International Travel Cover

Speak to our friendly client service consultant to activate this benefit before you travel.

Client Services can be contacted on Tel0861 796 6400
Fax(086) 559 7830
Emailclientservices@resomed.co.za

How will your hospital and medical evacuation expenses be covered

Cover commences from the time you leave your normal place of residence or business for a maximum period of 30 days (If you apply for additional cover, this period can be extended to 90 days in total), or until you return to South Africa. You are entitled to cover of up to R2 million per incident, per person.

Should you require emergency hospitalisation while travelling overseas, ER24 International Assistance should be contacted on +27 10 205 3200. They will confirm your membership and case manage your medical emergency.

In addition to this ER24 will provide assistance for medical emergencies, associated problems and where medically indicated, arrange for your repatriation home.

How will your day-to-day out patient expenses be covered

Should you require emergency medical treatment without hospitalisation within the 30-day period, you will need to settle the account with the health care provider upfront. An excess (deductible) of R 1000 is applicable for out-patient treatment.

Claims process

On your return, please ensure that you submit the following details to Resolution Health, to arrange for the reimbursement of your emergency non-hospital claims promptly and accurately:

The International Travel Cover benefit only covers emergency claims that your Plan Option would normally cover

The medical condition for which you receive medical treatment while travelling overseas must be a covered benefit of your Plan Option. Please read your member's handbook or visit our website at www.resomed.co.za to see what your Plan Option covers. In addition to the general scheme exclusions, there are specific exclusions that apply to the International Travel Benefit.

Travellers Details

Membership Number
TRAVELLERS DETAILS:
Title	..Please Select.. Mr Mrs Miss Ms Dr Other
Name and Surname
ID Number
Initials
Date of Birth (D/M/Y)
Plan Option	..Please Select.. Hospital Foundation Progressive Flex Progressive Saver Prestige
Overseas contact number
Cell phone Number
E-mail address
Fax number
Destination:
Persons Traveling Title Initials Surname Date of birth ID Number Gender
Departure Date:
Return Date:
Reason for travel:	Business Personal
Verify this form
Please note that pre-existing conditions will be excluded
Boskruin Office Park, Pres. Fouche Avenue, Boskruin 2154, Po Box 1555, Fontainebleau, 2032 Tel: 0861 791 6425 Fax: 086 559 7830