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CMN - Frequently Asked Questions
Who is CMN?
CMN is an International Health Management company servicing International
Insurers' Medical products.
What does CMN offer?
CMN offers specialized services such as Worldwide Medical Emergency Assistance,
24/7 Call Center, Medical Evacuation, PPO Network Access and referrals
to Healthcare Providers, hospital admission and discharge facilitation,
medical evaluation and monitoring of treatment, insurance benefit verification,
coordination of administrative process, provider billing, continuous update
to family, employer and home physician.
How do I get in touch with CMN?
You can call and reach CMN from anywhere in the world. From North America
and most of the Caribbean Islands, you can call CMN toll free at 1-888-382-6723
or call collect at 1-905-669-4333.
When should I call CMN?
As an insured, you should call CMN before seeking medical services overseas
or if you are traveling overseas and suddenly find yourself faced with
a medical emergency. The patient, a family member or a hospital representative
is usually required to contact CMN or the insurer within 48 hours of the
incident or admission.
Should your condition clearly be life threatening, you should
call the appropriate medical service, such as 911 emergency, an ambulance
or the fire rescue unit immediately before calling CMN.
Upon entering an overseas hospital, clinic or specialist
office, we recommend you provide them with your insurance information
and suggest they contact CMN to verify your benefits and coordinate the
billing process.
Should I call CMN if I need a medical evacuation?
Yes. You need to contact CMN immediately upon being informed you or a
family member needs to be air ambulance. A CMN Case Manager will coordinate
transportation between hospitals, with
the physicians, as well as with the Air Evacuation Company. The Case Manager
will also ensure the necessary documentation, such as medical visas and
medical records are completed and referred to the proper parties.
Can an insured seek medical care overseas?
Yes. An insured can travel to the USA or overseas to receive medical care
upon being referred by a local physician or electing to seek care overseas.
You are encouraged to call your local insurer's office to pre-certify
the overseas care and be referred to CMN for assistance, coordination
and management. The pre-certification of your case will allow you to benefit
from the services offered by CMN and reduce or limit your out-of-pocket
financial liability.
What is the purpose of pre-certification?
International healthcare is complex and sophisticated. CMN will guide
your and help you
determine if the care is appropriate, determine the
extent of your policy benefits and assist you with coordinating care delivery.
Is CMN a medical service?
No. Although many of our staff are nurses or trained case managers, CMN
is not a medical
provider. It is an extension of your insurance policy and a service provided
to accommodate the insured's and the Healthcare Providers servicing its
insured's with assistance and the
administrative process.
Will CMN help for on-Island medical services?
CMN has been designed to help and assist while you are traveling overseas
and internationally. Your local Insurer's office should be your first
point of contact for on-Island services and hospitalization. Their number
can be found on your Insurer's identification card.
Can CMN assist me in locating an overseas Healthcare Provider
or a hospital that is part
of the PPO network?
Yes. We work with patients and referring physicians to locate and facilitate
access to PPO
network Healthcare Providers. CMN can direct you towards a PPO network
Healthcare
Provider and help minimize your co-insurance and out of pocket while conserving
your
Lifetime Benefit Maximum.
Will CMN pay my medical bills?
Depends. CMN has the ability to pay medical bills and does so for some
clients. CMN will negotiate the acceptance of assignment of benefits with
the Healthcare Providers,
virtually eliminating the need for the patient to provide a large payment
prior to treatment.
The overseas Healthcare Provider has billed me, the insured.
What do I do?
Although CMN tries to make arrangements to receive all medical overseas
bills, it may
happen that a bill maybe forwarded to your address. In this situation,
immediately
forward the bill to your local Insurer's office or call CMN. We will review
the bill and advise
you if there is an out-of-pocket residual that is your responsibility.
How big is the PPO Network?
The CMN network consists of over 7000 acute care facilities and over 400,000
physicians
and specialists worldwide in 130 countries.
What health specialists are offered through this PPO network?
The PPO network covers all medical specialties such as specialized diagnostics
testing, neo-natal care, cardiac care, serious trauma injuries or burns,
oncology,
orthopedic, general to specialized surgery and organ transplants.
Is the PPO network only in North America?
No. Through CMN's network, CMN can provide access to Healthcare Providers
all
over the world and particularly in Canada, Caribbean, Latin America, UK,
South Africa,
Asia and countries such as Mexico, Hungary and Czechoslovakia.
Does CMN help patients throughout their medical treatment?
Yes. CMN has Case Managers whose primary role is not only to monitor the
care
the patient received, but also to communicate clearly and regularly with
the patient
and family, provide logistical assistance when required and coordinate
care with
the Healthcare Providers and your insurer.
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