22 Sep

Henner Gmc Prior Agreement Form

Depending on your personal situation (country where you are in hospital, basic care, other supplementary coverage), OMESYS may be able to cover all or part of your hospital costs. Please contact your customer service team as soon as possible after admission to the hospital, either by phone at +33 (0)1 55 62 52 11, or by email gmc.omesys@henner.com so that we can determine what your situation is and to what extent OMESYS can intervene. – If you are covered by the global system: Please send the detailed original supporting documents to your customer service team (in addition to a duly completed and signed application form in the case of health services provided outside France).- If you are covered by a basic system and OMESYS comes as additional coverage: If your base system does not cover 100% of your costs, please send your customer service team the original erstat Reference Statement of your base system or original invoices corresponding to your uncovered expenses (especially for unrelated suppliers). All you have to do is present your direct payment card or MedProPass, which guarantees your stay in the hospital within the first 2 days of admission. Please contact HENNER as soon as possible after admission to the hospital by phone or e-mail (or contact us on your behalf) and provide the following information: If the warranty period is exceeded, please send a medical report to our medical advisor under medical@henner.com or fax it to + 33 1 40 82 43 85. For a scheduled hospitalization and if you are covered by the global system, you must apply for prior consent to be covered by OMESYS. When you access your private account, you will find all the procedures explained in detail! HENNER will inform the medical provider and the insured member of the reimbursement made. In your Internet browser, click on the following address: www.henner.com/afdb/mbpThis website includes: Any hospitalization (except in case of emergency) must be consulted in advance with HENNER. The following outpatient treatments must be submitted to HENNER beforehand: Please, if possible, show your Henner card at the hospital reception, which guarantees that you are covered by OMESYS. Please contact your customer service team as soon as possible after admission to the hospital, either by phone at +33 (0)1 55 62 52 11, or by e-mail gmc.omesys@henner.com specifying the following information: – Name and telephone number of the hospital – Name of the patient – Date of admission – Date of discharge if you are unable to contact us, please contact us on your behalf.

After this first contact, Henner sends a prior agreement form directly to the hospital, which will be completed and returned to us. In case of emergency, no prior agreement is necessary! At the end of the hospitalization, the hospital sends the initial invoice and the medical report (if not previously sent) to HENNER for reimbursement. HENNER will inform you and the medical provider of the payment made. In this case, only emergency treatments are considered. You should send us the travel authorization form issued by your local office. The medical provider sends the initial invoice and medical report (if not previously sent) to Henner for reimbursement. Depending on your personal situation (country where you are hospitalized, scheme), OMESYS may be able to cover all or part of your hospital costs. For more details on the steps to follow, click here Please note that the reimbursement of fees without authorization is subject to a limitation based on the reasonable and usual costs of the country. Contact details are available on the back of your HENNER insurance card….