International Insurance Arrangements
For international patients, we have contracts with some major insurance companies that allow us to submit claims directly to the insurance company. Others may require that you pay the claim directly at the time of service and seek reimbursement from the insurance company when you return home.
International insurance can fall into one of several categories:
- Insurance for intended medical treatment
- Insurance for medical emergencies while traveling
- Insurance for routine or minor medical situations while traveling
- Special corporate arrangements with CIMA Hospital
Most people either rely on their primary health insurance or purchase trip-related accident and medical insurance. Whether you are traveling to obtain medical care or for pleasure, we encourage international travelers to contact your insurance company before you travel abroad to learn what conditions may apply.
In many cases, your primary insurance may only cover medical expenses outside your home country when you have an accident or have an unforeseen medical emergency. They often do not cover minor medical situations. Other insurance plans, as noted above, require that you pay the bill to the hospital or provider and then seek reimbursement from the insurance company. In a medical emergency, these bills can grow quite large very quickly. Some insurance companies, particularly travel assistance companies and insurers, will offer a guarantee of payment to the hospital. This will help minimize the amount you have to pay immediately, but there can still be amounts you will need to pay before leaving the hospital.
Remember too, that your insurance company may have a deductible, co-payment or other amount that you are required to pay as part of receiving medical care. You may also have limitations on payment for certain kinds of services or out of network provisions that apply. Because we are outside of your home region as an international patient, it is difficult to know what those amounts are, so you may be required to pay an estimated amount that is greater than the actual amount for which your insurance company may ultimately decide you are responsible. You can work with your insurance company to be reimbursed for them under the terms of your insurance coverage; however, we ask that you understand those arrangements are outside our control.
Direct Employer/Company Contracts
We also have direct contracts with a growing number of companies based in the United States that enable their employees to receive medical care at Hospital CIMA and will pay the hospital directly for you. These arrangements are often simpler, more transparent and less expensive for you and your employer. For specific information, contact your employer or Hospital CIMA’s International Patient Office. For information about starting a direct contract, please contact us at dmair@hospitalcima.com.
International Insurance Companies
The table below shows some of the companies with which we work, but your specific terms and conditions may create a different situation. We recommend that you contact us to determine what type of arrangement exists between with your particular insurance company and the hospital.
Company | Country | Type of Relationship
(Direct Bill/Pay and Seek Reimbursement) |
AETNA (USA Domestic Plans) | USA | Pay and Seek Reimbursement |
AETNA GLOBAL BENEFITS | USA | Direct Bill |
AETNA INTERNATIONAL | USA | Direct Bill |
AGEAS INSURANCE LTD | ING | Pay and Seek Reimbursement |
AIG | USA | Direct Bill |
BARMENIA HEALTH INSURANCE | Germany | Pay and Seek Reimbursement |
BDAE HOLDING GmbH | Germany | Direct Bill |
BEST DOCTORS | USA | Direct Bill |
BLUE CROSS BLUE SHIELD | USA | Pay and Seek Reimbursement (Most plans) |
CIGNA INTERNATIONAL | USA | Direct Bill |
CIGNA US | USA | Pay and Seek Reimbursement |
CLAL HEALTH INSURANCE COMPANY LTD | Israel | Pay and Seek Reimbursement |
HAREL | Israel | Pay and Seek Reimbursement |
HEALTH CARE INTERNATIONAL | UK | Direct Bill |
TRICARE OVERSEAS (ACTIVE DUTY MILITARY & RETIREES) Now accepting Tricare for Retirees | US | Direct Bill |
METLIFE EXPATRIATE BENEFITS | USA | Direct Bill |
US VETERANS AFFAIRS FOREIGN MEDICAL PROGRAM (FMP) | USA | Direct Bill |
VETERANS AFFAIRS OF CANADA | Canada | Pay and Seek Reimbursement |
Some insurance companies have established relationships with travel medical assistance companies. These companies provide services on behalf of your insurance company for you when something happens while you are traveling. Some of these companies also provide independent trip-related insurance for medical and related needs. In many cases, we are able to work with your travel medical assistance company on a direct basis to help manage the expenses associated with an unexpected hospital admission. Please let us know as soon as possible that you have benefits through a company that provides these benefits and services, so that we can determine the right arrangement for your situation.
