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GLOBAL INSURANCEADP TotalSource, Inc.Business Travel Welcome GuideThis benefit is only available to ADPTS work-site employees who arealready enrolled in an Oxford medical plan.
WELCOME GUIDEGLOBAL INSURANCEBusiness Travel InsuranceMember ID cardsWorldwide 24-Hours a DayWhen traveling for business, you can now feel confident that you are insafe hands if an emergency or urgent need arises. The UnitedHealthcareBusiness Travel Insurance Program provides medical and travel-relatedassistance services.How to use these servicesAlways carry your member ID card with you whentraveling in a foreign country.I f you have a medical or travel problem, callUnitedHealthcare Global. If you are experiencinga medical emergency, you should immediately goto the nearest physician or hospital before callingUnitedHealthcare Global.Printed on your member ID card are Business Traveltelephone numbers. Call toll free 1-866-870-3475or international calls are accepted at 1-763-274-7364.When you call, be prepared with as much of thefollowing information as possible: your name your organization’s name and ID number description of the situation phone number to reach youA multilingual Assistance Coordinator willrender whatever assistance is necessary, andUnitedHealthcare Global will monitor your caseuntil the situation is resolved.Please cut your ID card along the dotted line and fold in the center.Business Travel InsuranceBusiness Travel InsuranceBUSINESS TRAVELTRAVELINSURANCEINSURANCE Name: Name ClientName:TotalSource, Inc.ClientName: ADP CompanyName GroupID #:GroupID #: 908505 Group ID Number (ProvidenumberwhencallingUHCG)(Providethis thisnumberwhencallingUHCG)UHCGID #:UHCGID #: 902250073 UHCG ID Number (Use(Usethis UnitedHealthcare Business Travel InsuranceUnderwritten by UnitedHealthcare Insurance CompanyProgramming note: “Name” field is optional. Re-center vertically when Name is omitted.This card does not guarantee coverage. To verify benefits, view claims, or find a provider,visit the websites or call.Business Travel Toll Free: 1 866-870-3475Business Travel International: embers.uhcglobal.comClaim Submission:UnitedHealthcare GlobalPO Box 740836Atlanta, GA 30374-0836 USAFax: 1-248-524-5729businesstravel@uhcglobal.comNotice to Physicians/Hospitals: Call immediately for benefits verification andprocedures. Call 24 hours a day (multilingual). If you do not have access to a phone,email businesstravel@uhcglobal.com7/19 MBR-C-12551
WELCOME GUIDEGLOBAL INSURANCEYou Should Know.The UnitedHealthcare Global Customer Care Centeris available 24-hours a day, every day of the year.Coordinators are available 24-hours a day, every day of theyear. Many times people assume that the services are tobe used only in serious cases. Be assured that our team isthere to help you with any type of problem regardless ofthe severity.If you have questions about local medical facilities,call us. We will help you locate appropriate care. If ourclinical care team determines that local medical facilities areinappropriate for treatment, we will arrange for a medicallysafe evacuation to a facility capable of providing thenecessary care.If you are hospitalized, it is important to notify us assoon as possible. Our clinical care team will contact yourtreating physician to assess your condition and treatmentplans, which helps ensure your safe recovery. We will thenupdate those persons you want us to, as appropriate, andassist you until you have returned home or have receivedfinal treatment.Portfolio of servicesWhen traveling for business, you can now feel confident thatyou are in safe hands if an emergency or urgent need arises.The UnitedHealthcare Global Business Travel InsuranceProgram1 provides medical, security and travel-relatedassistance services. Please refer to the program descriptiondetails regarding the benefits, paid services, conditions andlimitation of your program.Insurance Benefits3Out-of-country benefits are fully integrated with in-houseresponse services, resulting in superior communication andcost control. Medical treatment and prescriptions needed due toaccidents or unexpected illness Dental emergencies Accidental death and dismemberment1 Medical evacuations and repatriations Return of minor children during evacuation Transportation to join a hospitalized participantNon-Insurance Assistance Services2,4Medical Assistance Medication and vaccine transfers Medical provider and dental referrals Monitoring of treatment Facilitation of hospital payment Relaying of medical and insurance information Updates to family and employer Replacement of corrective lenses and medical devices Medical and security destination intelligenceTravel Assistance Transfer of funds Lost document replacement assistance Legal referrals Translation facilitation and referral Help with emergency travel arrangements Message transmittalIntelligence Center Medical and security intelligence by destination Immunization requirements and recommendations Medical provider search and informationOptional Insurance and Services4Security & Natural Disaster Evacuation Coverage5 Evacuation due to natural disaster, political or security risk5 Transportation to and from evacuationBenefits and services vary depending on your organization’s program. Non-insurance assistance services are offered as part of a group businesstravel program. Some services may be at an additional cost. Additional optionalassistance services may be available.3Denotes medical benefits filed in Certificates of Coverage.4 Some assistance services are delivered by third-party providers, coordinated byUnitedHealthcare Global.5 Security and natural disaster evacuation coverage is not available in New York,Florida and Georgia.12Intelligence Alerts Proactive administrator alerts when global events occurthat may impact travelers or business continuitySojourn Travel Coverage (i.e., Personal TravelImmediately Before or Following a Business Trip)1Family/Dependent Coverage
