Common use of REQUIREMENT   TO   NOTIFY   THE   INSURER Clause in Contracts

REQUIREMENT   TO   NOTIFY   THE   INSURER. The insured must contact USA Medical Services, the insurer’s claims administrator, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within seventy- two (72) hours of beginning such treatment. In case of an accident, the insured must notify the insurer within seventy-two (72) hours of such accident, unless this is impossible due to a fortuitous event or force xxxxxx, in which case notification must be made as soon as the impediment is cleared. Not complying with this requirement may result in the denial of the claim or the application of the usual, customary, and reasonable costs that the insurer would have incurred if the accident had been notified as required. If the insured fails to contact USA Medical Services as stated herein, he/she will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible. BENEFITS

Appears in 6 contracts

Samples: www.bupasalud.com, www.bupasalud.com, www.bupasalud.com

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