CoverAmerica - Gold Plan is a direct pay plan,which means if an eligible claim is made will the provider directly get paid by the insurer? or its a re imbursement mode plan,where the patient pays the money upfront and then have to claim the money ?
Like all travel insurance policies, the billing process is at the discretion of the provider. It depends on the billing practices of the provider the insured person chooses to visit. Usually for bigger medical situations (like hospitalization, surgery, etc.), providers tend to charge the insurance companies directly. For smaller situations, like doctor’s consultations, they sometimes ask the insured person for upfront payment first, which can be reimbursed. For claims to be processed, the insured person would need to send in the claimant information form and the bills (if they have to pay up front) to the insurance company. You can find out more about the claim process here.
The PPO Network for the CoverAmeria - Gold Plan is United Health Care. It is one of the most extensive PPO networks in the USA, and it is easy to find providers anywhere in the country. For more information, please feel free to call us at 1.866.384.9104 or email us at firstname.lastname@example.org.
After the claim process is completed, you should be reimbursed for your expenses in 6-8 weeks. To learn more about the claim process, visit our page about the Visitors Insurance Claim Process
Direct Billing or Cash Payment Upfront? It is always up to the doctors discretion on how they will bill. Regardless of if the doctor is under the PPO network or recognizes your plan or not,…
Your insurance policy will provide coverage at any provider of your choice. If a provider does not accept your insurance, you can pay out of pocket, submit a claim, and be reimbursed by the insurance…
There is an appeal process you will have to complete, and proper documentation is required. To learn about the appeal process, read: When Your Travel Insurance Claim is Denied, File an Appeal.
Yes, most policies have a provision called the "Benefit Period" that contiunes to provide coverage up to a certain number of days or weeks for any treatment that was started while the policy was active.…
Information provided here in the form of Questions and Answers is for general purpose only and may not be current and accurate at all times. Insurance terms and conditions, benefits, and coverage are subject to change at any time. For this reason, it is possible that the information given here could be outdated or incorrect. VisitorsCoverage inc. assumes no responsibility or liability for the accuracy of these answers. Any use of the information on our website is subject to our terms and conditions and user agreement. It is recommend that you review the latest Evidence of Coverage and Plan Contract (Policy) for a detailed description of coverage benefits, limitations, and exclusions. Please read the Policy Brochure and Plan Details for complete and accurate information. Only the Terms and Conditions of Coverage listed in a particular policy are binding.