VISIT® International Health Insurance
Contact Us at aweusa@visitinsurance.com or 1-800-247-5575 or 1-703-660-9062
.
International Medical Insurance Coverage
Eligibility Requirements:  AMERICAN WORK EXPERIENCE
 
Coverages Benefits Summary
Accident and Sickness Medical Maximums per Injury or Illness
Lifetime Maximum
$100,000 per accident or illness
 

Deductible per Period of Coverage
*For a covered medical expense, the Deductible is the portion of your medical bill that is your responsibility to pay to the doctor or hospital. 

Except for Emergency Room, $100 per Injury or Illness
Deductible – Emergency Room
(applies only to Emergency Room visits)
Subject to $250 but only if no in-patient admission

The $250 ER Deductible applies to illnesses only, and only those illness that do not result in hospital admissionIf the ER visit is due to an Injury, the $250 Deductible does not apply.  (For an Injury, the standard $150 Deductible would apply.) 
Co-Pays Urgent Care - $50
Walk-in Clinic - $20
(Deductible does not apply when there is a co-pay)
Coinsurance

The plan pays 100% of Eligible Medical Expenses
 

Pre-existing Conditions For conditions existing within 36 months before effective date, charges excluded until after 12 months of coverage and then $500 maximum per period of coverage and $50,000 lifetime maximum
Hospital Room and Board Average Semi-Private room rate, including nursing services
Local Ambulance $750 per Injury or Illness, when covered Injury or Illness results in Inpatient hospitalization
Intensive Care Unit Usual, Reasonable and Customary Charges
Outpatient Treatment Usual, Reasonable and Customary Charges

Mental Health Disorders

No coverage

Prescription Drugs Usual, Reasonable and Customary Charges - Reinbursement
Covered as a medical expense and is subject to the Deductible and co-insurance.  If the medical condition is covered, the prescriptions will also be covered.  Prescriptions are a reimbursable expense. You will need to pay for your prescription first and then complete a claim form to be reimbursed.  Click here to download a copy of the card to be used at your local pharmacy.

Click here to compare prices for your prescription.
Maternity Care for a Covered Pregnancy No coverage
Physical Therapy URC - limit one visit per day
Dental Treatment due to Accident

$500 Maximum per Certificate Period, No Maximum per Tooth

Dental Treatment to alleviate pain $350 Maximum per Certificate Period (not subject to Deductible or Coinsurance)
Emergency Medical Evacuation

$50,000 per Participant Maximum Lifetime / (not subject to Deductible or Coinsurance)
Please call (317) 655-4500 for Emergency Medical Evacuation requests.  All details much be coordinated with Assist to be eligible for coverage.

Repatriation of Remains $25,000 Maximum (not subject to Deductible or Coinsurance)
Cremation/Burial: $5,000 maximum
Emergency Reunion $15,000 Lifetime Maximum
Political Evacuation $10,000 Lifetime Maximum
Terrorism $50,000 Maximum Lifetime Limit
Accidental Death and Dismemberment $25,000 per Participant
Incidental Home Country Coverage Up to (2) cumulative weeks
Travel Assistance 24-hour Worldwide Assistance
24-Hour Worldwide Assistance Services:  1-866-799-8270/ 1-317-927-6896
How To Set-up Your MYIMG Account

MyIMG

Service at your fingertips anytime, anywhere - that’s what MyIMG provides. MyIMG is our proprietary online service that allows you to access information and manage your IMG accounts, 24 hours a day, seven days a week, from anywhere in the world. Our service centers in the U.S. and Europe are always available to help or handle emergencies 24 hours a day, but through MyIMG you have immediate access to a wealth of information about your account and can manage routine areas to help you save time when you may need it most. Some features include:

·         Get explanation of benefits Initiate precertification

·         Obtain certificate documents

·         Locate a provider

·         Recommend a provider/facility

·         Request or print ID cards

If you have not already set-up an account, please go to https://myimg.imglobal.com/unauth/homepage.aspx and click on the
Don't have an account? Get one now

You will need to put in your Health Insurance ID Number and Date of Birth to set-up an account.  If you do not have your Health Insurance ID Number, please contact our office at 703-660-9062.

