After the insured event you must notify Seesam as soon as possible but not later than in 90 (ninety) days.
The insurance claim may be filed only by the insured person who has received medical, dental, optical, medical, sports services.
If your health insurance card is stolen:
The insured person shall use his/her personal funds to pay for services received from institutions other than contractual organisations as well as in cases when it is impossible to receive the service from a contractual organisation or if the cost of a service is not reimbursed in full.
In order to assess the insured event and the related health insurance claims, as well as to cover the costs of the insured person, the insured person shall immediately and, in any case not later than within 90 (ninety) days following the moment when it has become possible, submit to the insurer the following:
Indemnity will be paid after submission of the insurance claim, an extract from the dental medical card containing information about the treated tooth number and manipulations performed, a personalized payment document (an electronic cash register receipt and/or an accountable cash payment receipt), to the insurer.
Indemnity will be paid after submission of the insurance claim and a personalized payment document to the insurer.
Documents to be submitted:
A copy of the doctor’s prescription must be submitted in respect of medicines and optics which are specified in the health insurance program as medicines and optics requiring doctor’s prescription.
Indemnity will be paid after submission of the insurance claim, copies of prescriptions and a personalized payment document (an electronic cash register receipt and/or an accountable cash payment receipt and description of the medicines purchased) to the insurer.
If the insurance indemnity is received by an authorized representative, a notarially certified power of attorney must be presented.
Other documentation required by the insurer as additional information to evaluate the health insurance claims and occurrence of an insured event.
To avoid necessity to pay from personal funds for services included in the health insurance card, visit our contract organisations or contract organisations SP - 2.3