Medical Expense Insurance
We know that you care about your health and you are responsible for obtaining the best possible medical attention by actively participating in your treatment decisions.
You and your family need to know the following information to speed up the coverage process of your Major Medical Insurance Policy.
What to do when I have a scheduled surgery?
At admission
- You must identify yourself as the insured person by showing your Insurance card, policy, and a valid official ID.
- Deliver your authorization letter issued by your Insurance Company.
- Notify your Insurance Company of your admission to ABC Medical Center. You can do it through APP, by phone, or through your insurance agent. Check your policy to find your Insurance Company’s contact information.
At admission
- You must identify yourself as the insured person by showing your Insurance card, policy, and a valid official ID.
- Deliver your authorization letter issued by your Insurance Company.
- Notify your Insurance Company of your admission to ABC Medical Center. You can do it through APP, by phone, or through your insurance agent. Check your policy to find your Insurance Company’s contact information.
During your hospital stay
- We will ask your Insurance Company to confirm your authorization letter and we will keep you updated.
- Be in touch with your Insurance Company to check the status of your case.
- Keep close communication with your treating physician: immediately notify your Insurance Company if other doctors’ intervention (consulting physicians) is required and request their reports.
- Talk to the consulting physicians about your health or that of your family member and ask them about their medical fees.
When your doctor discharges you
- Notify your Insurance Company that you have been discharged, this will help speed up the process.
- An ABC Medical Center Account Executive will prepare your final bill and send it to your Insurance Company for review.
- During this process you can wait in your room until an ABC Account Executive contacts you to notify that you can go to the ABC Cashier to review your account.
- At the Cashier, you will be informed of the expenses covered and not covered by your Insurance Company, as well as the corresponding deductible and coinsurance.
Note:
The discharge is formalized when your Treating Physician so indicates in your medical record, this will start the administrative discharge, where the last charges are made and your account is prepared.
Guarantee Payment
In compliance with the policies of the insured or their beneficiaries, a payment guarantee will be requested, either by credit card, check or cash, in order to guarantee the payment of personal expenses or services not included or not covered by the Insurer such as: deductibles, coinsurance, difference in room type, conditions not covered, etc.
Insurance modules at ABC Medical Center
For your convenience, we have the following insurance modules, located on the ground floor of the Central Tower for the Santa Fe Campus and the First Floor of the Cancer Center for the Observatorio Campus:
Campus Santa Fe:
Tel. 55 1103 1600
Campus Observatorio:
Tel. 55 5230 8000
Campus Santa Fe:
Ext. 8892
Campus Observatorio:
Ext. 1244
Campus Santa Fe:
Ext. 8293
Campus Observatorio:
Ext. 1235
Campus Santa Fe:
Ext. 8392
Campus Observatorio:
Ext. 1241
Campus Santa Fe:
Ext. 8298
Campus Observatorio:
Ext. 1242
Campus Santa Fe:
Ext. 8296
Campus Observatorio:
Ext. 1245
Campus Santa Fe:
Ext. 8295
Campus Observatorio:
Ext. 1246
Campus Santa Fe:
Ext. 8891
Campus Observatorio:
Ext. 1290
Campus Santa Fe:
Ext. 8291
Campus Observatorio:
Ext. 1244
Ventaja Salud
Campus Santa Fe:
Ext. 8890
Campus Observatorio:
Ext. 1249
Campus Observatorio:
Ext. 8892 y 8290
Campus Santa Fe:
Ext. 8294
Campus Observatorio:
Ext. 1243
Medical fees
If the insured or beneficiary chooses their doctor and he or she does not belong to its Insurance Company network, it is important to consider that the company will pay him or her according to the medical fees of the contracted plan and the deductible and coinsurance agreed in your policy will be applied.
The doctor may charge differences in fees, payment of these fees may sometimes be through reimbursement.
In the case of being treated by network doctors, the medical fees will be covered per the agreement and there will be a reduction or elimination of the deductible and coinsurance, which will depend on the conditions of your policy, for which it is suggested that you read them carefully.
Information about your medical expense policy and hospital medical agreement
If during your stay at ABC Medical Center you require more information or an additional service related to your insurance, we suggest you request them directly from your insurance company, which should inform you, to your complete satisfaction, of the conditions of the hospital agreement, as well as the payment of the deductible and coinsurance indicated in your policy and all those services not included or covered by it.
Discharge procedure
We recommend that 24 hours before settling your account, you verify the existence of the authorization letter or scheduled surgery letter with the amounts to be paid and duly authorized, with the corresponding admission staff and medical cashier.
Hospitalization Payment
Upon departure or discharge of the insured or beneficiary, you must present the authorization letter in the admission cubicle of the corresponding floor and pay the deductible, expenses, and services not authorized or covered by the company.
Payment of medical fees
The payment of medical fees, the corresponding coinsurance, and the differences in medical fees, if any, will be carried out in the medical cashier.
Frequently asked questions
We hope this information is useful. In case of any doubt with your Policy, talk to your Insurance Company Executive.
