| Provider Programs from India Network |
| MultiPlan Network | Consult a Doctor |
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MultiPlan Network
India Network Health Plan is the most flexible plan available, allowing policy holders to choose the doctor or hospital of their choice. To help our insured find a provider participating in the network, India Network through Chartis Insurance entered a special agreement to access to MULTIPLAN Network for all India network policy holders. The list of Service Providers is just an indicative of those participating in Coalition America Network. Contact MultiPlan at 888-342-7427 to get additional assistance locating a provider.
Your benefits can go a long way by using negotiated network prices if you choose one of the physicians from the Multiplan Network.
Standard and Premier Coverage Plans: Policy holders can choose ANY provider. Open network plan.
Traditional Coverage Plans: Policy holders pay 20% of the first $5,000 when using providers in the MultiPlan Network. Policy holders pay 40% of the first $5,000 when using providers outside the MultiPlan network.
India Network Health Insurance claims are handled by Chartis Accident and Health Claims. A Number of Claims Adjusters are dedicated to handle India Network Health Plan claims along with a supervisor and other staff who provide assistance in resolving claims quickly.
1. Claim Form - Complete the Claim Form whenever you use the insurance - once for every sickness or fax the PDF Claim Form to (866) 893-5984. This is required even though the providers file directly with Insurance. Unless until this form is received your claim from provider will NOT be Processed.
2. HIPPA Form - Complete this form to Discuss Claims of your visitors
When the Insured Get's Sick with Cold, Cough, Fever, or some other minor health issue, you have two options:
a) Use the Consult a Doc Program to seek an opportunity to discuss your medical condition with a Board Certified Physician in the United States and get a prescription if needed. The cost of the consultation is $35. Anyone can request this consultation for any reason by completing the consult a Doc form
b) Search MULTIPLAN Network to find a provider nearest to your home for appointment; you are responsible for the deductible amount ($75 or $250 for < 70 years old or $500 per sickness for 70 plus). The Insurance Card should be presented to the provider at the time of service. If you have paid the physician out of pocket, have Section B of the claim form completed by the physician's office and mail that along with Section A. India Network soon will have a dedicated fax line to take the claims.
THERE ARE NO PRE-AUTHORIZATION REQUIREMENTS. PLEASE DO NOT CONTACT OUR OFFICE. YOU DO NOT NEED ANY PERMISSION TO SEEK EMERGENCY CARE WHEN NEEDED.
What does Claims Office Do?
1) VERIFY INSURANCE COVERAGE - Keeping your name, Date of Birth (DOB), passport number as given in the insurance form would help identifying your coverage quickly. If you provide one DOB to India Network, something else to the Physician office (careful with mm/dd/yyyy format used in the US), the claim would likely to get delayed.
2. SEEK MEDICAL RECORDS FROM ATTENDING PHYSICIAN/HOSPITAL. In some cases, it is not clear on the claim form, and the claims office may request medical records at their own cost to determine benefits. A Check will be issued in the name of Insured Visitor or the Doctor/Hospital within 3 to 6 weeks for all covered claims.
3. In the event a claim is denied, you will receive Explanation of Benefits (EOB) and reason for denial. You are welcome to contact the examiner to seek additional information or India Network Office to help you understand your benefits. Under no circumstances, an insured purchasing $50,000 policy can expect or receive benefits of $100,000 policy. SO BE CAREFUL IN CHOOSING THE LOWEST PREMIUM POLICIES. UNDERSTAND THE BENEFITS CLEARLY BEFORE YOU CALL CLAIMS.
Physician Consultant Request Form
The purpose of this program is to help visiting parents and others who need to consult a physician during their stay in the United States or Canada for minor medical problems or pre-existing ailments such as Diabetic, Blood Pressure, Pain management etc. or refilling prescription. This service is provided for the benefit of the community and is NOT A PART OF THE HEALTH INSURANCE PROGRAM SPONSORED BY INDIA NETWORK. Anyone can make use of the services under this program. No insurance is required. However, India Network Membership is required.
India Network Foundation requires that all participating physicians in this program be well experienced, actively Licensed to practice Medicine in the United States, and preferably speak one or more Indian Languages. India Network makes every effort to refer patients to the physicians closest to their temporary residence in the United States where they are visiting their family and friends.
A $35 (non-refundable) consultation fee will be charged for the service. All visitors requesting consultation have to complete the consultation form. A participating Physician will contact the visitor either by email or by Phone as determined by the Physician within 24 to 48 hours of receiving the request (excluding holidays/weekends). If a visitor wishes to see the physician in his/her office, consultation fee of $55 will be charged at the participating doctors office if one available near to them. There is NO Insurance Billing under this program.
Click here to learn more about the participating doctors.
****** Additional Questions Contact India Network Health Insurance 407-243-8760 ******