| Q: |
Why do I have to fill out so
many forms? |
| A: |
Many of the participants below require
information about your claim:
- The underwriter of your policy requires that OneWorld
Assist has a claim form completed by you on file confirming
you submitted a claim. The insurer or underwriter
also requires original documents so your claim can
be fairly and accurately assessed. The decision to
pay or decline your claim will be based in part on
this information.
- Your provincial government health care plan requires
certain forms to be completed and returned to them.
Completion and return of these forms helps expedite
processing of your medical claim.
- Other insurers require
an Assignment of Payment Form to participate in the
payment of your claim. Participation in the payment
of claims by other insurers (i.e. extended health
benefit plans or life insurers) to whom you have already
paid a premium helps keep your travel insurance premiums
from rising.
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| Q: |
Do I need to fill out each form that is
sent to me? |
| A: |
Yes. Each form must be fully completed
regardless of the amount of your claim. If the information
is incomplete, there will be a delay in the processing
of your claim. |
| Q: |
Can I submit a duplicate or photocopy, instead
of an original bill, for the processing of my claim? |
| A: |
No. All provincial government health
care plans require original bills. We suggest you keep
a copy for your own records. |
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| Q: |
I live in Alberta, BC, Ontario, Quebec or
Saskatchewan. Why do I need to fill out the government
health insurance plan authorization and release form?
|
| A: |
OneWorld Assist has unique contracts
with some provincial government health care plans that
allow us to prepay their portion of your eligible medical
expenses. They require the completion of this form for
medical claims. In order for us to prepay the provincial
portion, you must sign and complete these forms in their
entirety. This helps us process your claim more quickly.
Please note: Schedule A and Schedule B for Alberta, BC
and Saskatchewan must both be completed in full, and both
must be signed. Schedule A must be witnessed by someone
over the age of 19 (this can be a family member). |
| Q: |
Why do you require my employer and/or retirement
information for my medical claim? |
| A: |
In order to keep your travel insurance
premiums as low as possible, it is necessary to share
the cost of your claim with other insurers to whom a premium
may have been paid. Employers often provide extended health
benefits to their employees. These benefits frequently
continue during retirement. Since travel insurance is
excess to any similar insurance coverage you may have,
you are required to provide this information. |
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| Q: |
Who needs to fill in the Assignment of Payment
Form? |
| A: |
If you have an extended health plan
in addition to your travel insurance policy (i.e. Pacific
Blue Cross, Great West Life, etc.), you must complete
the Assignment of Payment Form. This form must be signed
by the primary policyholder of that plan and must be witnessed
by someone over the age of 19 (this can be a family member).
If you do not have an extended benefits plan, please write
Not Applicable and advise us of the name of your present
or last employer. Your claim will be delayed if your employer’s
name is not listed. |
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| Q: |
Who signs the Medical Authority section
of the Excess Hospital - Medical Claim Form, and why is
it required? |
| A: |
If the claimant is the patient, then
the claimant must sign this form. If the claimant is a
minor, the legal guardian must sign the form.
When coordinating your benefits with your provincial government
health care plan, the Ministry requires this authority.
This authority is also required if it is necessary to
request medical information in order to fairly and accurately
evaluate your claim. If the form is not signed, you will
experience a delay in the processing of your claim. |
| Q: |
Who fills out the Certificate of Canadian
Physician? |
| A: |
If this form is included in your claim
packet, it must be completed by your most recent family
doctor, no matter when your last visit was. This information
is necessary for us to fairly and accurately evaluate
your claim. |
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| Q: |
Where do I send the Certificate of Canadian
Physician? |
| A: |
Send this certificate to your family
physician with a request that they complete the form.
You or your family physician may return it via mail to
OneWorld Assist. |
| Q: |
Do I need to complete the Out-of-Country
Claim Form for the Medical Services Plan of BC (MSP)? |
| A: |
If you are a BC resident and if you were
hospitalized outside the province, MSP requires this additional
form. You need only complete Section A. OneWorld Assist
will complete the rest on your behalf. |
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| Q: |
What if my bills are in a foreign language?
|
| A: |
OneWorld Assist can translate all documentation.
Please provide all documentation you have. If you or a
family member prefer to translate the bills before sending
them to us, you are welcome to do so as it could speed
up the processing of your claim. |
| Q: |
Where do I send duplicate bills or other
communications regarding my claim? |
| A: |
Send them to OneWorld Assist as soon
as you can. |
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| Q: |
Should I review my claims documentation
before submitting it to OneWorld Assist? |
| A: |
Yes. Before returning forms to OneWorld
Assist, please review them carefully to ensure each is
fully completed. Be sure the forms requiring your signature
are signed.
There will be a delay in the processing of your claim
if any information is missing or if all forms have not
been signed. |
| Q: |
I have questions about my claim or the claims
process, what can I do? |
| A: |
If you have questions regarding your claim or the claims
process, please contact us toll-free from Canada and the
US at 1-800-663-0399 or worldwide collect at 604 278 4108. |
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