NOTIFICATION TO THE INSURER. The insured is asked to contact USA Medical Services, Bupa’s claims administrator, at least seventy-two (72) hours in advance BENEFITS
NOTIFICATION TO THE INSURER. The insured is asked to contact USA Medical Services, Bupa’s claims administrator, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment should be notified within seventy-two (72) hours of beginning such treatment. If the insured does not contact USA Medical Services before their treatment, the insurer cannot make a direct payment to the provider. The insurer will then reimburse the policyholder in accordance with the usual, customary, and rea- sonable fees for that geographical area. BENEFITS
NOTIFICATION TO THE INSURER. The insured must contact USA Medical Services, the insurer’s claims administrator, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within seventy-two (72) hours of beginning such treatment. In case of an accident, the insured must notify the insurer within seventy-two (72) hours of such accident, unless this is impossible due to a fortuitous event or force xxxxxx, in which case notification must be made as soon as the impediment is cleared. Not complying with this requirement may result in the denial of the claim or the application of the usual, customary, and reasonable costs that the insurer would have incurred if the accident had been notified as required. If the insured fails to contact USA Medical Services as stated herein, he/she will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible. BENEFITS
NOTIFICATION TO THE INSURER. The insured is asked to contact USA Medical Services, the insurer’s claims administrator, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment should be notified within seventy-two (72) hours of beginning such treatment. In case of an accident, the insured must notify the insurer within seventy-two (72) hours of such accident, unless this is impossible due to a fortuitous event or force xxxxxx, in which case notification must be made as soon as the impediment is cleared. Not complying with this requirement may result in the denial of the claim or the application of the usual, customary, and reasonable costs that the insurer would have incurred if the accident had been notified as required. If the insured does not contact USA Medical Services before their treatment, the insurer cannot make a direct payment to the provider. The insurer will then reimburse the policyholder in accordance with the usual, customary, and reasonable fees for that geographical area. BENEFITS
