REQUIREMENT TO NOTIFY THE INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured 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 and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at xxx.xxxxxxxxx.xxx ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.
REQUIREMENT TO NOTIFY THE INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured 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 and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 E-mail address: xxxxxx@xxxxxxxxxxxxxxxx.xxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNER
REQUIREMENT TO NOTIFY 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
REQUIREMENT TO NOTIFY THE INSURER. The Insured must contact Bupa Insurance Company's Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured 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 and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNER ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online. BUPA GROUP BENEFITS • See applicable sections of the policy for details, limitations, and restrictions. • The plan Bupa Group policy provides coverage in the Preferred Provider Network only. No benefits are payable for service rendered outside the Preferred Provider Network, except under the emergency medical treatment provision. • Maximum coverage is five million dollars ($5,000,000) per insured, per lifetime for all covered medical and hospital charges while the policy is in force, subject to the limitations herein. • The insurer, USA Medical Services, and/or any of their applicable related subsidiaries and affiliates will not engage in any transactions with any parties or in any countries where otherwise prohibited by the laws in the United States of America. Please contact USA Medical Services for more information about this restriction. SCHEDULE OF BENEFITS BENEFITS Coverage (per Insured, per Policy Year) Maximum benefit Private or semi-private hospital room and board No limit Intensive care room and board No limit Maternity care benefit (Except Pl...
REQUIREMENT TO NOTIFY THE INSURER. The Insured must contact Bupa Insurance Company's Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured 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 and coinsurance (if applicable).
