The Global Medical plan is insured by Sirius International Insurance Corporation. Sirius offers financial security and a worldwide reputation, This well-established insurance company is rated 'A' (Excellent) by A.M. Best Company and 'A-' by Standard & Poor's.
The Global Medical plan is available in four levels so that you can choose the coverage level that’s right for you.
The Global Medical Plan is available in four different levels — Bronze, Silver, Gold, and Platinum — all of which offers two areas of coverage: including or excluding the US, Canada, China, Hong Kong, Japan, Macau, Singapore and Taiwan. If you do not need coverage in these countries, you may obtain lower premiums by selecting the "Worldwide Excluding" option.
The Global Medical plan is available to individuals and families from around the world who are at least age 14 days and not over age 74 and meet the following requirements:
The following is a link to information regarding the substantial presence test:
Yes. Global Medical products are annually renewable. There are no medical questions at renewal. Renewal is subject to your continued eligibility and timely payment of premiums. Members will receive a renewal notice via email 45 days prior to their anniversary date that will include more information about the renewal and subsequent premium increase.
The Global Medical is a medically underwritten plan, which means that your family's medical status and history will be used to determine your eligibility for coverage. Once you have submitted your application it will be reviewed within 5 business days by an underwriter. Within that period you will hear back from the underwriters and they will either:
You will be notified on the status of your application once complete or if further information is needed. If a rider or premium increase is added to your plan you will be notified. If you are issued a rider you will be provided with a 30 day ‘free look’ period. If you do not like our counter offer, you can simply cancel coverage within the 30 day free look and we’ll refund 100% of your premium.
The Global Medical plan also allows you to take advantage of the Medical Concierge program in the United States to assist you with finding providers and to give you more information on provider ratings, past outcomes and general costs in the area where you plan to seek treatment. By utilizing the Medical Concierge services, your deductible will be 50% waived (to a maximum of $2,500) and your coinsurance will be waived.
Simply present your identification card at the provider's office so that they may contact us to verify benefits and billing information. For your convenience, there is also an international network and both networks are searchable through the Student Zone, which is accessible with your Certificate number and date of birth once coverage has been approved.
In addition to the extensive PPO network in the US, the Global Medical plan offers an International Provider Access network of over 17,000 physicians, clinics, and hospitals worldwide. These providers have agreed to accept direct payment to make it easier for you so that you don’t have to pay upfront.
The Global Medical plan in the levels Gold and Platinum now includes CareClix as a new option for seeking medical treatment inside the U.S. This telemedicine platform provides access to a network of board-certified medical and mental health providers, and is available 24 hours a day, seven days a week for many non-emergency medical issues via phone or online video consultations.
Filing a claim is easy. Once your Application is accepted, you will receive a kit which contains Claimant's Statement and Authorization forms. Complete this Claimant's Statement and Authorization form, attach original, itemized bills, and forward them for processing. Be sure to complete your Claimant's Statement entirely and sign it. If you have already paid certain expenses, attach copies of your payment receipts. You will be reimbursed for eligible medical or dental expenses. In many cases, payments will be made directly to the hospital or physician that treated you. Remember, you are responsible for the deductible, coinsurance, and any ineligible charges.
Maternity benefits are only available on the Platinum level of the Global Medical plan with a waiting period of 12 months. Coverage on the Platinum level includes prenatal, delivery, postnatal, child wellness, congenital disorders, etc. There is an additional $2,500 deductible per pregnancy and the plan will cover maternity up to a lifetime maximum of $50,000. Please note that you cannot be pregnant at the time of application.
There are five optional coverage options that you can add to your Global Medical plan and they include:
For more information about these riders, please see the Global Medical Brochure
The Global Medical plan can be purchased online using a credit card or debit card. When applying for the plan, you will be able to choose your frequency of payment from paying annually, semi-annually, quarterly, or monthly. Keep in mind that there are higher administrative costs the more frequent the payment. While your payment details are required to be included on your online application, your card will not be charged until the underwriting review process has been completed.
Usual Reasonable and Customary is a term that insurance companies use to describe a limitation on their responsibility to pay for eligible medical expenses. Basically, URC refers to the fee typically charged by a provider for a specific procedure in a specific geographic area. So if a particular procedure typically costs $5,000 in the New York City area, and most providers customarily charge about $5,000 for that procedure, the insurance company will not pay your provider in New York City $10,000 for the same exact procedure. Instead, they will limit their payment amount to "Usual Reasonable and Customary" - in this example, $5,000.
LifeWorks will provide 24/7 counseling services through a master’s level counselor. Through virtual counseling services, individuals are able to get immediate counseling in crisis situations. Additional services available through the Employment Assistance program include an in-person counseling option while within the United States, LifeWorks services, legal and financial advice, management consultations, and access to many other support resources