Do I have to complete “Other Insurance Information” section of the claim form?

If you have other insurance with out-of-country benefits (in addition to your Medipac plan), you must complete the Other Insurance Information section of the claim form. Where two or more insurance plans exist, each plan will contribute to the claim subject to their overall limits and based on their terms and conditions.

An exception to this rule applies to group retiree plans. Where there is a group retiree health plan with a lifetime maximum limit of $100,000 or less, there will be no coordination of benefits. However, where your limit exceeds $100,000, coordination of benefits will take place in excess of the $100,000 lifetime limit. If you do not want to coordinate your lifetime benefits, Medipac may be able to help. Call Specialty Services at 1-877-888-5259 for more information. Be sure you know your retiree plan limits and how your insurance provider coordinates coverage.