Frequently asked questions
These are some of the most common questions asked about our insurance policies, for example, how to apply for compensation, and much more.
If you are unhappy about a decision in a case, you can ask for the decision to be reviewed. This is how:
First contact the claims adjustor who has dealt with your case. A chat or a letter can provide additional information and sort out any misunderstandings. If you are still dissatisfied, you can contact your claims adjustor again, and ask for our Customer Ombudsman to review your case. It is always best to make an appeal in writing.
Advice and review from outside Europeiska ERV
If you are dissatisfied with a decision, you can always ask an independent party for advice and suggestions on how to proceed.
Claims assessor, arbitral tribunal
If you do not agree with our assessment of the value of damaged property, you can request an independent valuation.
Here you can find contact information to various insurance panels.
Konsumenternas försäkringsbyrå [The Swedish Consumers Insurance Bureau]
Operated jointly by insurance companies
Finansinspektionen [the Swedish Financial Supervisory Authority] and Konsumentverket [the Swedish Consumer Agency]. The Bureau provides free advice and assistance on a range of insurance matters for private individuals.
Address: Karlavägen 108, Box 24215, 104 51 Stockholm
Telephone: 08-22 58 00
Allmänna Reklamationsnämnden [The Swedish National Board for Consumer Disputes]
ARN reviews complaints from private individuals. The review is carried out free of charge.
Street address: Teknologgatan 8 C,
Postal address: Box 174
101 23 Stockholm,
Telephone: 08 508 860 00
Personförsäkringsnämnden [The Personal Insurance Board]
Provides advisory opinions at the request of policy-holders (consumers) in disputes between the policy-holder and providers of illness, accident and life insurance.
Address: Karlavägen 108
104 50 Stockholm
Telephone: 08 522 787 31
Ansvarsförsäkringens Personskadenämnd [Liability Insurance Personal Injury Board]
Reviews loss adjustment issues regarding claims for personal injuries under liability insurance and other policies other than vehicle third party insurance.
Address: Karlavägen 108
104 50 Stockholm
Telephone: 08 522 787 31
Allmän domstol [Court of General Jurisdiction]
Even if your case has been reviewed by any of the above panels, you can still approach a court with your case. To cover some of the cost of taking your case to court, you can:
- apply for legal aid which makes a contribution to your legal expenses following a review of your earnings
- legal expenses insurance. In many cases, the legal expenses clause in the policy can be used
If you wish to claim insurance compensation, you must bring an action against Europeiska ERV within ten years from the date when the insurance agreement entitles you to such protection. Otherwise, the right to compensation is lost. If claims have been made to the insurance company Europeiska ERV within this time, the deadline in accordance to the first sentence is always at least six months from the date that the company has declared its final position in a given claim.
Your business insurance with us covers essential and reasonable medical expenses in the event of illness and accident. Some parts of the insurance, e.g. dental cover, physiotherapy and treatment by a chiropractor, often provide limited cover. Contact your HR department to find out more about your cover.
Please contact your Euro-Center for help.
We recommend that you carry your Medical Insurance Card at all times. It contains important information, such as policy number and telephone number to the emergency centre. This information is also important for the hospital/doctors in the event of an emergency.
When your foreign posting ends, we ask you to destroy your insurance card or return it to your HR department/Euro-Center/ERV. If the card is used after your foreign posting has ended, you are personally liable for all costs related to the insurance policy.
Whenever you need help where you are. Euro-Centers can handle most issues relating to your insurance with ERV, such as advice, claims and local assistance. We advise you to contact your local Euro-Center if you need to find a doctor or hospital.
In an emergency, you should go to a hospital or call an ambulance. Once you have done this, you can contact Europeiska ERV Alarm and inform them of the situation. Europeiska ERV Alarm will take any action required by the situation, e.g. issue a payment guarantee and inform your Euro-Center.
Your Euro-Center is your initial contact on insurance-related matters. The staff are familiar with situations faced by expatriates, and know their local area well. Don't hesitate to contact your local Euro-Center for information.
The staff at our Euro-Centers are multi-lingual. At the office, the staff speak English as well as the local language. In most offices there is also Scandinavian speaking staff. For more information, please visit www.euro-center.com.
MediCall is our health advice line. At your request, you will be called by a doctor who will answer your medical questions. The telephone number is printed on the back of your insurance card.
In locations where we handle a large number of cases/injuries, the Euro-Centers have signed direct billing agreements with our medical services providers. All you have to do is show them your Medical Insurance Card and fill in a claims form, and the bill will be sent to the Euro-Center. Before asking the medical services provider for direct billing, please read the terms of your insurance. Any excess or services not covered must be paid directly to the hospital/clinic.
