Before you seek treatment, check to see if the provider is in your health plan’s network. Most health insurance companies provide online tools that help you identify providers in your network.
You usually pay less out-of-pocket when you get medical care in-network. Some health insurance plans, such as health maintenance organization plans, only reimburse you for medical services when you go in-network. Others, like preferred provider organization plans provide limited coverage when you visit an out-of-network provider. All of our top-rated companies for visitors travel medical insurance provide PPO plans.
Your healthcare provider typically submits a claim to your insurance company after your visit.
Your healthcare provider will send you the final bill. On the bill, you can see how much you’re responsible for paying after your insurance company has paid its portion. This will depend on your out-of-pocket costs, which vary by plan, but typically include:
- Coinsurance: Your percentage of health care costs after reaching your deductible, such as 20% of costs paid by you and 80% paid by the insurance company.
- Health insurance deductible: Your portion of the annual health care costs before the company begins to kick in money.
- Out-of-pocket maximum: The most you pay out of pocket for in-network care in a year.
How to File a Claim with Travel Health Insurance
Here is how you generally file a claim on a travel health insurance policy:
- Carry your insurance ID card. After buying your policy, you should receive a link to your ID card. Print out your card and carry it with you. You will also receive details about your policy that you should keep on hand.
- Provide policy details. Give your healthcare provider the name of your travel insurance company, your policy certificate number, your member number if you have one and the address where claims are sent. All of this information can be found on your ID card and in your supporting documents.
- Give your ID card to your provider. Typically, the healthcare provider you visit in the U.S. will call your health insurance company and confirm your benefits. For example, if the travel medical insurance policy you bought provides coverage through UnitedHealthcare, your healthcare provider will call them for you.
- Your provider will bill your insurer. In many cases your U.S. healthcare provider will bill your health insurer directly. All the information they need will be on your ID card.
If your healthcare provider does not bill your insurer directly, you will have to pay for the visit and file a claim to get reimbursed. Be sure to get a copy of your bill from your healthcare provider. You’ll need to submit it with your claim.
You should have a claims form in the package of documents you received when you bought your travel medical insurance. If you can’t find it, the travel medical insurance company website may have them available to download.
Fill out the claim form and have a copy of your bill on hand. If you have a fixed-benefit plan, you may need an itemized bill from your provider. Keep a copy and mail, fax or email the claim to the health insurance company. Some companies, such as IMG and WorldTrips, allow you to track the status of your claim online.