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Generals Rules

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Important Notice

 

PROVIDERS

Travel Care Services is the insurance carrier for several foreign Health Insurances.

For All Patients: Travel Care Services is affiliated to a PPO plan.

Travel Care Services is using different PPO Networks DEPENDING of the STATE.

For All States:

Primary PPO Network:

Direct Contract with Travel Care Services

Secondary PPO Network:

Could be

Interplan, Multiplan PPO, Beechstreet ( A Viant Network), Dimension, HAA /Affiliated (CCN, PHCS)

DEPENDING of the STATE

 

GENERALS RULES:

If you are not with any of those (see above) PPO plan, patient has no coverage.

If you are participating with one of the PPO Above, patient has no co pay, no deductible.

If you are in network, we are paying 100% of the allowable of the PPO.

Restriction or Limitations

Chiropractic: NO COVERAGE, NO REFUND

Physical Therapy: 4 Cessions PER YEAR, unless FU surgery.

MRI and Scanner: Require Pre Certification, we need to get the copy of the doctor order

Dentist: Implants are not COVERED.

Unless the dentist has a Direct Contract with Travel Care Services, we are not covering any dental Care.

We accept now dentist with Interplan Corp, BUT ONLY IN CALIFORNIA.

Pregnancy: only three ultra sons per pregnancy. (Unless medical necessity, but medical report is needed)

Drugs and medicine: Not covered, patient’s responsibility

Authorization:

Is needed for Inpatient or Outpatient procedure, Surgery, MRI or Scanner.

Pre certification and emergency

Phone Number: 1 888 251 0765

Open 7/7 and 24/24 ONLY FOR Pre-Cert and Emergency.

We need at least 48h to get any authorization or pre-cert.

Confidential Fax for Medical Report:

Fax: 1 305 402 84 88 or Email: assistance@travelcareservices.com

Eligibility:

For Eligibility and benefits, TCS is open

Monday to Thursday 8.30 AM to 6.00 PM EST

And Friday 8.30 AM to 5.00 PM EST

Phone: 1 305 893 9433 Fax 1 305 893 9633

Billing Address and phone number:

All claims can be sent by REGULAR MAIL to

Travel Care Services

PO BOX 610100

North Miami, FL 33261

Certified mail MUST be sent to

Travel Care Services

12955 Biscayne Blvd, Suite 406

North Miami, FL 33181

Phone: 1 305 893 9433 Fax 1 305 893 9633

Email: tcserv@travelcareservices.com

You have ONE YEAR to submit your Claims.

We need original claim forms. Sorry, for now we do not accept electronic claims.

Status of claims:

Open Monday to Thursday 8.30 AM to 5.00 PM EST

Open Friday 8.30 AM to 4.30 PM EST

Phone: 1 305 893 9433 Fax 1 305 893 9633

Negotiation & Direct Contract:

Travel Care Services

PO BOX 610100

North Miami, FL 33261

Phone number: 1 561 790 4391 Fax number:

Email: Claimsdept@travelcareservices.com

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