You will find all providers in our Medical Provider Search. Providers within the network shall always be used otherwise you may be charged 50% of the medical expenses.
Healthcare in the United States is expensive and using the provider network will save everyone unnecessary costs and more affordable premiums for employers and employees.
We work together with GMMI/Aetna to provide you with better access to the US health care system and make it possible for US health care providers to recognize your insurance.
If there is no care provider from the network within 10 miles (16 kilometers) from the city of residence, your fee shall only be $25/visit. In this case please contact Euro-Center for a Confirmation of Benefits to be sent to the provider prior to the visit.
We strongly recommend you to do so ASAP. It is essential that you have a General practitioner/Family doctor who can be part of your personal health care. This relationship should be established before there is an emergency.
This is also to avoid unnecessary visits to the Emergency room.
You are required to present your Medical Health Card when you are visiting a care provider. Otherwise it may result in reduced compensation.
Yes, this card is a combined health- and pharmaceutical card. It gives you good discounted prices for both non-covered as well as covered medicine. However, you have to pay upfront at the pharmacy for all costs. You thereafter complete a claims notification form and forward to Euro-Center and they will reimburse you for your expenses covered by the insurance. To find a pharmacy please enter the pharmacy search.
Note that pre-authorization is required for certain types of treatment, as explained in the policy conditions in sections B and G (e.g. hospital admissions, major diagnostic testing as CT-scanning and MRI).
Pre-authorization is also required for treatment expected to exceed USD 1.500 (SEK 10.000).
This means you shall contact Euro-Center in good time before the commencement of treatment to avoid the risk of compensation being reduced or eliminated in full.
Yes, all pregnancies must be notified along with a cost estimate from OB/Gyn at the start of the pregnancy. Euro-Center may advise you to use another provider if necessary. Please find the form here, Notification of Pregnancy form.
There is a fee of $25 for medical service provided within the network. This fee shall be paid directly to the care provider by you. Please, see the fee schedule below under the question 'What is maximum out-of-pocket per calendar year?'.
There is a fee of 50 % of total expenses. Please observe that the Medical Health Card is not valid outside our network.
If there is no care provider in the network within 10 miles (16 kilometers) from the city of residence, the fee shall only be $25/visit.
It is the highest total amount of co-pay fees per calendar year that you shall pay up front.
Note that costs outside the network are not included in the maximum out-of-pocket amount. Please, see the schedule below.
Maximum out-of-pocket per calendar year
• $500 – single person
• $1,000 – family
• you must pay 50% of expenses of treatment
Fee schedule for service covered by the policy:
|Medical Service||Within network||Outside network|
|Doctors consultation||Co-pay 25 $ per visit||50 % of treatment expenses|
|Hospital care||Co-pay 25 $ per visit||50 % of treatment expenses|
|Laboratory, x-ray and diagnostic testing||50 % of treatment expenses|
|Emergency room (ER)||
Deductible 50 $
(Not charged in emergancy or if it leads to hospital admission)
+ Co-pay 25 $ per visit
Deductible 50 $
(Not charged in emergency or if it leads to hospital admission)
+ 50 % of treatment expenses
|Chiropractic care, naprapathy, arcupuncture, osteopathy and kinesiology||Co-pay 25 $ per visit||50 % of treatment expenses|
|Fysiotherapy||Co-pay 25 $ per visit||50 % of treatment expenses|
|Psychiatric treatment, psychotherapy||Co-pay 25 $ per visit||50 % of treatment expenses|
|Pregnancy||Co-pay 25 $ per visit||50 % of treatment expenses|
Emergency medical condition is a medical condition manifesting itself by acute symptoms of sufficient severity, which may include severe pain or other acute symptoms such as the absence of immediate medical attention could reasonable be expected to result in any of the following:
- Serious jeopardy to the health of a patient
- Serious jeopardy to the health of a fetus
- Serious deterioration of bodily functions
- Serious dysfunction of any bodily organ or part
It is up to each provider to decide if and when they want to join or leave the network. Unfortunately, this is a process we cannot influence. Please find a new provider within the network to avoid the 50 % co-pay fee.
It may happen that some hospitals and medical practices attempt to force the individual policy holder to pay the remainder of the bill (the difference between a health care plan's payment and the physician's full charge). This is neither acceptable nor legal, as they have already accepted an agreed price. Your credit rating will not be affected by any outstanding balances due to a provider. Euro-Center USA is the responsible party for the payment and therefore you are not liable. Simply forward the bill or notice to Euro-Center USA by fax or e-mail and they will take action directly with the provider.
