MEDICA_®

Description
Foreign travel benefits will apply when an emergency occurs when the member is out of the United States.


What are the ways that this is covered?

• Emergency situations
• Non-emergency situations

 
Where do I find out how this will be covered with my benefit plan?

• If your claim from a foreign country is an emergency, you will find your benefits for foreign claims under the Emergency Services from Non-Network Providers section of your benefit document.
• If your claim from a foreign country is not an emergency and you have out-of-network benefits, the benefit that would apply is your out-of-network benefits for the specific service.

Things to remember

• Any foreign claims will need to be paid for up-front and then submitted to Medica for reimbursement. (Medica will only pay for eligible services.)
• The following things must be submitted in order for any payment to be issued:
  • A completed Statement of Claims form
  • Claims should be itemized on hospital or clinic letterhead
  • Proof of payment
  • All medical records
  • Medical records and itemized claims must be translated into English
  • Complete copy of passport and airline ticket
  • Completed Foreign Claim Questionnaire (available from Customer Service)
• Make sure to keep copies of everything for your own records before sending in to Medica.
• If you have any further questions regarding your benefits, please contact Customer Service at the number on the back of your ID card.

Return to Coverage Guidelines.