Wellcare Dual Liberty (HMO D-SNP) (001): Worldwide Emergency/Urgently Needed Services

Worldwide emergency coverage for emergency care and urgently needed services. Feel free to move about the world with up to $50,000 in coverage.

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Cost

$110 copay for each urgent care, emergency care, emergency transportation outside the U.S.

Prior Authorization Required

No, but must submit a reimbursement claim

Provider Referral or Order Required

How To Receive

Details on how to apply

Copy $110 copay

Our plan covers worldwide emergency and urgent care services outside the United States under the following circumstances. However, Medicare does not cover emergency care outside of the United States.

You are covered for up to $50,000 when traveling outside the United States under your worldwide emergency and urgent care coverage. Costs that exceed this amount will not be covered.
Transportation back to the United States from another country and medication purchased while outside of the United States are not covered. Additionally, emergency room cost shares are not waived if you are admitted for inpatient hospital care.
Please contact us within 48 hours, if possible, to advise us of your emergency room visit.

For additional questions regarding health care coverage when traveling outside of the United States, contact the Member Services at 1-800-431-9007 (TTY 711).

Availability

Ongoing, when traveling outside the U.S.; combined $50,000 lifetime maximum

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Your loved one is covered for emergency care and urgently needed services outside the United States and its territories.

If emergency care or urgently needed care is received outside the United States, a form submitted for reimbursement is required. Supporting documentation for the reimbursement claim includes:

Member Name
Date of Service
Provider name, type, address, and telephone number
Description of services
Amount paid

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