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Step-by-step process

Please follow our step-by-step process according to your case

In the event of an emergency hospitalisation for you or a family member insured by OMESYS, please follow our step-by-step process.

You are covered by the "Global System"

If possible, please show your Henner card, which guarantees you are covered by OMESYS, at the hospital reception.
Kindly contact your Client Services Team as soon as possible following the admission to the hospital, either by telephone +33 (0)1 55 62 52 11 or email gmc.omesys@henner.com, providing the following information:
- Name and telephone number of the hospital
- Name of the patient
- Admission date
- Discharge date, if known
If you cannot contact us yourself, please have someone contact us on your behalf.
 
After this first contact, Henner will directly send the hospital a Prior Agreement Form to be completed and returned to us.

You are covered by a basic scheme and OMESYS comes as a supplementary coverage

Depending on your personal situation (country where you are hospitalised, basic scheme, other supplementary coverage), OMESYS may be in a position to cover all or part of your hospital expenses. Kindly contact your Client Services Team as soon as possible following the admission to the hospital, either by telephone +33 (0)1 55 62 52 11 or email gmc.omesys@henner.com, so that we can determine what is your situation and to what extend OMESYS can intervene.

If the hospital is part of HENNER network, within 2 hours following the contact with your Client Services Team, we issue a Guarantee of Payment.

Transmitted to the medical provider, it guarantees your coverage by the medical and social system OMESYS, relieving you of this administrative concern during your hospitalisation.

If the hospital is not part of our network, our team will contact it and negotiate to arrange direct settlement of your bills.

Once the hospitalisation over, the hospital will send the original invoice and the medical report (if not previously sent) to HENNER for reimbursement.
HENNER will inform you and the medical provider about the payment made.

You received outpatient treatment: consultations, laboratory tests, X-rays, dental or optical care?

- If you are covered by the Global System: please send to your Client Services Team the original detailed receipts (in addition to a claim form duly completed and signed in the case of health care services provided outside France).
- If you are covered by a basic scheme and OMESYS comes as a supplementary coverage: if your basic scheme does not cover 100% of your costs, please send to your Client Services Team the original reimbursement statement issued by your basic scheme or the original dated invoices corresponding to your uncovered expenses (especially in case of non-contracted providers).

If you received inpatient care in a clinic or hospital and settled the bills upfront, kindly send:

  • - If you are covered by the Global System : please send to your Client Services Team the original detailed invoice,
  • - If you are covered by a basic scheme and OMESYS comes as a supplementary coverage: if your basic scheme does not cover 100% of your costs, please send to your Client Services Team the original reimbursement statement issued by your basic scheme or the original dated invoices corresponding to your uncovered expenses (especially  in case of non-contracted providers).

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