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GLOBAL MEDICAL
INSURANCEsm PPO and Pre-Certification |
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ACCESSING THE PPO IMGsm network providers are available throughout the U.S. When you receive treatment for eligible medical expenses from a network provider, your deductible will be reduced by 50% and any coinsurance applicable to that charge will be waived. If a U.S. hospital outside the provider network is used, a co-payment of US$250 is required in addition to the regular deductible and coinsurance. This co-payment is waived if there is not a provider within 50 miles of the location of treatment. You may access the PPO in two ways: 1. When requested, we will either forward a copy of the facilities available in the area you are seeking treatment or refer a provider to you. 2. The PPO directory may also be accessed on the IMGLOBALsm Web site, www.imglobal.com Providers are listed by location and specialty. PRE-CERTIFICATION Pre-certification (notification of illness or accident) simply means calling the company prior to treatment. The following treatments must be pre-certified:
By notifying IMG we will be able to verify benefits, review length of stay and coordinate payment with the hospital or outpatient facility. Pre-certification may be done by you, the doctor, a hospital administrator or relative. |
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