6 SPIE PREVINTER Your new benefits as of January 1, 2020 amiss Gy previnter \www.previnter-mb.com.~ ss ai7-4 CONTENTS YOUR NEW BENEFITS | EASY REIMBURSEMENT PROCEDURES. Reimbursement procedure YOUR SERVICES. How to get rete your login details? Your members’ area, Your mobile 29p, ‘Your ineurance card ‘A igh-qualiy intemationa mesial network. Medical team YOUR PERSONAL INFORMATION, Bank detail | YOUR CLAIMS DEPARTMENT. ‘ene Gute SPIE O18 Gas Services ontenatot ZF previnterae | YOUR NEW BENEFITS \With a view to optimizing and standardaing is medical insurance plane, SPIE Ol & Gas Services issued a calor tenders which led tothe change of your benefits as of January 1, 2020, To help mest the evolving expectations of Its Internationally-mobile employees, your employer decided to slightly upgrade the overall quarantees. Other terms and conditions of your benefts plan remain the same. MSH Intemational continues to be the administrator of the healthcare international plane of SPIE OIL, GAS on bohaf of Previnte. Please see below your new benefits as of January 1, 2020 ESS eee Medical fees / room and bor in ‘asemiptvate room /french 100% of charges 100% of charges “orat hospitaier™ Prwvate room et covered 100 $ por day Bed forthe accompanying act so9% of enargs upto $58 per of ahesptaized chic under 60S por day ery ay and @ maximum of21 days Transport ay ambulance 100% of charges 100% of charges Correetve surgery 100% of charges 100% of charges 100% of charges if required by an 100% of chergesif required by an In patent Physiotherapy accident which occurs during the accident whi occurs during the beriod of insurance: ered of insurance Office Se home cals 100% of Te wth a (excapt dents) eductible of 14 $ per out patient oe sit exciucng folow up visits within 7 days for the sameness Paramedical services 100 % of charges ast Laboratory tests 20% of charges 85% Rays 80% of charges 25% Pharmacy 80% of charges 85% a ‘and preventive Sn ‘of charges I requlred and Prescription rugs Drescibed by a physician Heath Checups 100%6 of charges up to 135 § per check limited to t check up per 100% of charges per insured Porson every 3 nae employee evry yes employee en) only SPE O18 Gas S EE soo B previnter- ss. aii ‘Office vis & dental care (preventive and surgical treatment) Emergency dental Emergency vision Pre- & postnatal car (hospital ‘slay, private room, medical fees ‘except for doctors fees incase ‘of caesarean) Doctors feet in case of rn not covered not covered ‘not covered 100% of charges. For pre and postnatal eare eee outpatient 100% of charges. For pre and postnatal care see outpatient | EASY REIMBURSEMENT PROCEDURES, For faster and more efficient reimbursement procedures, your scanned supporting documents can be sant ‘rectly via your members area or your mobile app if the total cost of each invoice isless than €1000. This lit was upgraded effective Janvary 1, 2020. '300 $ max per beneficiary per year for dertal emergencies only se2 above 100 § max per beneficary per year for vison emergency only 100% of charges. For pre and postnatalcare sea ovpatient 100% of enarges. For pre and postnatalcare see outpatient If your ciaim exceeds €1000, all of your original supporting documents must be mailed to your claims departmont ‘You wil be able to check the progress of your claims in real ime with our online tracing system, Relmbursement procedure Date of treatment prior to January 1, 2020 Date of treatment as of ‘January 1, 2020 v Your previous guarantees apply. Please upload your scanned supporting documents recy on your members‘ area ‘ron your mobile ap, Lv ‘Your new guarantoes apply Pease upload your scanned suppring documents directly on your members! ‘area or on your mobile app, SPIE Ol & Gas Seniens fy] cobshatior QJ previnterTk. aa" All the original supporting documents must be Kept for 24 months follwing the date of medical service, as \we may request them at any time during this period. you cannot submit the requested original documents, ‘youll be responsible fr al payments made on the basis ofthe scanned supporting documents received In accordance with our Qualty Charter, healthcare claims are processed within 5 working days from the date of receipt, in the currency of your choice among more than 160 currencies. You will receive your reimbursement by bank transfer to your account, in your county of exigin, county of expatiation ar any other county | YOUR SERVICES ‘The members’ area and our mobile app, avaiable in 7 languages, contain al the information you need ‘about your plan and provide you with many help services. How to got/ retriave your login detalls? *Gotothe members’ area or open the mobile apo + Onthe authentication page, click on “Get your login deta *+ Fillout the requested