Can I make a claim as soon as my Medicare Policy is issued?
Your policy may be subject to waiting periods, exclusions and provisions, which will be outlined in the policy documents. Otherwise, you will be covered for treatment arising from any illness or for any injury caused by an accident that was not an existing condition before the policy started.
Where do I get a claim reimbursement form?
You can download a copy of the claim form here. You can also contact us on 207 3500 and our customer service representatives will be happy to assist you.
Is there a time-frame for submitting a claim?
All claims must be submitted to us within 90 days from the date of service.
How is payment made?
We may make payments by cheque, or credit your bank account directly, in which case you will receive a credit advice.
What is excluded from my insurance policy?
The main exclusions are:
For full details, please refer to your policy handbook.
Who should I contact with questions about my payment?
You can check the status of your outpatient claim by logging on to our extranet system on https://secure.swanforlife.com/default.aspx, where you find the following information about claim you submitted:
You can also contact our customer service representatives, who can be reached on 207-3540 or by e-mail on firstname.lastname@example.org .
For full details of your policy cover, please consult your insurance policy handbook.
What is in-patient cover?
You are considered as an in-patient when:
For plans A and B, endoscopic procedures are not covered under this section
Admission for investigation purposes only are not covered
What procedures do I follow in case of an in-patient claim, for planned and emergency treatments?
There are two types of in-patient treatment: planned and emergency treatment. You must present your admission and identity cards at the hospital or clinic each time you are admitted for treatment
In the event of planned treatment:
In the event of emergency treatment:
How is an in-patient claim settled?
What is Medical and Surgical Catastrophe cover?
What is the process for local treatment under the Medical and Surgical Catastrophe cover?
What is the process for treatment abroad under the Medical and Surgical Catastrophe cover?
We will cover medical expenses incurred outside Mauritius for the insured person, up to the limits specified in the schedule. You must:
How do I settle a claim under Medical and Surgical Catastrophe cover?
What is the scale of costs?
The scale of costs is the nomenclature of the medical services in Mauritius, together with the maximum fee payable to medical practitioners and clinics.
How do I file an outpatient claim?
If you need to submit a claim, please provide the following original documents:
Submit the claim form, along with the claim reimbursement supporting documents to our nearest branch or to head office:
Health & Travel Department - Claims Section
11th Floor Swan Centre
10, Intendance Street