Presentation Transcript

1. Memorial University Pensioners’ Association

   Travel Health Insurance Supplied by AXA Assurances Inc.
2. Travel Health Insurance Agenda Background on Travel Health Plan Pre-Existing Conditions War Risk Exclusion Benefits Making a Claim Questions
3. Travel Health Insurance Travel plan is complementary to the University’s standard health plan; Must maintain provincial health care coverage (eg MCP) Emergency, out of Province coverage Reimbursement at 100% of eligible expense Travel coverage period is 180 days
4. Travel Health Insurance Who is eligible? All full-time permanent employees and certain contractual employees – mandatory Retirees and survivors receiving a pension from the MUN pension plan - optional Certain retirees who participated in alternate retirement savings plans - optional
5. Travel Health Insurance Travel Insurance moved to AXA Assurances Inc. effective June 1, 2010 Why did this happen? 1) elimination of pre-existing condition clause for “active employee” travel 2) significantly lower premium
6. Travel Health Insurance Pre-existing Condition Exclusion Any condition for which the insured person received medical advice, consultation or treatment within six (6) months prior to the commencement of a trip, with the exception of a Chronic Condition which is under treatment and Stabilized by the regular use of prescribed medication. “Chronic Condition” means a disease or disorder which has existed for a minimum of six (6) months. “Stabilized” means that there has not been a change in the medical condition requiring medical or psychiatric intervention for a minimum of six (6) months.
7. Travel Health Insurance Pre-existing Condition Exclusion A common exclusion in group travel health plans. What can you do? 1) Discuss your condition / coverage with AXA prior to travel 1- 800-848-0158 (Dartmouth Office) 2) Purchase private coverage for the condition Blue Cross Contact: Janet Nolan, Personal Insurance Advisor Tel # 709-758-2910 Toll free 1-866-850-1865
8. Travel Health Insurance War Risk Exclusion No coverage for losses or expenses caused by or resulting from an act of war, whether declared or not Applies to travel in Canada, the United States and countries in zones A1, A2, A3 and B War zone listing updated monthly and you may purchase a “waiver” of this exclusion
9. Schedule of Designated War Risk Zones (Effective September 1, 2011) ZONE A1 Afghanistan Democratic Republic of Congo Pakistan Former USSR – Georgia, Russian Federation Iraq (not listed elsewhere) Yemen (Chechnia, Dagestan, Ingushetia, Israel Somalia North Ossetia) West Bank/Gaza ZONE A2 Algeria Burundi Chad Colombia East Timor Eritrea Ethiopia Haiti Iran Iraq - Kurdish Region Ivory Coast Lebanon Libya Saudi Arabia Sudan Syria Zimbabwe ZONE A3 Bangladesh Central African Republic Egypt Equatorial Guinea Former USSR - Uzbekistan Guinea Bissau Guinea – Conakry India – Jammu and Kashmir, Assam, Manipur, Nagaland Indonesia – Aceh, Papua, Central Sulawesi, Maluku Kenya Kuwait Liberia Myanmar (former Burma) Nepal Nigeria Philippines Sri Lanka Thailand ZONE B Angola Bahrain Bolivia Cameroon Comoros Congo Republic Ecuador Fiji Guatemala Guyana Former USSR – Azerbaijan, Kyrgystan, Tajikistan , Turkmenistan Niger Indonesia (not listed elsewhere) Jordan Mauritania (Zone B @ Sep 1, 2008) North Korea Papua New Guinea Peru Qatar Sierra Leone SolomonIslandsTanzaniaTogo Venezuela
10. Travel Health Insurance Maximum Coverage: $1,000,000 per incident excluding: Maximum Evacuation Unlimited Repatriation $15,000 Family Transport / lodging (min 4 days in hosp) $5,000 Return of Vehicle $500 Rental Expense (hospital TV & Tel) $200 Hotel Convalescence (min 7 days in hosp) $1,000
11. Travel Health Insurance Medical Reimbursement Benefits include: Semi-private hospital Nurse - $10,000 per incident Prescription drugs – 3o day supply Physiotherapy - $1,000 per incident Ground ambulance - $5,000 per incident Surgery and Physician Paramedical practitioners ($500 per chiro, massage, psych, etc.) Rental of medical equipment Emergency Dental – max $2,000 per incident
12. Travel Health Insurance Referral Services Outside Canada Referral must be recommended by your physician and be approved by the Canadian federal and/or provincial health and hospitalization plan Services must be medically necessary and not available in Canada Must be pre-approved by AXA Benefits include hospital, physicians and surgeons, ambulance and attendants, etc Lifetime maximum of $500,000
13. Travel Health Insurance Making a Claim < $500 paid by plan member and submitted to AXA for reimbursement Claims forms available from Human Resources >$500 – contact AXA Assistance at Tel # on member card AXA will coordinate with health care facility Notice of loss – provide to AXA within 30 days Proof of loss – provide to AXA within 90 days
14. Travel Health Insurance AXA Assistance
15. Travel Health Insurance Important Telephone Numbers Michelle Wade (MUN) 864-7407 AXA General Enquiries (Dartmouth) 1-800-848-0158 AXA Assistance
16. Travel Health Insurance Questions / Concerns My contact information: Glen Roberts glenr@mun.ca or pensions@mun.ca 864-4621 MUNPA: retirees are represented on both the University Benefits Committee and Pensions Committee