Invoice is sent to Euro-Center US
When a person visits a doctor the hospital will send the invoice to Euro-Center US and the insured person will receive a statement from the hospital. The hospitals have to send this according to law. On this statement it should be clear that it is only a statement and not an invoice. The invoice has been sent to the insurance company/Euro-Center US.
This statement is often being sent before the invoice due to the fact that the law gives providers only 7 days to inform the patient. It is not unusual for you to receive a copy of the bill prior to the insurance company receiving the necessary forms.
The hospital will inform you until the insurance is paid for
Do not be alarmed by the bills you may continue to receive since most hospitals and physicians will continue sending monthly statements to you until the payment has been received from the insurance company. Understand that due to the nature of the US system, the patient is always the one contacted, that does not mean your insurance does not intend to pay for the services.
You should also have in mind that even though we have paid the invoice it can take some time for the hospital to register the payment. We have seen cases when it has taken 3-4 weeks from the date we paid the invoice until it is registered at the hospital. Unfortunately, this is not a process we can influence
It is a large combined risk, e.g. when a large number of people covered by the same policy travel together by plane, boat, train or coach.
Europeiska ERV must be informed of a group trip if the total sum insured in the event of deaths exceeds SEK 100 million. We must be informed at least 14 days before departure, and you will have to pay an additional premium. The policy document shows the capital amount applicable to your company.
If you have any questions about group trips, please call +46-770-456 900.
Please attach the following documents to your claim:
- Ticket or travel document showing the price of the trip, destination and travel period. If you bought your insurance through a tour operator, it should also state what insurance you have purchased.
- If you've been on a business trip and have business travel insurance, we would like you to send a certificate of business trip from your employer.
In case of delayed flight, train or other means of transport
- Certificate stating the reasons for the delay and how long the delay lasted (provided by airline or tour operator ).
- Receipt for purchase during the delay (such as food and beverage).
In case of delayed luggage
- Your report to the airline that the luggage was delayed (PIR - Property Irregularity Report)
- Receipt for necessary purchases.
In case of excess / deductible claim
- Documentation from car-/rental car-/home insurance showing that you have received compensation, with the excess deducted.
- A copy of the police report, if the damage is reported to the police.
In case of cancelled trip/event
- Ticket and booking confirmation, showing the price of the trip / event.
- Certificate stating the reason for cancellation (e.g. medical certificate, police report, death certificate).
- If you cancel a trip, you should also enclose a letter from your tour operator/travel agency/airline where cancellation fee is stated.
In case of illness, accident or a visit to the dentist
- Receipt showing healthcare and pharmaceutical cost (in original).
- Medical certificate.
- Regarding death benefit in case of accident you need to submit a death certificate issued by a medical doctor and the bank account number of the estate.
Compensation holiday guarantee
- If you have been ill or suffered an accident - a medical certificate stating the diagnosis and the number of sick days.
- If you have suffered a serious event - the police report, medical certificate, certificate from a competent authority.
- In case of theft, you must enclose a police report.
- If your luggage is damaged during the flight, you must enclose the PIR (PIR - Property Irregularity Report) from the airline.
- If your luggage is lost after the check-in, you must send a final report from the airline confirming that they were unable to find the luggage and what compensation you received from them.
- If possible, send receipt for the lost / damaged property.
- Certificates confirming the event.
- Receipts for any expenses you want compensation for.
In case of illness, accident or a visit to the dentist
- A receipt showing the cost of medical or dental treatment, medication or cost of local transportation to and from the health care facility.
- Medical certificate / dental care certificate.
In case of lost, damaged or stolen property
- In case of theft, you should send a police report.
- If your luggage is damaged during a flight, you should send a notification from the airline (Property Irregularity Report).
- If your luggage is lost after the check-in, please send a final report from the airline. The report should confirm that the luggage could not be found and also what compensation you received.
- Receipts of your lost or damaged property (to the extent that you saved them).
In case of death due to accident
- Death certificate from the doctor.
- Bank account of the deceased’s estate.
- A certificate confirming the event.
- Receipts for any expenses you want to be compensated for.
Your corporate travel insurance is valid until 32 weeks of pregnancy. After that week, we do not cover any expenses due to your pregnancy. If you’re flying, ask your airline too about their rules about pregnancy.
The insurance for expatriates covers all emergency medical expenses, even during your pregnancy. However, if you want to be compensated for the cost of inquiries, childbirth and prenatal care immediately after birth, your employer must sign an additional insurance.
Remember: The insurance covers the cost of emergency events through 32 weeks of pregnancy even if you don’t have an additional pregnancy protection in your insurance.