information and eek on “Sond ‘Your login and password willbe sent via two separate emis, ‘Your members’ area In this area, you can + View and download your summary of benefits, your practcal guide, your personalized insurance card and cetfcate of insurance, and update your persanal and bank deals; + submit claim for reimbursement and request a hospital precerifcation agreement, check the progress of your claims in realtime: = get an email alert when we receive your claim form and when your reinbursement statement is avalabie online, ~ view and download in POF your reimbursement statoments rom the lest 24 months + find a physician andlor a healthcare facility wherever you are inthe word submit an inquiry, ‘access your health services such as tolaconsultations or assessment of your heath Ay wont \We advise you to fil out or update your email address in your members rea under “Your enrolment / ‘Your Details" in order fo receive emal alerts for your claims. You can also use ths section to personalze {your password, which must contain between 6 and 20 characters and only include dg or letters, with no ecent ovseaiss Z previnterYour mobile app = Get quick and easy access to all the services provided under your plan, anytime ‘and anywhere with the MSH Intemational mobile ape. The login detais are the same as those used fr your members’ area, 8 | i @ () {sto by MSH arbors nthe weld EB & Your insurance card ‘Your insurance card is available on your mobile app and can be downloaded and printed from your ‘members’ rea, under "Your Enrolment! Insurance ID card’. This card enables the healthcare provider to Contact us to set up cirect biling arrangements and to sete the payment of your mecca bls. A high-quality international medical network [MSH International provides you wth an international network of moce than one millon healthcare providers, lowing you to benefit from quality health services all around the world at reasonable and customary or preferential ates, You are free to choose your healthcare provider. However, we recommend that you use healthcare practoners and hospital facilites which belong to the MSH International network, or the public sector or Sale-approved healthcare providers where possible. Our macical network can help you choose Practioners or medical facities which charge fees under or near our upper reimbursement its, You can get advice on choosing a healthcare facto” practioner In your members area, under "Your Healthcare / Fina faciy” using an inte'ace decicted to the search of helncare pracitoners via your mobile app; by contacting your claims department anes Gu a EBS»: B previnter- 3 awe Medical tear (Our fulbtime medical advisors team is avaiable to answer any medical questions, provide you with a second medical opinion if you are unsure af the agnosis you have been given, or fer you an explanation fhe treatment recommandes by your practitioner. ‘You can get in touch with them by email at medical@msh-inicom or by contacting your claims department Al information received will be processed in strictest confidentiality. Only our medica officers have access to this dedicated inbox | YOUR PERSONAL INFORMATION |We recommend that you check your personal data in your members’ area, under ‘he "Your Enrollment / Your Deas" section. You can also update your personal information, such as your mailing address, telephone number, email address and password, For any changes in your circumstances or those of your dependents, please cortact your Intemational Mobily team who wil then inform MSH International Bank details ‘Your bank dels are accessibie in your members’ rea under the “Your Enrollment /Your Details” section they are incorrect, please submit them as soon as possible by folowing one ofthe procedures below log into your members’ aes, ‘lick on "Contact us" and "Submit an inuiy" select the rimary insured member (you) inthe drop-down menu ‘choose the reason for your request “01. Your Enroliment / Request for Upate of your Personal Data / Your bank infermation fr reimbursements by bank transfer’ ‘Glick on "Nex step’, upload your bank details (IBAN) document and Confirm, ‘= send an email to envol@msh-ntcom wth your bank etal ‘+ attach your bank detals to your next claim, | YOUR CLAIMS DEPARTMENT ‘Our multiingual eam is available to answer by phone or email any questions you may have regarding your healtncare coverage (beneftcarifation, claim processing, prior approval, medical advice, search for a provider) To find out whichis your nearest clams department, please refer tothe map below ce go to your members’ ‘area or your MSH International mabila ape, ‘Benefit Gus SEES e Ss seneen oe pe- * a7 Norns seuth europe aninPscie ‘Benet Gude SPIE OL Ghs Services coats: By previnter