WELCOME GUIDEGLOBAL INSURANCEUnitedHealthcare Global Business TravelIntelligence CenterThe Intelligence Center isyour online access to: ID card and policy documents Online claims submissions Medical destination intelligence Security destination intelligence Pre-travel checklists Customer Care Center contact information1To create an Intelligence Centeraccount from your desktop navigate to:www.members.uhcglobal.com2Click on “Create User.”3Enter your: UHCG ID #(found on front of your ID card)4Once you register, you can access this site from yourmobile phone* at: m.members.uhcglobal.comBUSINESS TRAVELINSURANCEClient Name:Group ID #:908505(Provide this number when calling UHCG)UHCG ID #:902250073(Use this number when creating your Intelligence Center account)UnitedHealthcare Business Travel InsuranceUnderwritten by UnitedHealthcare Insurance Company*Not all information is available on mobile version.
WELCOME GUIDEGLOBAL INSURANCEFrequently Asked QuestionsHow do you access UnitedHealthcare Global businesstravel assistance services?AYou can access the worldwide UnitedHealthcare Globalnetwork 24/7 by calling UnitedHealthcare Global directusing the numbers printed on your Business TravelInsurance fulfillment materials or your ID card. Simplycall the toll free number on your UnitedHealthcare GlobalID card. If a toll-free number is not available from withinthe country in which you are traveling, you can callUnitedHealthcare Global collect. Again, the numbers areprinted on your fulfillment materials and ID card.When can I access UnitedHealthcare Global businesstravel assistance services?AUnitedHealthcare Global is available 24 hours a day,every day of the year. We are here to help with anytype of medical enquiry or travel enquiry, including lostdocumentation, regardless of the severity.Where can I access UnitedHealthcare Global businesstravel assistance services?AWhat happens in the event of a hospitalization?AHow does UnitedHealthcare Global facilitatehospital admissions?AAUnitedHealthcare Global services extend worldwide.In the last two years, we have helped people in 200different countries. However, in some countries therendering of care or assistance services is prohibited byU.S. law, local laws, or regulatory agencies. We are notable to provide services in those countries.UnitedHealthcare Global supports members throughmore than 38,000 cases annually, in virtually everycountry of the world. Approximately one half of thesewere emergency medical cases.Does UnitedHealthcare Global require that I attend aspecific hospitals, doctor, or clinic?AIn order to reap the full benefits of our service, westrongly recommend that you contact us before enteringa medical facility. We will then connect you to preassessed facilities that we have previously worked with.UnitedHealthcare Global refers its members to the bestavailable local providers. We cannot guarantee thequality of treatment from providers outside our network.However, we will provide the same assistance servicesregardless of where you are treated.UnitedHealthcare Global will coordinate all billing andinsurance verifications, including settling any guaranteesof payment. This ensures that there is no delay or denialof medical treatment if a member is unable to make anup-front payment or if the insurance is not recognized.How does UnitedHealthcare Global help locateappropriate medical care?How many cases does UnitedHealthcare Global handlea year?APlease notify is as soon as possible in the event ofhospitalization. We will speak immediately with yourtreating doctor to assess your condition, your treatmentplans, and whether or not an evacuation is necessary.We will update your family, employer and personalphysician as appropriate and co-ordinate all insuranceverifications and admission details.UnitedHealthcare Global has a global networkof more than 150,000 providers worldwide. Ournetwork includes hospitals, clinics and physicians,air ambulances, house-call physicians and medicalescorts. We have rigorous credentialing standards.UnitedHealthcare Global’s medical intelligence andfirsthand knowledge of clinical environments around theworld enable unbiased recommendations in the bestinterest of the patient. In evaluating the local facilitiesand the most appropriate medical care, we considerfactors such as the quality of the blood supply, medicaltechnology and specialties, use of sterile equipmentmatching them against each individual patient’s medicalrequirements.What if the local facilities are not capable ofproviding treatment?AIf facilities are inadequate, the Regional MedicalAdvisor will evaluate the safety and appropriateness ofevacuation options based on medical need and finalizeevacuation plan details. We will consult with all partiesinvolved and fully manage the issues surrounding theevacuation.What happens when I am released from hospital?AUnitedHealthcare Global assists with your case until thepoint when you have returned home or have receivedfinal treatment.
