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Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of.

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Presentation on theme: "Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of."— Presentation transcript:

1 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) CIGNA INTERNATIONAL EXPATRIATE BENEFITS (CIEB) Making A World of Difference to the Expatriates and Families of Georgetown University

2 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Benefits Provided to You and Your Family Medical with Rx Evacuation/Repatriation Coverage Global portability No pre-existing or diagnostic exclusions US and state compliant-based plans HIPAA ERISA Compliance in Middle East markets (Abu Dhabi and Saudi Arabia)

3 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Benefits – Medical with Rx Global PlanMiddle East (in-network) Lifetime Maximum US$ - Unlimited Deductible $0 Out-of-Pocket Maximum Individual - $2,000 Family - $4,000 Individual - $2,000 Family - $4,000 In-patient Facility 80%100% In-patient Physician Svc. 80%100% Out-patient Facility 80%100% Out-patient Physician Svc. 80%100% Prescription Drugs 80%100% Mental Illness & Substance Abuse Inpatient: 80%, 30 days/per annum Outpatient: 80%, 30 visits/per annum Inpatient: 80%, 30 days/per annum Outpatient: 80%, 30 visits/per annum

4 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Benefits – Medical with Rx Global PlanMiddle East (in-network) Home Healthcare/Visiting Nurse 80%; 120 visits per annum100%; No limits Child & Adult Preventive Care 100%; Limit - $350 per annum up to age 2, $125 per annum up to age 18. $250 per annum age 18 and over 100%; No limits Chiropractic 80%; 20 Days per annum100%; No limits All Other Medical Services 80%; Internal limits may apply as per your benefit plan 100%; No limits

5 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Key Services of CIGNA International Customer Service Center: Middle East Service Center – Direct Access to CIEBs Middle East Service Center operated in association with Saudi Arabian Insurance Company : 24 hours/ 7 Days a week Local Phone and fax numbers from 6 Gulf States (UAE, KSA, Kuwait, Bahrain, Qatar, Oman) CIEB International Service Center - Direct Access to Carrier 24 hours/7 Days a week Toll-Free International 800 telephone and fax numbers through AT&T Direct Collect Calls routinely accepted Emergency Services -24/7 Coordination and Referrals, Evacuations and Repatriation

6 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Middle East Service Center KSA UAE Kuwait Telephone: +966-1-215-0634+971-4-295-8852+965-2-475-497 Fax: +966-1-460-1881+971-4-295-5231+965-2-475-498 Qatar Bahrain Oman Telephone: +966-1-215-0634+971-4-295-8852+968-247-02093 Fax: +966-1-460-1881+971-4-295-5231+968-247-02094 Mail Delivery: Saudi Arabian Insurance Co. B.S.C. P.O. Box 29391 Riyadh 11457, Kingdom of Saudi Arabia Email:cigname@saicoins.com How To Contact CIGNA International... Key Services of CIGNA International

7 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) How To Contact CIGNA International... CIEB International Service Center Telephone: 302.797.3100 (Collect Calls Accepted) 800.441.2668 (international calls, use AT&Ts country access code) Toll-Free Fax: 800.243.6998 (international calls, use AT&Ts country access code) Direct Fax: 302.797.3150 Mail Delivery: CIGNA International Expatriate Benefits P.O. Box 15050 Wilmington, DE 19850-5050 USA Courier:CIGNA International Expatriate Benefits 590 Naamans Road Claymont, DE 19703 Internet:www.cigna.com/expatriates Key Services of CIGNA International

8 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Key Services of CIGNA International Accessing Care / Claim Processing: Middle East in-network In-network Present local CIEB/SAICO card Pay any patient liability No Claim filing Over 350 providers Saudi Arabia – 240 UAE – 120 Kuwait – 10 Bahrain – 7 Qatar – 25 Oman - 12

