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How do I know if my treatment will be paid?

Pre-notice and upfront guarantees of coverage requests

Written by Pedro

Please note that our support cannot provide upfront confirmation or guarantees of coverage. All coverage decisions are made by Squarelife, the insurer and claims manager, after reviewing the full medical documentation submitted through a claim. This is why claims must be processed through the system. πŸ”

βœ… What's Covered

Genki Traveler covers new and acute illnesses or accidents that occur during your insurance period and require medically necessary treatment.

🩺 "Medically necessary" means the treatment is:

βœ” Needed to diagnose or treat your condition βœ” Consistent with your symptoms and diagnosis 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 typically pay the costs upfront and then submit a claim for reimbursement. Your invoice must include:

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

⏳ Pre-Notification for High-Cost Treatments

If your estimated outpatient costs exceed €1,000, you must submit an itemized cost estimate to [email protected] at least 5 days before commencing treatment. If this isn't done, only 50% of the eligible costs will be reimbursed.

This is a pre-notification, not a pre-approval β€” Squarelife will still assess the final coverage after the claim is submitted with full documentation.

🚨 In Emergencies

For outpatient medical emergencies where you can't notify 5 days in advance, contact Emergency Assistance as soon as possible for a quick response.

πŸ“Œ Additional Notes

  • Coverage confirmation can only be provided once all medical documentation has been reviewed by Squarelife.

  • Pre-existing conditions and preventive care are not covered. 🚫

  • Home country coverage is limited to short-term emergencies only.

  • Always review your Product Information and Insurance Conditions in the Member Center for full details. 🧐

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


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