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HEALTH AND
INSURANCE
Insurance is
provided by Nationwide Insurance (not by the YMCA)
IMPORTANT NOTE: If your insurance was arranged by one of the YMCA’s
International Partners, it is your responsibility to understand the
insurance coverage and the process for filing a claim.
You must be covered by sickness and accident insurance while you are
a participant in the program (dates on your DS-2019). You are
responsible for health and accident insurance for any days in the
U.S. before the program starts or after it ends.
If you are covered by the YMCA’s sickness and accident insurance
during the program, your policy is underwritten by Nationwide
Insurance. The insurance policy is administered by Consolidated
Health Plans. You will receive insurance information and two ID
cards from the International YMCA.
Please read all insurance information carefully.
Keep one of the two ID cards with you at all times and present it
whenever you see a doctor. The front of the card shows your ID
Number, Group Name and Number, and your deductible.
There is a $100,000 limit per accident or illness with this
insurance. Be aware that there is a deductible of $10 per sickness
or accident (programs up to 4 months) or $100 per accident or
illness (programs longer than 4 months). A deductible is the amount
that must be paid by you. Be sure to read the insurance information
in detail to understand what is and what is not covered.
If you are hurt while working, your employer’s Workmen’s
Compensation plan should provide insurance. Your employer will know
how to handle this.
If you have any questions about your insurance, call the YMCA. You
may also call Nationwide Insurance directly at 1-800-525-8669.
If you are traveling and have an emergency that requires travel
assistance services, contact the On Call International call center
at 1-800- 407-7307.
Pre-Existing Conditions, Dental Care, and Eye Care
A pre-existing condition is an illness or condition that existed
before you arrived in the U.S. and may not be covered by the
insurance under this program. Dental care is not covered. Since you
will be in the U.S for an extended stay, you should have a dental
check-up before leaving home. Routine eye care is not covered. Be
sure to bring any prescription you may have for eyeglasses or
contact lenses.
If You Need to See a Doctor
If you need to see a doctor, or visit a clinic, you must take the
medical claim form and ID card with you.
Click
here to download the insurance claim form for ICCP, SWT, Global
Programs
Click
here to download the insurance claim form for the Training/
Internship Program
Most clinics and hospitals will not
treat you until you can prove with the claim form and ID that you
have insurance. You will need to pay $10 (programs up to 4 months)
or $100 (programs longer than 4 months) the first time a doctor
treats you for each accident or illness. This is called a
“deductible” and is not paid by the insurance company. Sign the
medical claim form and leave it with the doctor, clinic, or hospital
before you leave. The doctor, clinic, or hospital sends the claim
form directly to the insurance company. If you forget to leave the
claim form, you could become responsible for the cost of the medical
treatment beyond the deductible. If you need additional claim forms,
write or call the YMCA.
How to Find a Doctor
Your insurance plan offers a preferred provider network of
hospitals, physicians and other health care providers. You are
welcome to use any providers you wish, but choosing preferred
providers can save you money. You can locate preferred providers
online at www.phcs.com. To find a
doctor:
1. go to www.phcs.com
2. select “PHCS Network (PPO)” and click on “submit”
3. select “doctor” and click on “continue”
4. enter your location and the type of doctor you want to see and
click on “continue”
How to Extend Your Insurance
Your insurance is valid for the dates of your program as printed on
your form DS-2019. If you would like to extend your insurance for up
to 30 days (the time you are allowed to stay in the U.S. after
completing your program), you must contact the YMCA at least 2 weeks
before your program ends. The cost of extending your insurance is:
$15 per week if your program was 4 months or less; or $28 per week
if your program was more than 4 months. All insurance must be
pre-paid before the YMCA extends the insurance.
If you received health services and
did not give the medical office your insurance claim form, or the
office refused to bill the insurance company, you will have to pay
the expenses yourself and get a reimbursement by sending the claim
form along with the original medical bill to Nationwide.
Keep photocopies of all documents for yourself.
Nationwide
Insurance
P.O. Box 420
Springfield, MA 01104-0420
DO NOT SEND CLAIMS FORMS TO THE YMCA.
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