Travel Medical Assistance Companies
The table below shows some of the travel medical assistance companies with which we work. It is not intended to be a complete list, and we are consistently updating it. Consequently, the list is a guide but may not cover all companies or situations.
Company | Country | Type of Relationship
(Direct Bill/Pay and Seek Reimbursement) |
ACTIVE CARE MANAGEMENT | Canada | Direct Bill |
ADAC | Germany | Direct Bill |
ALLIANZ GLOBAL ASSISTANCE CA | Canada | Direct Bill |
ALLIANZ GLOBAL ASSISTANCE USA | USA | Direct Bill |
ALLIANZ WORLDWIDE CARE | Ireland | Direct Bill |
ALMEDA | HO | Pay and Seek Reimbursement |
AMERICAN ASSIST TRAVEL PROTECTION | USA | Pay and Seek Reimbursement |
ANWB ALARM CENTRALE | HO | Direct Bill |
AP COMPANIES | USA | Pay and Seek Reimbursement |
APRIL USA | USA | Pay and Seek Reimbursement |
ASSISTANCE SERVICES OF THE AMERICAS, INC | Mexico | Direct Bill |
ASSURED ASSISTANCE | Canada | Direct Bill |
ATLAS EXPATRIATE BENEFITS | USA | Pay and Seek Reimbursement |
AXA ASSISTANCE CANADA | Canada | Direct Bill |
AXA ASSISTANCE COLUMBIA | Columbia | Pay and Seek Reimbursement |
AXA ASSISTANCE GERMANY | Germany | Direct Bill |
AXA ASSISTANCE ITALY S.A. | Italy | Direct Bill |
AXA ASSISTANCE MEXICO S.A. de C.V. | Mexico | Pay and Seek Reimbursement |
AXA ASSISTANCE USA | USA | Direct Bill |
AXA TRAVEL INSURANCE CIPT | UK | Pay and Seek Reimbursement |
CANASSISTANCE | Canada | Direct Bill |
CEGA | UK | Direct Bill |
CLICK TRAVEL PROTECTION (IATAI) | USA | Pay and Seek Reimbursement |
CMN | Canada | Direct Bill |
COMPAÑIA EUROPEA DE SEGUROS | Spain | Direct Bill |
CORIS | USA | Pay and Seek Reimbursement |
CULTURAL INSURANCE SERVICES INTERNATIONAL | USA | Direct Bill |
DAVID SHIELD | Israel | Direct Bill |
DEUTSCHE ASSISTANCE SERVICE GmbH | Germany | Direct Bill |
DEUTSCHER RING | Germany | Direct Bill |
DIE CONTINENTALE | Germany | Direct Bill |
DKV (GLOBALITY HEALTH) | Germany | Direct Bill |
EGK ASSISTANCE | HO | Direct Bill |
EMERGENCY CORPORATION INTERNATIONAL | USA | Pay and Seek Reimbursement |
EMERGENCY ASSISTANCE FACILITIES UK | UK | Pay and Seek Reimbursement |
EMERGENCY ASSISTANCE JAPAN-H.S. INSURANCE CO., LTD | USA | Pay and Seek Reimbursement |
EURO CENTER S.A. | Brazil | Direct Bill |
EUROCROSS ASSISTANCE | HO | Direct Bill |
EUROP ASSISTANCE ALEMANIE | Germany | Direct Bill |
EUROPE ASSISTANCE ARGENTINA | Argentina | Direct Bill |
EUROPE ASSISTACE C.R. | Costa Rica | Direct Bill |
EUROP ASSISTANCE ESPAÑA | Spain | Direct Bill |
EUROP ASSISTANCE RUSSIA | Russia | Direct Bill |
EUROP ASSISTANCE USA | USA | Direct Bill |
FALCK ASSISTANCE | Denmark | Direct Bill |
FD SERVICE S.p.A. | Italy | Direct Bill |
FIRST ASSIST | UK | Pay and Seek Reimbursement |
FRONTIER MEDEX (Now United Healthcare Global SafeTrip) | USA | Direct Bill |
