Foreign Travel Claims & Payments
The emergent care must begin during the first _______ of each trip outside the United States
60 consecutive days
Payment Date
7-10 days
USAMCO meaning
USA Managed Care Organization
Lifetime Reserve Days
60 days
Offers one Basic Plan with six additional riders that can be added to the policy.
Wisconsin
True of False. Balance due statements are acceptable.
False. Note: Balance due statements are NOT acceptable
Crossover claims
30-60 days
Remark Code for USAMCO claims.
0030
Exhausted Benefits
365 days
Give one benefit included in the Base Plan for WI.
Part A Coinsurance /Part B Coinsurance /Skilled Nursing Facility Coinsurance/Hospice Care/Inpatient Psychiatric Care/Blood (first 3 pints)/Preventative Care
The Foreign Travel Benefit section is different for?
Minnesota policies
Aetna claims processing
30-60 days
Give 1 of the policyholders who are NOT Eligible for USAMCO.
o Plan A (all companies)
o Mass Mutual or Union Security Insurance Company
o Genworth Life and Annuity Insurance Company
o Genworth Life Insurance Company
o Union Fidelity Insurance Company and its subsidiaries.
Respite care coverage
Covered for 5 days
Plan offered under MN that offers 100% After deductible coverage for Foreign travel Emergency - Not covered by Medicare
High Deductible Plan
If the policyholder travels to a foreign country by car, what are the additional required documents they needed to submit?
o Copy of Stamped Passport
o Bills the policyholder received from the hospital with the diagnosis
o Receipts if the policyholder had to pay any bills at the time of service
Website changes
5 days
Extended Basic Plan SNF
120 days
Provide Three State mandated benefits under WI
Skilled Nursing Facility/Kidney Disease/Chiropractic/Diabetes/Hospital or Ambulatory Dental/Breast Reconstruction/Colorectal Exams/Cancer Clinical Trial
All Medicare Supplement Policies cover the Foreign Travel Benefit except
Plans A & B
Subrogation callback request
1-2 Business Days
T or F. TPAs are part of the agreement with USAMCO.
False. Puritan, Genworth, SGIC, USIC are not part of the agreement
Benefits reset for SNF
60 days
Provide five MN State Mandated Benefits
Skilled Nursing Facility/Foreign Travel/Immunization/Alcoholism, Chemical Dependency, and Drug Addiction/Scalp Hair Prostheses/TMJ and CMD/Prostate Cancer Screening/Cancer Screening/Reconstructive Surgery/Lyme Disease/Phenylketonuria Treatment/Ventilator Dependency/Diabetes Equipment and Supplies/Outpatient Mental Health/Physical & Occupational Therapy/Surgical Center Services