TERMS AND CONDITIONS FOR REIMBURSEMENT

International Adm inistration

HOW TO CONTACT US
An efficient and caring team is at your disposal to reply to requests for information, payment of healthcare, prior approval or reimbursement of healthcare expenses. Your correspondents have a practical knowledge of foreign social security schemes and are able to process your files in all languages.

At your request, the detailed accounts of reimbursement may be sent by e-mail. All you need is a navigator such as Internet Explorer or Netscape Navigator in a later version than version 3 to send us a written request (stating your GMCI identification number). If you have another type or different version of the navigator, please contact us.

THE CONTACT DETAILS FOR OUR DEPARTMENTS

GMC SERVICES International Administration 10 rue Henner - 75459 PARIS CEDEX 09 - FRANCE The telephone and fax numbers and e-mail address of the Management Unit (MU) dealing with your contract appears on your subscribers card Reception and information from 8h30 to 18h00 non-stop. Telephone answering service 24h/24, 365 days per year. If however, you require information concerning a detailed account of reimbursement, contact your direct and personal correspondent, whose name and contact details appear on the detailed account of reimbursement.

WHAT ARE THE PROCEDURES FOR A REQUEST FOR PRIOR APPROVAL?

Requests for the payment of hospital care (including births), successive medical and surgical procedures, auxiliary medical procedures, dental and non-dental prosthetic appliances, implants, dento-facial orthopaedics, stays in sanatoriums, spa therapies, must be subject to the prior approval of GMCIs Medical Commission, before the care is given. The request for prior approval: standard Social Security form for healthcare in France, GMCIs form for healthcare abroad, must be sent, at least 10 days before the scheduled for the beginning of treatment, in an envelope marked as confidential to : Commission Mdicale de GMCI 10, rue Henner - 75459 PARIS cedex 09 FRANCE It is filled in by the medical practitioner and must include a detailed description of the healthcare together with an exact estimate cost.

HOW TO OBTAIN THE REIMBURSEMENT OF YOUR

HEALTHCARE EXPENSES In order to be reimbursed as rapidly as possible, please send all the following documents to our departments as soon as reasonably possible :

WHAT TO DO IN THE EVENT OF HOSPITALISATION

GMCI only pays hospital costs (including births) directly. Hospitalisation which is clearly urgent You must contact our local correspondents within 3 days of having been admitted. Their contact details appear on your subscribers card. They may be contacted 24 hours per day. The following information should be specified on the REQUEST FOR PRIOR APPROVAL RELATING TO HOSPITALISATION form, available upon request: the name and full details of the healthcare establishment, the exact nature of the treatment, the detailed estimated cost, the arrival and departure dates from the hospital. Following verification to entitlement to the services and the agreement of GMCIs Medical Commission, the case management statement will be sent to be directly regularised at the healthcare establishment. In other cases, notice will be sent to the beneficiary. Non-urgent hospitalisation The procedures are the same as for urgent hospitalisation. However, the "Request for prior approval relating to hospitalisation" form must be sent at least 10 days prior to the scheduled date for the hospitalisation. Where the hospitalisation last for over 30 days, the request for prior approval must be renewed every 30 days. GMCIs Medical Commission must receive it within 10 days.

For healthcare abroad GMCI reimbursement request form Medical prescriptions Detailed original and paid invoices, photocopies are not accepted (in respect of medical optics, the price of the lenses and the frames must be mentioned separately) Medicine stickers, where applicable The approval of the Medical Commission (for healthcare subject to prior approval) For healthcare in France Social Security healthcare forms Medical prescriptions Detailed original and paid invoices, photocopies are not accepted (in respect of medical optics, the price of the lenses and the frames must be mentioned separately) Medecine stickers, where applicable The approval of the Medical Commission (for healthcare subject to prior approval) In order that we may make the payment for the services to your bank account by bank transfer or foreign transfer, you should send a bank identity statement (relev didentit bancaire) to our departments.

1er franc-updated 07/01

GROUPE

GMC Services Socit par Actions Simplifie au capital de 5 750 000 - RCS Paris B 323 377 739 Sige social : 10, rue Henner - 75009 PARIS

HENNER