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Global Health Benefits: Policy Holder: Policy #: Effective Date: Insured: Member #

This document is an insurance policy summary for Michael Augustus that includes: - The policy holder, number, effective date, insured individual, and customer service contact details. - Information about global health benefits through a network of providers where the insured can present their card and pay any patient costs. - Referral information for submitting claims in the US and non-US along with customer service contact details. - Identification for Frank Williams as an employee under the policy with their group and ID numbers along with pharmacy and provider contact details.

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715 views1 page

Global Health Benefits: Policy Holder: Policy #: Effective Date: Insured: Member #

This document is an insurance policy summary for Michael Augustus that includes: - The policy holder, number, effective date, insured individual, and customer service contact details. - Information about global health benefits through a network of providers where the insured can present their card and pay any patient costs. - Referral information for submitting claims in the US and non-US along with customer service contact details. - Identification for Frank Williams as an employee under the policy with their group and ID numbers along with pharmacy and provider contact details.

Uploaded by

youtube clapzzy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Policy Holder: EMW, INC.

Policy #: 0000003760
Effective Date: November 04, 2017
Insured: AUGUSTUS, MICHAEL
Member #: 0000000118
Customer Service Telephone Numbers: Non-US Claims Submission:
Within UAE: 800 25426 MetLife Alico
Outside UAE: +971 4 415 4555 Attn: Claims Department
Dubai Airport Free Zone Authority (DAFZA)
7W Wing (West Wing)
P.O. Box 371916, Dubai, UAE
[email protected]
Global Health Benefits
Present card and settle any patient responsibility each time you receive services from Network Providers.
www.metlifeexpat.com

Complementary network
PPO/NAP multiplan.com

Employee:  WILLIAMS III, FRANK Please direct all US Medical Provider claims to:
Electronic Payer ID # 60054, or by mail to:
Group No:  ML0000
P.O. Box 30259, Tampa, FL 33630-3259
Aetna CSA:  0863955-010-00100
Employee:
ID No:  656196107 Please direct Member Reimbursement or other claims to:
Electronic Payer ID # 48117, or by mail to:
Group004336
RxBIN:  No: P.O. Box 25946, Overland Park, KS 66225-5946
RxPCN:  ADV
RxGROUP:  CS2203 Please direct all Non US claims to the address on the front of this card.

Customer Service:
Phone: 1-866-217-5631
Email: [email protected]
Rx Member Service: 1-866-644-7527
Pharmacy Help Desk: 1-800-364-6331
and does not This
This card is for identification only
www.caremark.com prove card is for identification
eligibility. only and does
While insurance not proveineligibility.
remains force, While
covered
insurance remains in force, covered participants and dependents are
participants and dependents are entitledentitled
to Benefits subject to the terms and conditions of
to Benefits subject to the terms and conditions of the Group Policy.
the Group Policy.
Providers
For coverage
Aetna Provider Services, confirmation please contact
call 1-800-414-0596 Customer Service 24 hours a day.
Precertification of US hospital admission, call 1-866-466-5053
Members
To find in-network providers, call 1-866-217-5631 or visit www.aetna.com/docfind/custom/passport
MyNurse 24/7: To call a nurse for a non-emergency issue in the US, call 1-866-375-6877
Coverage is Underwritten by Delaware American Life Insurance Company
Coverage is Underwritten by Delaware American Life Insurance Company

This is a temporary page and is for informational purposes only. It does not replace your Global Identification Card.
Please contact us if you have misplaced your Identification Card at [email protected]

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