (DGSFP) Administrative Register of Insurers under code C0723. Purchase of the insurance products offered on this website, including Electric Scooter Insurance (Scooter360), is subject to the terms and conditions and schedule in force at the time the policy is issued.