9 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Key Services of CIGNA International Accessing Care / Claim Processing: Middle East out-of-network / Outside of Middle East Region Utilize global CIEB card Option 1: Guarantee of Payment with Direct Payment arrangements globally to hospitals and other providers Provider or member initiates call to the CIEB International Call Center If the provider is willing, a GOP will be set- up for services Member pays member liability Provider bills CIEB directly for guaranteed balance International IIN 600428 Control 02160000 Account 3156536 Issuer (80840) ID Number:123456789 02 Employee:John Doe Policy No: Employer: Dependent:Jamie Doe Division: RXPDOC Website: www.cigna.com/expatriates All benefits are subject to verification of eligibility, definitions, exclusions and contract limitations. Card possession does not certify eligibility of benefits. US PHARMACIES: 800.522.7487 FOR TRANSMISSION QUESTIONS Fax Claims to:302.797.3150 or AT&T access code +800.243.6998 US Provider:Electronic claims Payor ID#62308 Courier:590 Naamans Road Claymont, DE 19703-2308 USA Mail Claims to:CIGNA International P.O. Box 15050, Wilmington, DE 19850-5050 USA Customer Service: 302.797.3100 or 800.441.2668 International PHCS MD Plan Preferred Care Network in the US: Phone:302.797.3100 800.441.2668 Fax:302.797.3150 800.243.6998 Collect calls accepted. For international toll free, use AT&T Direct access

10 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Key Services of CIGNA International Accessing Care / Claim Processing: Middle East out-of-network / Outside of Middle East Region Option 2: Member pays at point of care and submit claim for reimbursement Multi-lingual claim forms available on-line Quality Service - 90% of claims reimbursed within 10 business days with 98% accuracy regardless of language or currency. Experience with Wire Transfers U.S. bank accounts International wire transfer Claim Reimbursement in more than 100 currencies Claim and language translation services International IIN 600428 Control 02160000 Account 3156536 Issuer (80840) ID Number:123456789 02 Employee:John Doe Policy No: Employer: Dependent:Jamie Doe Division: RXPDOC Website: www.cigna.com/expatriates All benefits are subject to verification of eligibility, definitions, exclusions and contract limitations. Card possession does not certify eligibility of benefits. US PHARMACIES: 800.522.7487 FOR TRANSMISSION QUESTIONS Fax Claims to:302.797.3150 or AT&T access code +800.243.6998 US Provider:Electronic claims Payor ID#62308 Courier:590 Naamans Road Claymont, DE 19703-2308 USA Mail Claims to:CIGNA International P.O. Box 15050, Wilmington, DE 19850-5050 USA Customer Service: 302.797.3100 or 800.441.2668 International PHCS MD Plan Preferred Care Network in the US: Phone:302.797.3100 800.441.2668 Fax:302.797.3150 800.243.6998 Collect calls accepted. For international toll free, use AT&T Direct access

11 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Other Services: Internet capabilities and secured member website: www.cigna.com/expatriate Assistance before you go Cultural/regional norms for care Provider Directories CIGNALinks Provider Directories Global Provider Directory US Provider Directory Key Services of CIGNA International

12 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Not Registered… Register for a PIN/Password online: 1.Go to: www.cigna.com/expatriates www.cigna.com/expatriates 2.Click on Login in the Members box 3.Click on Register Now! and have your CIEB Member ID and Policy Number handy (located on the front of your ID card). Secured Member Website

13 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Not Registered… Fill out the fields on this screen and refer to your ID card for the CIGNA International Identification Number and Policy Number. Click on Submit You will immediately get a temporary PIN/Password. When you use this for the first time, you will be prompted to create a new PIN/Password of your choice. Secured Member Website

14 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Secured Member Website You can view… About You Whos Covered Your Benefits Your Claim Your Password

15 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Global Provider Directory 1.Click on Provider Directories 2.Click on International 3.Click on Medical Providers 4.Next click on the appropriate directory. Finding Middle East In-network Providers

16 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Global Provider Directory Finding Middle East In-network Providers

17 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Global Provider Directory Finding Providers outside the Middle East 1.Click on Provider Directories 2.Click on International 3.Click on Medical Providers 4.Select the link Select Global Networks in the second paragraph. 5.Select a country from the drop down by clicking on the down arrow

18 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Hospital/Clinic General Family Practice Obstetrics/Gynecology Dentist Global Provider Directory Finding Providers outside the Middle East

19 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Global Provider Directory Finding Providers in the United States 1. 2. 3. 4. 1.Click on Provider Directories 2.Click on United States & Puerto Rico 3.Complete the information you are aware of on the following two screens. 4.Click Continue and a provider listing will appear according to the criteria you provided.

20 Please note: The preceding summary contains highlights of the CIGNA International Expatriate Benefits Program for Georgetown University. In the event of any discrepancies, the provisions and exclusions of the master contract will govern. Please refer to your plan booklet for specific terms of coverage, exclusions and limitations. Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2007 (CIGNA ) Questions?


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