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Schedule of Benefits | Claim Procedures | Medical Limitation | Frequently Asked Questions

Claim Procedures

1. The Health Centre operated at U.W.I. will be the first line for receiving medical attention.
2. Medical Associates Private Hospital, Auzonville Medical Centre and St. Augustine Private Hospital, otherwise referred to as Private Medical Facilities (PMF), are the Providers of choice at which Credit Facilities have been established for services rendered after 8 p.m. or on referral
3. The U.W.I. Health Centre would refer students to any PMF for further medical attention needed.
4. In order to access the Credit Facility, students referred for medical attention at a PMF, would be required to produce their U.W.I. ID card and sign the Guarantor Form
5. Students accessing service at a PMF before 8p.m. without a referral, and those who do not produce their U.W.I. ID card, before being discharged from the PMF would be required to pay the full cost of service and make a normal medical claim.
6. Emergency cases would be allowed access at PMF regardless of time.
7. The student will ultimately be responsible for any differences in cost between the cost of the services rendered by the PMF and the cost of the Plan Benefits to which he/she is entitled.
8. Claims for non Credit Facilities will be on a reimbursement basis, i.e. students would
I. Pay the full cost of the medical services received
II. Have the regular Caribbean Home Group Health Claim Form completed
III. Submit these along with originals of the relevant receipts and bills to the University for transmission to Caribbean Home.
IV. The University would forward these claims to Caribbean Home for adjudication and re-imbursement to the student as otherwise agreed to or advised in writing

 

 

 

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