2013 scrye summer conference presenter- ted cenatiempo
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2013 SCRYE Summer Conference
Presenter- Ted Cenatiempo
Plan B Benefits INBOUND -Accident & Sickness Limit $1,000,000
One Time deductible of $100Co-insurance: 80/20 of the first $5,000, thereafter the plan
pays at 100%. Out of Pocket Expenses $1,100
OUTBOUND -Accident & Sickness Limit $1,000,000$0 deductibleCo-insurance: 100%
This policy covers you for: Accidents; like sprained ankles Sickness; such as colds and flu Doctors Visits Prescriptions Emergency room visits Labs, Tests and X-Rays Inpatient Hospital Stays
Additional Benefits Allowance of $500 to cover pre-existing conditionsMental & Nervous : $1,000 for outpatient, $25,000
inpatientEmergency Dental up to $400 (relief of pain)Trip Cancellation up to $3000 (prior to departure)Maximum benefit for Medical Evacuation- $100,000Maximum benefit for Repatriation- $50,000 Chiropractic paid up to $50 per visit up to $500 (or 10
visits)Emergency Family Reunion benefit of $5000 for flights,
meals and hotel if the insured is hospitalized in excess of 4 days and a family member travels to bedside.
Round trip flight benefit of $3000 if the insured must return home due to the death or serious illness of grandparent, parent or sibling.
Primary Exclusions
This is what CISI unfortunately cannot cover:
Routine Physicals and ImmunizationsAlong with Sports Physicals Routine Dental CareOperating a motorized vehicleAlcohol/Drug related illness/injuryVision exams, eye glasses and contact lenses
Security EvacuationProvides coverage up $100,000
Political or Military Events
Natural Disasters
Physical Attacks or Threats
Kidnapped or Missing Person
Very Important to list the Hosting Country (once finalized)
In The Event of an Emergency Europ Assistance, also known as Team Assist, is available for you around the clock! Anyone can open a case on behalf of the insured if there is an emergency
Legal Assistance- lets say you are arrested and need a lawyer, TA will provide you with a lawyer and help you
through the process
Locating a Doctor- TA will help you locate a doctor in your host country
Medical evacuation- If you need to be relocated to another hospital or to a hospital back home. TA will help you
with this process
Multi-lingual services are available- TA has staff members that are fluent in other languages to assist you while you are abroad
Assistance in replacing passports and lost luggage TA will coordinate with the consulate to provide you with a new passport
Assistance with Prescription drug shipment/replacement-TA will coordinate with a U.S. pharmacy to replace your medication (if the drug can not be found abroad)
How To Access Europ Assist Page
CISI Crisis HotlineEmergency Contact on Evenings and Weekends
CISI staff consistently works with Team Assist to help support you and your participants during a time of crisis. We are excited to announce the implementation of the CISI Crisis Team, which consists of seasoned staff who are actively involved in Emergency Assistance Cases. They are notified at the onset of every case and kept informed throughout the life of the case to ensure that appropriate actions are being taken.
Ph: 203-550-9028 Email: crisis@culturalinsurance.com
Claim Procedures Outbound Student Claims:
Students may visit any facility abroad. Ideally, facilites will bill CISI directly.
Inbound Student Claims:
Inbound participants may also visit any facility, BUT, its best to utilize our First Health Network. Usual Customary and Reasonale Charges (UCR) will apply-most common charge for a particulate medical service when rendered in a particulate geographical area.
How to Find a Medical Facility
First Health Network Provider
Prescriptions Must be prescribed by a doctor or hospital
Pay for medication and submit for reimbursement with completed claim form.
Claim form must be accompanied by a prescription receipt. Cash register receipts not acceptable for inbound students. Receipt must include: Insured’s name, Physician’s name, name of medication and cost.
Outbound students only receive this type of receipt therefore it may be submitted for reimbursement with a copy of the physician’s written prescription
Where to Send Claims Mail to:
CISIRiver Plaza, 9 West Broad St
Stamford, CT 06902
Email to: claimhelp@culturalinsurance.com
Fax to:(203) 399-5596
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