WELCOME GUIDEGLOBAL INSURANCEWhat is involved in an evacuation?AThe choice of transportation, from a commercial airlineto a dedicated air ambulance, will be dictated by yourcondition and location. Our medical management teamwill co-ordinate all aspects of the process to support thebest possible medical outcome including: Evaluation of the transport requirements (such asoxygen requirements, doctors necessary, anyspecialequipment, altitude specifications, etc.)If I coordinate my own medical evacuation will Ibe reimbursed?AAre Dependents covered under the plan?A Discharge administration Admission into a new facility Identifying qualified aeromedical escorts andair ambulances Coordinating ground transportation on both ends ofthe evacuation Immigration and flight clearances Assistance with travel arrangements if required, forvisiting familyAll evacuations must be arranged and approved byUnitedHealthcare Global in order to be eligiblefor coverage.Yes. Spouse, Domestic Partner and Dependent Childrenare covered under the plan. The plan will cover up to 5dependents traveling with you.Is vacation travel covered?AYes, the plan will cover up to 7 days of non-businesstravel, adjacent to business travel. Dependents would notbe covered during this time.Am I covered when traveling within my home country(i.e. USA)?AThis benefit is only active when you are traveling outsideof Your Home Country or Your Country of Assignment.How are medical expenses paid under this program?AWhenever possible, covered expenses as outlined in thebenefit summary will be paid directly to the provider byUnitedHealthcare Global. This happens in 83% of cases.However, we cannot guarantee that every treating doctoror facility will follow the claims submission process. Inthese instances, if the patient is able to pay out of pocket,they submit a claim for reimbursement. We pay in a widerange of currencies, direct into a selected bank account.If you are unable to pay out of pocket, please contactUnitedHealthcare Global using the telephone numberprovided on the Insurance ID card. UnitedHealthcareGlobal will work directly with the provider to secureimmediate payment via an acceptable method.What if my problem is non-medical?ASimply call the UnitedHealthcare Global’s accessnumbers for assistance with lost or stolen passports,legal referrals, translation services, emergency transfer offunds and a host of other non-medical problems. 2020 UnitedHealth Group Incorporated. The service marks contained in this literature are owned by UnitedHealth Group Incorporated and its affiliated companies, many of which are registered and pending servicemarks in the United States and in various countries worldwide. UnitedHealth Group cannot guarantee clinicaloutcomes. Products and services may be limited or excluded by applicable law. 02/20 MBR-C-13866
YOUR BENEFITSBenefit SummaryDelaware - Global TravelConsumer - 100% Plan 6K3ModifiedWe know that when people know more about their health and health care, they can make better informed health caredecisions. We want to help you understand more about your health care and the resources that are available to you. Benefits are available only for Eligible Expenses incurred by a member who is traveling outside his or her home country, asauthorized by the Enrolling Group.Customer Care telephone support – Need more help? Call a customer care professional using the toll-free number on yourID card. Get answers to your benefit questions or receive help looking for a doctor or hospital.PLAN HIGHLIGHTSTypes of CoverageBenefitsAnnual DeductibleIndividual DeductibleNo Annual DeductibleFamily DeductibleNo Annual DeductibleBenefit Plan Coinsurance - The Amount We Pay100%Out-of-Pocket MaximumIndividual Out-of-Pocket MaximumNo Out-of-Pocket MaximumFamily Out-of-Pocket MaximumNo Out-of-Pocket MaximumAnnual Medical Maximum Benefit: Annual Medical Maximum Benefit is calculated on a Policy Year basis.The maximum amount we will pay formedical benefits during the year. 1,000,000 per Covered Person for Medical Benefits.Additional Policy Year Benefit InformationRefer to your Certificate of Coverage for the definition of Eligible Expenses for information on how benefits are paid.This Benefit Summary is intended only to highlight your Benefits and should not be relied upon to fully determine your coverage. Ifthis Benefit Summary conflicts in any way with the Certificate of Coverage (COC), Riders, and/or Amendments, those documentsshall prevail. It is recommended that you review these documents for an exact description of the services and supplies that arecovered, those which are excluded or limited, and other terms and conditions of coverage.DEXt046K313Item#Rev. DateXXX-XXXX 1114UHC Global Travel/15323/2011UnitedHealthcare Insurance CompanyPage 1 of 8
