What to do in case of a Medical Claim?

 

DOCUMENTS TO FILE A CLAIM:

  • Surgery and/or Medical procedure programming:
    • Copy of Insurance Policy.
    • Medical Report that includes diagnosis, place and date of surgery and a detail budget of the participating doctors expenses.
    • Studies that confirm diagnosis. (if exists).
    • Illines or accident notification form fill out and sign by the insured (does not apply for BUPA or BEST DOCTORS).
    • We will receive Authorization letter for that surgery or procedure that will be deliver to the Hospital or Doctor of the insured for direct payment.

  • Medication Programming:
    • Copy of Insurance Policy.
    • Medical Report that includes the dose and period the medication will be taken by the insured.
    • Studies that confirm diagnosis. (if exists).
    • Illines or accident notification form fill out and sign by the insured (does not apply for BUPA or BEST DOCTORS).
    • Budget with medicine cost.
    • They will send an Authorization letter to the assigned provider so they can send the medication to the insured address.

  • Copy of Insurance Policy.
  • Medical Report, fill out and sign by your doctor.
  • Studies that confirm diagnosis. (if exists).
  • Illines or accident notification form fill out and sign by the insured (does not apply for BUPA or BEST DOCTORS).
  • Refund form signed by the insured.
  • Wire transfer form fill out & signed by the insured.
  • Copy of Bank Statement that includes account and CLABE number for electronic wire transfer.

 

Downloadable format.

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