HOW TO CLAIM
PAYMENT TO THE PROVIDER
Medical Clinics and Physicians will be reimbursed directly by Us for Pre-Authorized medical expenses.
NOTICE AND PROOF OF CLAIM
The Insured Person or the agent of the Insured Person shall:
FAILURE TO GIVE NOTICE OR PROOF
Failure to give notice of claim or furnish proof of claim within the time prescribed does not invalidate the claim if the notice or proof is given or furnished as soon as reasonably possible, and in no event later than 12 months from the date of the Injury or Sickness, if it is shown that it was not reasonably possible to give notice or furnish proof within the time so prescribed.
It is EXTREMELY important to attend your scheduled appointment. If you are unable to attend, you MUST reschedule more than 24 hours prior to the appointment.
An Insured Person who fails to meet Our scheduled appointment for any pre-authorized treatment will be required to indemnify Us with the following applicable charge before treatment is performed at a later date. This charge does not apply if the appointment is re-scheduled more than 24 hours prior to the appointment or if We determine that it was not reasonably possible for the appointment to be rescheduled. The charge for a missed appointment is as follows:
Call us for your policy number, direct phone number of your personal claims manager, or for policy information.