Worldwide Emergency Coverage
Posted on June 11, 2018
Vacation can be relaxing and great fun, especially when you know you are covered by a Health New England plan.*
We cover members for medical emergencies, urgent care, and prescription drugs outside of the Health New England service area. Our worldwide emergency coverage includes stabilization care and post-stabilization care at the direction of your treating physician. We also cover ambulance transportation if other means of transport would endanger your health.
Non-emergency medical issues:
Members should consult their PCP first, whenever possible. If their PCP is unavailable, Health New England offers other options:
Teladoc — Request a phone or online consultation with a U.S. board-certified physician to treat non-emergency medical issues such as colds and the flu, bronchitis, allergies, rashes and more. Learn more at healthnewengland.org/Teladoc or call 1-800-Teladoc. This service is available for the same copay as a PCP visit. (Teladoc is available for most members; however, some employer groups do not participate in this benefit.)
Nurse Line — For free health advice, call the Health New England 24/7 nurse line. Licensed nurses and clinicians can answer questions on health-related issues and medications. Call (866) 389-7613 or email nurseline@hne.com.
Emergency situations:
If a member has a true medical emergency, he or she should call 911 (in the U.S.) or go to the nearest emergency room (ER) immediately. The member will be responsible for paying the ER copay/deductible. (Outside the U.S.: Members may be required to pay out-of-pocket for emergency medical services. Their plan will reimburse them for qualified** emergency medical expenses minus any applicable copay/deductible.)
*In accordance with individual plan benefits. All services require prior approval and are subject to the terms of the Explanation of Coverage (EOC). Routine care, medical evacuation and repatriation are not covered.
**If members receive treatment for covered services from an out-of-plan hospital for a condition that is not an emergency medical condition, the member will be responsible for payment for such covered services as described in their benefits summary.
Comments are currently closed.