IMG Privacy Policy - www.imglobal.com/legal/privacy-policy 

Important Insurance Terms

What is a Deductible?
For a covered medical expense, the deductible is the portion of your medical bill that is your responsibility.  The deductible will first be subtracted from the total medical bill and you will need to pay this portion directly to the doctor or hospital. 

The deductible is “per accident or illness,” not per visit to the doctor.  This means if you have to go to the doctor more than once for the same illness, you will only need to pay the deductible one time for that illness. 

Your deductible is $100 per accident or illness for PPO and Student Health Center visits.  The Emergency Room deductible is $250 per ER visit.

What is Co-insurance?
Coinsurance is the term used by health insurance companies to refer to the amount that you are required to pay for a medical claim, apart from the deductible. Coinsurance will be waived if Eligible Expenses are incurred within the PPO Network or at a Student Health Center.

However, if you choose to use a provider outside the PPO Network or Student Health Center, the Plan will pay 80% (you will pay 20%) of the next $5,000 of Eligible Expenses after the Deductible, then 100% to the Certificate Period Maximum.

How do I Pay for My Prescriptions?
Your Plan includes a Discount Prescription Drug (Rx) Benefit through Universal Rx.  Please use your Universal Rx card when visiting the pharmacy. 
Important Information: Universal Rx Pharmacy Help Desk: 1-800-742-0504 or www.imgpoc.com


What is a pre-existing condition?

Charges resulting directly or indirectly from or relating to any Pre-existing Condition that existed within thirty-six (36) months prior to the Effective Date are excluded until the Insured Person has maintained twelve (12) months of continuous coverage under this insurance.

What is Precertification?
Precertification is a requirement under your certificate for certain medical services.  You must call to be pre-certified for any of the following conditions: any treatment requiring hospitalization, outpatient surgery, CAT scans, MRI’s, within 48-hours after an emergency admission to the hospital, care in an extended care facility, home nursing care, and durable medical equipment.  During the precertification process, medical professionals review the planned medical services against standard medical criteria to ensure that the services are within accepted medical standards and are medically necessary.  Precertification may be initiated by you, your representative or your medical provider.  This can be done through
MyIMG, through the Client Resources page of www.IMGLOBAL.com or by calling IMG at 1.800.628.4664 (within the U.S.) or 1.317.655.4500.  Most U.S. hospitals and physicians are familiar with the precertification process and will make the phone call for you, though they are not required to do this.  You are responsible for ensuring the precertification process is done five days before you are hospitalized or within 48 hours of an accident or emergency illness.

What is a Reasonable & Customary charge?
Reasonable and Customary charge is the amount normally charged by medical service providers for similar services and supplies in your area of living.

What is Medical Evacuation?
Medical Evacuation means transferring the insured person to the nearest hospital or medical facility in case of an emergency injury or sickness or back to his/her home country. It can be done by any necessary means of transportation.

What is Repatriation?
In case of death, the Repatriation benefit covers the transportation of your remains back to your family and your home country.

Are Injuries from Sports Covered?
Recreational sports are covered through the regular medical coverage.  If you are a member of an intercollegiate, interscholastic, intramural or club sports, there is $5000 maximum coverage on your policy for injuries sustained while participating in a team sports.  Additional coverage may be available through the Athletic Department for some sports.

Is there Dental Coverage?
There is limited coverage for dental pain and injury to natural teeth on your policy.

Relief of sudden and unexpected pain to sound, natural teeth, including but not limited to fillings will be covered up to $350 maximum.  Injury due to an accident will be covered up to $500 per Accident maximum. 

Do I need a referral to go to a Specialist?
A doctor’s referral typically is not required.  If you have a special medical condition, we recommend that you check with the Claims Office 1-800-628-4664, prior to making an appointment with a Specialist.

Where Can I Find a Doctor or Hospital?

