A reimbursement claim is a formal request for a refund or compensation for out-of-pocket medical expenses. The policyholder pays their hospital bills and submits relevant documents to their insurance provider for payment.

To request reimbursement for your medical expenses, you have the option to personally complete the reimbursement form. Alternatively, if you prefer, an intermediary such as a broker, your HR department, or another trusted third party can assist in filling out the form on your behalf.

Reimbursement Guidelines

1. Scenarios in which a member can seek reimbursement.
   • Emergency medical care need
   • Cases where there is no accredited JHICU provider.
   • Where the service needed is not available in any of the providers on Panel.
2. Notification and Pre-authorization
   • JHICU must be notified of any emergency treatment in writing within 24 hours.
   • Pre-authorization must always be sought for non-emergency cases before incurring costs.
   • Pre-authorizations issued are only valid for 14 days.
   • Communicate through caremanagement@jubileeuganda.com & jhicu-reimbursement@jubileeuganda.com
   • JHICU shall only take liability for pre authorized claims incurred aboard within a maximum of 6 weeks (42 Days ) from the date of travel.
3. Documents Required for Reimbursement.
   A member who seeks medical attention and pays for the service should submit to us the following to enable Jubilee Insurance vet and process the claim quickly; –
   (i) Jubilee Insurance claim form completely and legibly filled and signed by the consulting. Doctor or physician; Dates and signatures are extremely important.
   (ii) For Medicines purchased, a copy of the prescription form and receipt of drugs purchased.
   (iii) In case of admission, Discharge summary, invoice and original receipt must be attached.
   (iv) All the above-mentioned documentation should be attached to JHICU claim form with an official scheme seal/stamp and submitted to Jubilee Insurance through their HR Department-via caremanagement@jubileeuganda.com or jhicu-reimbursement@jubileeuganda.com or physically to JHICU Reimbursement Officer.
4. Claim settlement.
   (i) Fully documented reimbursement claims will be processed within a maximum of 21 days. Incomplete documentation will result to rejection or delay in processing the claim.
   (ii) Claims will be reimbursed at 90% reasonable and customary charges as per the policy. ( subjected to vetting in comparation with enplaned providers prices )
   (iii) No claim will be considered if submitted after 14 days from the date of illness/Discharge unless a justifiable reason with evidence is provided.
   (iv) Claims will only be settled upon full payment of premiums. Should you require clarity, please contact us on 0800211711 / 0312225000 or WhatsApp 0772751825
5. Funeral Benefits.
   H/R or Principal member should share the following:-
   A complete filled in Reimbursement form with a NIN and TIN Bank for the beneficiary. Death Notification / Certificate from the Hospital or NIRA

NB: Pre – authorized submission are also subjected to 90% refund with Reasonable and Customary prices (Vetting) with providers on panel or entitled to as per his/her running benefit / policy.