Most travel insurance plans reimburse based on Usual, Reasonable and Customary charges (UCR) for all covered expenses.
WhatâÂÂs Usual, Reasonable & Reasonable (URC) Reimbursement?
Usual Reasonable & Customary and reimbursement refers to an established maximum amount that an insurance company will reimburse for a particular medical service or procedure, covered under a travel health insurance policy. URC charges are generally based on prices that are typically billed by the majority of providers, for each medical procedure or service, in a particular geographical area. The UCR can vary from one geographical area to another. The insurance companies use independent third party data to determine the URC for different services in different geographical areas.
For instance, if in a certain geographical area, 95% of physicians charge $100 for doctorâÂÂs consultation, then a particular insurance company may establish the URCàfor that area as $100 for doctorâÂÂs visits, Therefore, $100 would be the maximum that the insurance company may reimburse for a doctorâÂÂs visit in that particular area. URC may vary from company to company.
Where Can I See the Established URC For Different Areas?
There is no one certified source that provides this information publicly. There are private independent companies that determine these charges based on extensive research. Insurance companies either collect this data or procure this data from these companies to establish their URC.
You may call your insurance company to inquire or request for this information. You may also communicate with your service provider (doctor or hospital) and request for their charges for a particular medical service.
To learn more about how much URC reimbursement an insurance company will pay, visit our travel insurance plan details and compare them online, or contact our Customer Success Team.