FZOG CURACAO | Curacao | Pay and Seek Reimbursement |
GENERALI INTERNACIONAL | Guatemala | Direct Bill |
GEO BLUE | USA | Direct Bill |
GLOBAL ASSURANCE GROUP | USA | Direct Bill |
GLOBAL BENEFITS GROUP | USA | Direct Bill |
GLOBAL EXCEL MGMT INC | Canada | Direct Bill |
GLOBAL MEDICAL MANAGEMENT INC. | USA | Direct Bill |
GLOBAL RESPONSE | UK | Pay and Seek Reimbursement |
GOUDA TRAVEL INSURANCE | Denmark | Direct Bill |
GRUPPO FILO DIRETTO | Italy | Direct Bill |
HALLESCHE | Holland | Direct Bill |
HEALIX INTERNATIONAL | UK | Direct Bill |
HEALTH SMART (HARBIN CLINIC) | USA | Pay and Seek Reimbursement |
HEALTHWATCH S.A. | Greece | Pay and Seek Reimbursement |
HENNER-GMC | France | Direct Bill |
HTH WORLDWIDE INSURANCE SERVICE (GEO BLUE) | USA | Direct Bill |
INTANA GLOBAL | England | Direct Bill |
INTER PARTNER ASSISTANCE, S.A. | Spain | Pay and Seek Reimbursement |
INTERMUTUELLES ASSISTANCE | France | Direct Bill |
INTERNATIONAL DIVING ASSURANCE LTD – DAN EUROPE | Malta | Pay and Seek Reimbursement |
INTERNATIONAL MEDICAL ASSISTANCE (IMA) | Israel | Pay and Seek Reimbursement |
INTERNATIONAL MEDICAL GROUP (IMG) | USA | Direct Bill |
INTERNATIONAL SOS | USA | Direct Bill |
INTREPID ASSISTANCE | Canada | Pay and Seek Reimbursement |
ISFAS Instituto Social de las Fuerzas Armadas | Spain | Pay and Seek Reimbursement |
KEY INSURANCE | UK | Pay and Seek Reimbursement |
LATIN AMERICA ASSISTANCE | USA | Pay and Seek Reimbursement |
LLT CONSULTING WEAVILITY | France | Direct Bill |
MAPFRE ASSISTANCE | France | Direct Bill |
MAPFRE ASSISTANCE IRELAND | Ireland | Direct Bill |
MD ABROAD | USA | Pay and Seek Reimbursement |
MD MEDICUS ASSISTANCE SERVICE GmbH | South Africa | Direct Bill |
MEDAIRE | USA | Direct Bill |
MEDBRICK | Canada | Direct Bill |
MEDCARE INTERNATIONAL, INC | USA | Pay and Seek Reimbursement |
MEDGATE | Switzerland | Pay and Seek Reimbursement |
MEDIC AIR INTERNATIONAL | France | Direct Bill |
MEDICALL AG | Switzerland | Pay and Seek Reimbursement |
MEDICOS Y AUDITORES S.A.S. | Columbia | Pay and Seek Reimbursement |
MEDIPAC ASSIST | UK | Pay and Seek Reimbursement |
MONDIAL ASSISTANCE, S.R.O | South Africa | Direct Bill |
MORGAN WHITE | USA | Direct Bill |
MOS MEDICAL HELPLINE GmbH | South Africa | Pay and Seek Reimbursement |
MSH INTERNATIONAL | USA | Direct Bill |
MUTAS | Belgium | Direct Bill |
MUTUAIDE ASSISTANCE | France | Pay and Seek Reimbursement |
NET SERVICES TRAVEL ASSISTANCE SLNE | Spain | Pay and Seek Reimbursement |
NORDIC HEALTHCARE | Denmark | Pay and Seek Reimbursement |
NORFOLK MOBILITY BENEFITS | USA | Pay and Seek Reimbursement |
NORTHCOTT GLOBAL SOLUTIONS | UK | Direct Bill |
NORTHERN LIGHT | USA | Pay and Seek Reimbursement |
OHRA | Holland | Pay and Seek Reimbursement |
OLYMPUS | USA | Direct Bill |
ON CALL INTERNATIONAL | USA | Pay and Seek Reimbursement |
