It is your responsibility to ensure that the Assistance Company has been contacted prior to receiving treatment. Your benefits will be limited to 80% of eligible expenses to a maximum of $25,000 if you fail to do so, other than in extreme circumstances when treatment is required to resolve a life threatening medical crisis.
IMPORTANT INFORMATION
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Contact the Assistance Company, Epic Health Solutions, at the numbers
Above prior to receiving treatment, so there is no limitation applied to
your potential claim payment. -Travel Medicare and Berkley Travel will
not contact you to follow up on an open claim. If you have questions on
your open claim, contact the Assistance Company at the numbers
above.
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Please keep all hard copies of your medical records, receipts, and
prescriptions given to you by your attending physician. The Assistance
company may require additional information to review the eligiblity of
your claim.
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The plan type purchased and the sum insured selected cannot be
changed after the effective date indicated on your confirmation of
insurance.
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A claim for the replacement of an existing prescription whether by
reason of loss, unless otherwise specified elsewhere in the policy,
renewal or inadequate supply or the purchase of drugs or medications
(including vitamins) which are commonly available without a
prescription or which are not legally registered or approved in Canada
or which are not required as a result of an emergency will be denied.
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Claims for loss or damage to hearing devices, eyeglasses, sunglasses,
or prosthetic teeth, limbs or devices and resulting prescription thereof
will be denied
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Travel insurance is designed to cover losses arising from sudden and
foreseeable circumstances. Any claim for medical treatment that is not
emergency medical treatment for the immediate relief of acute pain
and suffering, including elective and cosmetic treatment, will be
denied.
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A claim for any medical treatment of an ongoing condition, regular
care of a chronic condition, home health care, investigating testing,
rehabilitation, convalescent, or ongoing care or medical treatment of
an acute sickness or injury after the initial emergency has ended will
be denied.
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Most claims will be handled within 10 days of the Assistance Company
receiving all required documentation. Missing or incomplete
documentation is the most common cause of delays.