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How do I know if my treatment will be paid?
How do I know if my treatment will be paid?

Pre-approvals and upfront guarantees of coverage

Pedro avatar
Written by Pedro
Updated over 2 weeks ago

Genki cannot provide upfront cost approval because we do not have the legal authority to do so. Squarelife, our claims partner, reviews each case and confirms coverage only after reviewing all required information. This is why the claims system exists. πŸ”


βœ… Coverage for New & Acute Illnesses & Accidents

Genki Traveler covers new and acute illnesses or accidents that occur during your insurance period, including medically necessary treatments.

πŸ₯ What Does "Medically Necessary" Mean?

βœ” Required to diagnose or treat your condition
βœ” Consistent with your diagnosis and symptoms
βœ” The most appropriate level of care
βœ” Performed for an appropriate duration

πŸ’³ Outpatient Treatment (Doctor Visits, Tests, Procedures)

For outpatient care, you must pay upfront and submit a claim for reimbursement. Your doctor's invoice must include:

βœ” Your name
βœ” Diagnosis
βœ” Detailed breakdown of medical services
βœ” Treatment costs


⚠️ Pre-Approval for Outpatient Treatments

Some outpatient treatments require prior approval, especially high-cost or complex treatments.

πŸ“’ Important:

βœ” For outpatient costs of €1,000 or more, you must submit a cost estimate to Squarelife at least 5 days before treatment.
βœ” Failure to get pre-approval may result in only 50% reimbursement.

πŸ“§ To request pre-approval, contact Squarelife at: [email protected].

Coverage cannot be confirmed until all necessary documentation has been reviewed. πŸ“‹


🚨 Additional Coverage Considerations

πŸ“Œ Review Your Policy – Carefully read the Product Information & Consumer Conditions in the Member Center. 🧐
πŸ“Œ Common Exclusions – Coverage in your home country is limited. Pre-existing conditions & preventive care are not covered. 🚫

For any claims or reimbursement requests, Squarelife is responsible for reviewing and processing your case.


If you have any questions about coverage details, feel free to check your Member Center or contact us at [email protected] for more information! 😊


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