ONE WORLD ASSIST | USA | Pay and Seek Reimbursement |
OPTIMUN GLOBAL | UK | Direct Bill |
PA GROUP ADMINISTRATION | USA | Direct Bill |
PANAMA ASISTENCIA S.A. | Panama | Pay and Seek Reimbursement |
PAN AMERICAN MEXICO COMPAÑIA DE SEGUROS S.A DE C.V | Mexico | Pay and Seek Reimbursement |
PAYER FUSION | USA | Pay and Seek Reimbursement |
PERIDOT GLOBAL | USA | Pay and Seek Reimbursement |
PROFESSIONAL CLAIMS ADMINISTRATORS INC | USA | Pay and Seek Reimbursement |
PRONTO ASSISTANCE SERVIZI | Italy | Pay and Seek Reimbursement |
QUALITY HEALTH MANAGEMENT | USA | Direct Bill |
QUALITY TRAVEL ASSISTANCE | USA | Direct Bill |
RACC Serveis Medics, S.A. NIF: A60705910 | Spain | Direct Bill |
ROLLAND ASSISTANCE GmbH | South Africa | Direct Bill |
SEGUROS DE OCCIDENTE | Guatemala | Direct Bill |
SEGUROS G&T GUATEMALA | Guatemala | Direct Bill |
SEVEN CORNERS | USA | Direct Bill |
SIGMA ASSISTEL | Canada | Direct Bill |
SOMPO JAPAN INSURANCE INC. | Japan | Pay and Seek Reimbursement |
SOS DINAMARCA | Denmark | Direct Bill |
SOS INTERNATIONAL AMSTERDAM | Holland | Direct Bill |
SOS SEGUROS Y REASEGUROS S.A. | Spain | Direct Bill |
SPECIALTY ASSIST | UK | Direct Bill |
SUNMED INTERNATIONAL | USA | Direct Bill |
TIC TRAVEL INSURANCE | Canada | Pay and Seek Reimbursement |
TMCA GROUP CORP | USA | Direct Bill |
TOURING CLUB SUIZO | Switzerland | Pay and Seek Reimbursement |
TRAVEL AND MEDICAL ASSISTANCE (TMA) | UK | Pay and Seek Reimbursement |
TRAVEL GUARD | USA | Pay and Seek Reimbursement |
TURIEN Y CO ASSURADEUREN | Holland | Pay and Seek Reimbursement |
TYROL AIR AMBULANCE Ges.m.b.H. | Austria | Pay and Seek Reimbursement |
UNITED HEALTHCARE GLOBAL SOLUTIONS | USA | Direct Bill |
UNIVERSAL ASSISTANCE | USA | Pay and Seek Reimbursement |
USA MEDICAL SERVICES | USA | Direct Bill |
VUMI GROUP | USA | Direct Bill |
WORLD TRAVEL ASSIST | USA | Pay and Seek Reimbursement |
WORLDWIDE MEDICAL ASSURANCE, LTD. CORP. | Panama | Direct Bill |
WSIB (WORKPALCE SAFETY AND INSURANCE BOARD) | Canada | Pay and Seek Reimbursement |
WTP ASSIST | Canada | Pay and Seek Reimbursement |
IMPORTANT NOTICE FOR US CITIZENS
Please be aware that Hospital CIMA does not accept Medicare or Medicaid as a form of insurance payment. In general, these plans do not provide any benefits for travelers outside the United States, even for emergency medical situations.
We strongly encourage US citizens traveling abroad purchase travel medical insurance that covers the costs of medical care, both on a routine and an emergency basis, and that includes the costs of emergency medical evacuation. We hope that no one ever needs that insurance; however, we regularly see patients who are experiencing both the stress of an emergency medical situation and the discovery that their health insurance coverage is not as broad as they thought it was.