Claim Process

Easy Steps

Should you require emergency medical treatment and wish to make use of your TOURMED Benefits, follow the next easy steps!

1. Immediately Call TOURMED’s 24 Hour Help line, AIG Assist.
   
         Local               : 011 541-1303
         International  : +27 11 541-1303
   
   Have your TOURMED Policy Certificate and Passport on hand
   
   You will be directed to the nearest appropriate medical facility or you will be provided with the relevant assistance you may require.
    
2. Please contact the emergency number above before going directly to a medical service provider eg. doctor or hospital, have your TOURMED Policy Certificate and Passport on hand to present to the medical service provider
    
3. The medical service provider must call TOURMED at the above numbers after which authorization will be given for the required treatment to be administered.
   
   TOURMED will then settle the claim directly with the service provider.
    
4. If due to the nature of the emergency you are not able to call TOURMED or supply the medical service provider with your details, the service provider must inform TOURMED as soon as possible of the emergency and obtain the required authorization to ensure payment for the services they have rendered.
   
   NB. If you do not obtain authorization, you may be required to settle the bill yourself and TOURMED may then only reimburse you an amount up to a maximum of R2000
    
   1. Always carry a copy of your passport and policy certificate with you where it will be safe and easy to obtain should an emergency arise.
   2. Present both when requiring emergency medical treatment.
   3. Always where possible, ensure that the medical service provider calls for an authorization number for the treatment to be administered.
   4. Forward any claims that you may have paid yourself to TOURMED for reimbursement ;
      
           Claims Department
           P O Box 4561
           Halfway House
           1685
           South Africa
       

In the event of an incident or possible HIV exposure, call the TOURMED 24-hour emergency number on your TOURMED Policy Certificate and the immediate services of the Calibre councillors and doctors will then co-ordinate the required PEP services.

You must initiate PEP as soon as possible, but within 72 hours after exposure for it to be effective. All services required for PEP will be provided as part of this policy

If you're planning a trip or vacation in South Africa,
Botswana, Namibia, Uganda, Mozambique or any other southern African
destination, you should not do so without a TOURMED Policy.