“You don’t have worldwide assistance unless you have Worldwide Assistance!”
ISE Cards –WAOctober 21, 2005
Discussion topics
• Worldwide Assistance, your best partner
• Medical Benefits• Non-medical Benefits• Available Benefits• Comprehensive Travel
Assistance• Current Medical Case Flow
Process
Worldwide Assistance is your best partner!“The world’s oldest and most experienced assistance company.” - Leading the world of assistance since 1963!
208 Countries and Territories Covered• 39 around-the-clock Alarm Centers in 34
countries • 4,500 employees• 250 Agent Offices
Constant Activity (2004 group data)
• 41.7 million telephone calls (1 call/second)• 7.4 million assistance cases opened
(one case every 5 seconds)• 8,000 transports annually worldwide
Exceptional capabilitiesTruly international scope affords innovative market-focused solutions.Ability to assist under exceptionally difficult circumstances. Tightly controlled inter-office structure provides the most consistent and controlled service approach. Owned by Generali Insurance – resources for innovation.Financial stability assures long-term business partnerships.
Clinical advantages20-year old partnership with George Washington University’s Department of Emergency Medicine means medical travel assistance dedicated to the patient. 400 medical professionals in the group.
Network AdvantagesShared resources and worldwide “on the ground” presence.Proprietary database represents over 400,000 active provider relationships.
Customer Service AdvantagesWA’s expertise and service provide quality support to ISE members. We can customize based on your needs!We support your business development!
Name Recognition. Worldwide.
Medical Benefits
• Monitoring of Medical Conditions • Medical Referrals • Evacuation (limited to $5,000
CSL)• Repatriation • Medical coverage up to $2,000.
Basic
Non-Medical Benefits
• Legal Referral• Embassy/Consular Referrals• Lost Baggage/Items
Assistance• Travel Agency Benefits –
change of itinerary/tickets, etc.• Lost passport assistance
Basic
Available Additional Services, Medical
• Return of Mortal Remains• Return of Traveling Companion• Transport Escort Benefit • Visit by family member/friend• Coordination/Assistance with Medical
Payment • Advance of medical expenses • Medical emergency expense
guarantee/ advance overseas
Available Additional Services, Non- Medical
• Advance of Cash• Emergency Message Relay• Phone Interpretation and Translation
Services• Advance of Bail• Pre-trip/travel information• Cultural Information• Ski reports, etc.
Available Benefits
• Additional medical and transport coverage – inbound and outbound – optional to the member.
• Web-enabled Services • Security Services
– Alert Headlines– Country/City Profiles– Political Evacuation
• Nurse Hotline• Identity Theft Assistance•
International Medical Referrals
Security Services
ID Theft Assistance
Medical Management
Evacuation
Visit by family member/friend
Return of Traveling Companion
Nurse hotline
Security briefs
ID Theft Assistance
Return of Mortal Remains
Repatriation
Political Evacuation
ID Theft Assistance
US Medical Referrals
Travel Agency
Advance of Medical Payment
Advance of Cash
Prescription Transfer
Vehicle Return
Pet Return
Lost Baggage/Items
Lost Passport
Cultural Information
Embassy/Consular Referrals
Web Enabled Services
Legal Referrals
Phone Interpretation and Translation
Claims settlements
PPO Discounting
COMPLEX
SIMPLE
Before
STANDARD
AfterDuring
Comprehensive Travel Assistance
Medical Non-Medical Available
Medical Case Flow Process
Medical Contact (MD to MD)Assessment of patient conditionTransport recommendationUpdate to ACE advising of travel recommendation as applicable
WA Coordinator Opens file, obtains infoNotifies via phone call and/or e-mail Franz Jost.Obtains MC/RNC as quickly as possible.Provides continuing feedback to Franz Jost and manages updates.
Transport CoordinationCoordinator arranges transportContacts providers for updateProvides payment guarantee/ coordinationArranges receiving end Coordinates admissionConducts follow-up on transportPeriodic updates to ISE throughout
Call from Member/ Friend
In-patient
Repatriation Evacuation
WA advises claim to be submitted to ISE Card. Up to $2,000 expense guarantee WA may guarantee inpatient/outpatient expenses with approval from Franz Jost up to designated amount. WA re-invoices ISE in case of advance
Provider bills reviewed and payments preparedWA bills ISE (med. necessary transport) or member (on request)EOB and check mailedto provider/patient
General Notes & Protocol Standard toll free/collect numberWA authorized by to arrange for emergency transport services after verification of eligibility Up to $5,000 coverage Member has up to $2,000 in medical expense coverage. Adjudication not through WA.
Payments to Providers of Medical Transports
Review and settlement to WAClaims reports, case management reports to ISE upon request
Continued Medical MonitoringWA updates Franz JostCloses case file once resolved (no medical expense involvement)
No Transport
Nurse Contact (RN to MD/RN)(Applies if invasive procedure)Contacts provider for information/coordinationUpdates to Franz JostFollow up
Outpatient Medical Claim
Medical Claim
For more information: Please contact Helmut TerjungDirector of Client Services [email protected] 659 7775