Global Visitor: Tips and guidelines for Medical Specialists

Tips and Guidelines for Health Care Providers whose Patients have a Global Visitor insurance 

• How can I confirm whether my patient’s insurance is valid?
• Do any exclusions apply to this insurance?
• Is it possible to receive a guarantee for the payment of medical expenses?
• If my patient is hospitalised for a period that extends beyond his/her policy expiry date, will the hospitalisation costs be fully reimbursed?
• Is it possible to bill OOM directly and is an excess payable?

How can I confirm whether my patient’s insurance is valid?

You can check the validity of your patient’s insurance with OOM Verzekeringen. This can be done by phone during our office hours (8.30 a.m.-5 p.m. CET) or by e-mail.
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Do any exclusions apply to this insurance?

Yes, the most important ones are costs resulting from ailments and complaints already existing on the commencement date of the insurance, diabetes mellitus, gallstones and kidney stones. The costs of pregnancy and delivery and dental treatment will also not be reimbursed. We recommend that you check the policy terms and conditions.

Please note that special conditions may apply to your patient’s policy. You can check this (and the policy terms and conditions) with your patient or with OOM Verzekeringen.
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Is it possible to receive a guarantee for the payment of medical expenses? 

No, our company does not issue a guarantee. This is because we first wish to assess all necessary medical and other information to determine whether the claim is covered by the insurance. This is also closely connected with the exclusion of pre-existing ailments and complaints. You can bill your patient. After paying the bill, your patient/our insured client can send in the bill for reimbursement.
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If my patient is hospitalised for a period that extends beyond his/her policy expiry date, will the hospitalisation costs be fully reimbursed?

If an insured person is hospitalised before his/her policy expiry date, OOM Verzekeringen will pay the insured costs of such hospitalisation up to a maximum of thirty days after the policy expiry date.
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Is it possible to bill OOM directly and is an excess payable?

We prefer that you bill your patient. The patient should pay directly to you and will than claim reimbursement from us. We will determine whether the claimed medical expenses are covered by the insurance. If not, we will not reimburse or otherwise not fully reimburse our client. An excess is due in all cases. You can check the excess amount with your patient or with OOM Verzekeringen. We will deduct the excess from the claim and reimburse our client.

If a bill is too high for the patient to pay upfront, please contact OOM Verzekeringen. We will determine whether the medical treatment is covered by the insurance and, if so, will make arrangements with you and your patient regarding payment.
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