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INSURANCE OF MEDICAL EXPENSES FOR STUDENTS

PARENT GUIDE

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THE MAXIMUM LIMIT OF LIABILITY IS $ 150,000.00 MN PER ACCIDENT, WITH A DEDUCTIBLE OF 10% ON THE AMOUNT CLAIMED, WITH A MINIMUM OF $ 750.00 MN

The above means that if the expenses are less than $ 750.00, the Insurer will not reimburse. If the expenses are less than $ 7,500, the deductible of $ 750.00 will be deducted, if the expenses are $ 7,501.00 or more, the deductible of 10% will be applied on the amount of the claim. In complementary claims, 10% is discounted.

Requirements for the request for reimbursement of medical expenses for School Accident:

  1. ACCIDENT NOTICE. Completed by the insured, duly answered. Detail clearly, and widely: how, when and where the accident occurred.

  2. REQUEST REFUND.
    to. Completed by the student, duly answered. Some agent details are registered, please
    keep them. Ask the school for the policy number and name of the contractor. The application can be modified on the computer and saved.

  3. MEDICAL REPORT:

    • Filled out by the attending physician.

    • If you receive care from more than one doctor, each will need to fill out and sign a report.

    • If it requires rehabilitation , it is necessary that the specialist (orthopedist, traumatologist, etc.) prescribe it. Enter a medical report that includes a professional license as a rehabilitator. As well as the card or log of therapies taken, and it must be signed.

    • Every 6 months the medical report must be requested again, if you plan to present new expenses for reimbursement.

  4. INVOICES AND RECEIPTS:

    • HOSPITAL With the breakdown of expenses by concepts and unit prices and, invoice in the name of the affected person or their parents, and that the name of the affected person appears.

    • RECEIPTS OF FEES With the professional identification number of the specialty, and a breakdown of all the medical attention that the doctor is charging, for example: plaster placement $$, placement of serum $$, etc. Without any ISR tax, nor VAT.

    • PHARMACIES With the breakdown of medications, unit price and a copy of the prescription.

    • LABORATORY OR X-RAYS: send results or interpretation, and prescription. In the case of X-rays, a photo of the plate must be attached on a white background. (These can be taken against the light where you can see, for example, a sprain, dislocation, fracture, etc.)

  5. DIAGNOSTIC STUDY, is the study that confirms the diagnosis of the Accident, with result or interpretation, and medical prescription where it was requested.

  6. PROOF OF ADDRESS AND BANK ACCOUNT STATEMENT, of the beneficiary of payment: parents or guardian. Proof of address (water, electricity, telephone, property) and Head of the Bank Account Statement, showing the data: Account number and Clabe for the electronic transfer, both no longer than three months. (only the first sheet, sensitive information such as address and amounts should be omitted).

  7. OFFICIAL CURRENT IDENTIFICATION OF THE PARENTS, parents or guardian, who remains as beneficiary of the payment. (INE, PASSPORT).

  8. ACCREDITATION OF THE STUDENT: It is sufficient to present a copy of the student's credential of the college or the last receipt of the payment of tuition or the most recent academic record.

The documentation for reimbursement should be sent to the following email address: servicios@crbmex.com.mx , and you will receive confirmation of receipt by this means.

The characteristics that the information you send us by email must contain is:

  • In Subject, write down: Full name of the affected person, Starting with Paternal Surname / Refund

  • Scan all your documents in a single PDF file: medical report, reimbursement request, prescriptions, interpretations of laboratory and cabinet studies, identification, statement of account, proof of address Etc.

  • Invoices and receipts must be sent in the formats: PDF and XML.

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In a period of 5 to 10 business days we will send payment confirmation: Payment Order (for collection at the bank) or Bank transfer, to the email that you register in the Request

NOTE: If requirements are missing, your documentation will not be processed, and your payment will be delayed.

If you have any questions, contact the telephone numbers 5377 1920, 01800 7153060, to the Medical Expenses area

Sincerely:

Consultores en Riesgos y Beneficios, Agent de Seguros y de Fianzas, SA de CV

Parents Guide

Notice of accident (form to fill out)

Medical Report (form to fill out)

Refund request (form to fill out)

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