What are the Provider Networks?
When contacting a doctor or hospital, please be sure to let them know that you are in the United Health Care (PPO)Networks. 

UnitedHealthCare International PPO Network Searc

How do I search for a local doctor or hospital?
To search for a medical care provider within the independent Preferred Provider Organization (PPO) network, please go to:  

United Health Care
How To File A Claim

Where do I find my Insurance ID Number?
Your ID Number is located on your Insurance Card.

What do I do if I lose my ID Card?
Please contact VISIT at 1-800-247-5575 or by email at aweusa@visitinsurance.com. Be sure to let us know that you are in the Signature Services program.


Do I need to go to a specific doctor or hospital if I need medical attention?


If an emergency: 
• Go directly to the hospital, or call 911 for emergency response
• Call the 24-hour assistance service center at the number listed on your ID card to alert the center of your situation.
1-866-799-8270/ 1-317-927-6896.

Precertification: 

Precertification is a requirement under your certificate for certain medical services.  You must call to be pre-certified for any of the following conditions: any treatment requiring hospitalization, outpatient surgery, CAT scans, MRI’s, within 48-hours after an emergency admission to the hospital, care in an extended care facility, home nursing care, and durable medical equipment.  During the precertification process, medical professionals review the planned medical services against standard medical criteria to ensure that the services are within accepted medical standards and are medically necessary.  Precertification may be initiated by you, your representative or your medical provider.  This can be done through MyIMG, through the Client Resources page of www.IMGLOBAL.com or by calling IMG at 1.800.628.4664 (within the U.S.) or 1.317.655.4500.  Most U.S. hospitals and physicians are familiar with the precertification process and will make the phone call for you, though they are not required to do this.  You are responsible for ensuring the precertification process is done five days before you are hospitalized or within 48 hours of an accident or emergency illness
.

Click here to submit a Precertification online

Do I Need To Submit A Claim Form?

ONLINE CLAIM SUBMISSION PROCESS

International Medical Group® (IMG®) is excited to inform you that new enhancements to our online member portal, MyIMGSM, make claims submission and management easier than ever.

To get started submitting a claim or an appeal online, members can log on to MyIMG (myimg.imglobal.com), click the icon or arrow next to the action they wish to take, select the relevant certificate and submit the necessary information.

To watch a video tutorial of MyIMG, click here

Once a claim is submitted and when a claim is adjudicated, an email will be sent to the insured member. Similarly, the insured member will receive an email if an appeal is submitted.

You may also submit a claim by Fax or Email by using the Claim Form below.  For faster service on your claim, we suggest that you use the ONLINE system above to submit your claim.

Click here to download a CLAIM FORM

Where do I send my Claim Form?

Mail
International Medical Group, Inc.
Claims Department
PO BOX 88500
Indianapolis, IN  46208-0500 USA

Phone: 1-800-628-4664
Fax:
1.317.655.4505
Email: insurance@imglobal.com

IMG Privacy Policy - www.imglobal.com/legal/privacy-policy 

Important Contact Information


To a Report a Claim, Verify Eligibility or Check on the Status of a Claim Contact:

International Medical Group, Inc.
Claims Department
PO BOX 88500
Indianapolis, IN  46208-0500 USA

Phone: 1-800-628-4664
Fax:
1.317.655.4505
Email: insurance@imglobal.com

24-Hour Worldwide Assistance Services:  1-866-799-8270/ 1-317-927-6896

General Questions, Contact Your Agent:

VISIT International Health Insurance
1-800 -247-5575 / Fax (703) 991-916
4
aweusa@visitinsurance.com
Monday - Friday, 9:00 a.m. - 6:00 p.m. EST
Representatives are also available by Email on weekends and evenings on a limited basis.
PO Box 210
Mount Vernon, VA 22121


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www.visitinsurance.com
Correspondence: P.O. Box 210, Mount Vernon, VA  22121 (703) 660-9062/ (800) 247-5575/ (703) 991-9164 fax
email:
 info@visitinsurance.com

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