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How can we help?* This field is required.Have an emergency? For emergencies requiring urgent care and coordination, please call 24/7 support at +1 855 276 8864 for assistance. Planning a surgery or treatment? Let us know at least 3 business days in advance with all necessary documents to set up direct billing for treatments or surgeries over $250. Heads-up: If we need more info, we'll need another 3 business days after receiving it. Try to provide at least: - 2 weeks notice for us to arrange payment - 5 business days notice to check if something is covered - 3 business days notice to let us know about an upcoming appointment Need more help? Contact us.

I need help arranging payment for an upcoming appointment (Direct Billing)

I want to check if an upcoming appointment is covered (Pre-authorisation)

I need to notify about an upcoming appointment

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Personal Info* This field is required.Need more help? Contact us.

Policy holder full name

Policy holder ID

Phone number

Email address

Patient full name

Postal code

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Where are you seeking treatment?* This field is required.We need this information so we can contact your provider on your behalf.

Hospital / clinic / doctor name

Phone number

Full street address

City, Country

Postal Code

Estimated treatment cost

Treatment description

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When is your appointment? * This field is required.

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Upload any supporting documents* This field is required.To make sure we process your request on time, please upload documents containing: - Notes from your doctor about your treatment, past health, and test results. - How much your treatment is expected to cost. Important: Without notes about your health and treatment and cost estimate, we can't move forward. We need all your documents at least 3 business days before your appointment to process them in time.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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We've got you covered!

Thank you for telling us about your upcoming appointment. Once you click 'Submit', we'll work to set up payment with your provider, and will let you know when it's processed.  

If we need any more info, we'll reach out by email.

By clicking on 'submit' I hereby authorize SafetyWing/VUMI to act on my behalf in relation to the administration of my plan, which may include the disclosure of personal and sensitive information to SafetyWing/VUMI. This also includes consent to discuss all aspects of the policy including claims and medical information.

This authorization will remain in place until I cancel it in writing.

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We've got you covered!

Thank you for telling us about your upcoming appointment. Once you click 'Submit, we'll check to see if it's covered by your policy and will let you know once we find out.  

If we need any more info, we'll reach out by email.

By clicking on 'submit' I hereby authorize SafetyWing/VUMI to act on my behalf in relation to the administration of my plan, which may include the disclosure of personal and sensitive information to SafetyWing/VUMI. This also includes consent to discuss all aspects of the policy including claims and medical information.

This authorization will remain in place until I cancel it in writing.

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We've got you covered!

Thank you for telling us about your upcoming appointment. Click 'Submit' to save your response to our records. Once you've paid for the appointment, submit the claim in your dashboard.  

If we need any more info, we'll reach out by email.

By clicking on 'submit' I hereby authorize SafetyWing/VUMI to act on my behalf in relation to the administration of my plan, which may include the disclosure of personal and sensitive information to SafetyWing/VUMI. This also includes consent to discuss all aspects of the policy including claims and medical information.

This authorization will remain in place until I cancel it in writing.

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Upload any supporting documents* This field is required.To make sure we process your request on time, please upload documents containing: - Notes from your doctor about your treatment, past health, and test results. - How much your treatment is expected to cost. Important: Without notes about your health and treatment and cost estimate, we can't move forward. We need all your documents at least 3 business days before your appointment to process them in time.

YESNO

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Is your (estimated) bill larger than $250 USD?* This field is required.

YESNO

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Do you have any supporting documents to provide at this time?* This field is required.

YESNO

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Don't use! Member Information* This field is required.

Policyholder's full name

Patient's full name [if not policyholder]

Policyholder's email

Policyholder's Phone number

Policy ID number

*Name of contact person if it's someone than the patient

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Don't use! Service provider information* This field is required.

Doctor/Provider name

Hospital/Clinic name

Phone number

Postal Code

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Please estimate the amount* This field is required.Please also let us know here, if your provider requires payment in advance, and what date.

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Brief description of your situation/services needed. If you had an accident, please describe what happened, how the accident happened.* This field is required.

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Date signed* This field is required.

Date

Hour

Minutes

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Thank you for letting us know!

Our medical team will begin reviewing your information soon! We'll be in touch soon to share an update with you! If you need anything in the meantime, please reach out to us via 24/7 support chat on SafetyWing.com.

Be sure to sign the next slide and click submit!

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Thank you for letting us know!

Our medical team will begin reviewing your information soon. We'll be in touch soon to share an update with you. If you need anything in the meantime, please reach out to us via 24/7 support chat on SafetyWing.com.

*We will attempt to work with the provider to send the guarantee of payment letter and setup payment on your behalf. Please note they can always opt not to do so. It can take up to six (6) months to send payments directly to your provider.

Be sure to sign the next slide and click submit!

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👉 Click next to submit your emergency request & then please head to the hospital.

Your SafetyWing ID card is in your online profile. Show it to the front desk, and ask them to call the number on it to verify your benefits.

We will attempt to work with the provider to send a guarantee of payment letter on your behalf. Please note they can always opt not to do so.

Be safe!

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✒️Please consent to let us help and click submit* This field is required.I hereby authorize SafetyWing/VUMI to act on my behalf in relation to the administration of my plan, which may include the disclosure of personal and sensitive information to SafetyWing/VUMI. This also includes consent to discuss all aspects of the policy including claims and medical information. This authorization will remain in place until I cancel it in writing.

Clear

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