BENEFITSTypes of CoverageBenefitsAmbulance Services - Emergency and Non-Emergency100%Pre-Service Notification is required for non-Emergency Ambulance. Benefits underthis section do not include Emergency Evacuation. See Emergency MedicalEvacuation described under Evacuation and Repatriation Benefits in this BenefitSummary.Culturally-Based Services100%Dental Pain Relief 500 per year100%Dental Services - Accident Only 2000 per year100%Durable Medical Equipment100%Emergency Health Services - Outpatient100%Hospital - Inpatient Stay100%Lab, X-Ray and Diagnostics - Outpatient100%Lab, X-Ray and Major Diagnostics - CT, PET, MRI, MRA and Nuclear Medicine - Outpatient100%Outpatient Prescription Drugs100%Pharmaceutical Products - OutpatientThis includes medications administered inan outpatient setting or in the Physician'sOffice.100%Physician Fees for Surgical and Medical Services100%Physician’s Office Services - Sickness and InjuryPrimary Physician Office Visit100%Specialist Physician Office Visit100%Pregnancy - Complications of Pregnancy onlyBenefits will be the same as those stated under each Covered Service category inthis Benefit Summary.Prosthetic Devices100%Page 2 of 8
YOUR BENEFITSBENEFITS CONTINUEDTypes of CoverageBenefitsReconstructive ProceduresDepending upon where the Covered Health Service is provided, Benefits will be thesame as those stated under each Covered Health Service category in this BenefitSummary.Scopic Procedures - Outpatient Diagnostic and TherapeuticDiagnostic scopic procedures include, butare not limited to:ColonoscopySigmoidoscopyEndoscopy100%Skilled Nursing Facility / Inpatient Rehabilitation Facility Services100%Surgery - Outpatient100%Therapeutic Treatments - OutpatientTherapeutic treatments include, but arenot limited to:DialysisIntravenous chemotherapy or otherintravenous infusion therapyRadiation oncology100%Urgent Care Center Services100%Page 3 of 8
EVACUATION AND REPATRIATION BENEFITSTypes of CoverageBenefitsAnnual Evacuation and Repatriation Maximum BenefitThe maximum amount we will pay forevacuation and repatriation benefits duringthe year. 250,000 per Covered Person for Evacuation and Repatriation Benefits.Emergency Medical EvacuationBenefits include arranging and providingfor transportation and related medicalservices (including cost of medical escort)and medical supplies incurred inconnection with the emergencyevacuation.100%Transportation for 1 person to join the Covered Person at the location where theCovered Person is transported. A per-diem of 750 daily for up to 14 days to coveraccommodation for the Covered Person or the person accompanying the CoveredPerson at the evacuation destination. Transportation of your children (under the ageof 18) either to the same location as the Covered Person or to a location where thechildren can be placed under the care of another guardian or relative.You must notify us as soon as the possibility of Emergency Evacuation arises. If youdon't notify us, you will be responsible for paying all charges and no benefits will bepaid.Emergency Family Reunion100%In the event that you are hospitalized and in a critical or terminal condition, or uponyour death, benefits are available to transport two (2) of your family members to joinyou. We will provide a per-diem of 750 to cover accommodation expenses for yourfamily members up to a maximum of fourteen (14) days.You must notify us as soon as the possibility of Emergency Evacuation arises. If youdon't notify us, you will be responsible for paying all charges and no benefits will bepaid.Medical RepatriationBenefits include Repatriation of Children(under age 18).100%After you receive initial treatment and stabilization for a Sickness or Injury, if theattending Physician and our Medical Director or the Medical Director of our affiliateor authorized vendor under our direction determine that it is appropriate to facilitateyour recovery, we will transport you back to your permanent place of residence forfurther medical treatment or to recover. The tim
Client Name: ADP TotalSource, Inc. Group ID #: 908505 (Provide this number when calling UHCG) UHCG ID #: 902250073 (Use this number when creating your Intelligence Center account) When traveling for business, you can now feel confident that you are in safe hands if
