Page 19 - Εταιρικό Comprehenshive
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Please see page 52 for an explanation of words that appear in bold
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Claims reimbursements can be paid through a local bank in a number of currencies using the
exchange rate published in the Financial Times Guide to World Currencies based on your
treatment date. For in-patient treatment this would be your date of admission.
For a full list of the currencies we can pay claims in, please see our website
What must I provide when making a claim?
4.1
Before we can consider a claim you must ensure that:
•
you obtain and complete any form required by us in order to provide us with the
necessary information and necessary legal permissions to handle your medical
information and to assess your claim. We will require this as soon as possible and no
later than six months from the date the treatment starts (unless this was not
reasonably possible); and
•
we receive the invoices for treatment costs; and
•
you promptly give us all the information we request.
Do I need to provide any other information?
4.2
It may not always be possible to assess the eligibility of your claim from the medical
information form alone. In such situations we may require additional information and it is
your responsibility to provide any reasonable additional information to enable us to assess
your claim.
Be aware:
In order to establish the eligibility of any claim, we may request access to your medical
records including medical referral letters. If you unreasonably refuse to agree to such
access we will refuse your claim and will recoup any previous monies that we have paid in
respect of that medical condition.
4.3
There may be instances where we are uncertain about the eligibility of a claim. If this is the
case, we may at our own cost ask a medical practitioner chosen by us, to advise us about
the medical facts relating to a claim or to examine you in connection with the claim. In
choosing a relevant medical practitioner we will take into account your personal
circumstances. You must co-operate with any medical practitioner chosen by us or we will
not pay your claim.
What should I do if I have cover on another insurance policy?
4.4
You must tell us if you can claim any of the cost from another insurance policy or through a
state healthcare system.
If another insurance policy or healthcare system is involved we will only pay our proper
share.
