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Plan Detail

Plan Administrator: Trawick International | AM Best Rating: B++ | Underwriter: GBG Insurance Limited

Claims


CLAIMS PROCEDURES

Claims must be filed within 90 days of treatment/loss to be eligible for reimbursement of Covered Expenses. Claim forms should be submitted only when the medical service provider does not bill the Insurer directly, and when you have Out-of-Pocket expenses to submit for reimbursement. All claims worldwide are subject to Usual, Customary, and Reasonable charges as determined by the Insurer and are processed in the order in which they are received. After submitting the claim, you will receive a claim reference number and an electronic receipt for the claim will be sent to you by email.

Claims may be submitted to the Insurer directly by the Provider or Facility. The Insurer will process the claim according to the Schedule of Benefits and Plan terms, and remit payment to the health care provider. Ineligible charges or those in excess of the Allowable Charges will be the responsibility of the Insured Person.

If the Insured Person has paid the health care provider, the Insured Person will submit the claim form along with the original paid receipts directly to the Insurer. Photocopies will not be accepted unless the claim is submitted electronically. The Insurer will reimburse the Insured Person directly according to the Schedule of Benefits and Plan terms.

In order for claims to be considered under this Plan claims must be In a form acceptable to the Insurer, and Contain complete supporting documentation. If the Insurer requests additional information from either the Insured Person, Physician, or other party to evaluate the claim and such information is not submitted, the claim will be denied.

Reimbursement Options: Claims reimbursements will be made by: a) Electronic Direct Deposit for Insured Person where the receiving bank is located in the U.S., b) Wire Transfer for Insured Persons and overseas providers where the receiving bank is located outside of the U.S., or c) Check sent to Insured Person or provider where electronic payment is not possible.

Status of Claim:

To request the status of a claim or have a question please call: USA and Canada 877-916-7920

Outside the United States and Canada, call direct or collect: 949-916-7941 or customerservice@gbg.com.

Inquiries regarding the status of past claims must be received within 12 months of the date of service to be considered for review.

Claims forms are available at http://www.trawickinternational.com/resources/claim-forms

For a list of providers visit: http://www.trawickinternational.com/resources/healthcare-provider-search