TUTTL/BI-3091-4000-2800_
TUTTL/BI-3091-4000-2800
13440
3 July 2009
Mr Terrero Saco
emailed to
jrterrero@mail.com
The Customer Services
Department
BUPA International
Russell Mews
Brighton
Sussex
BN1 2NR
United Kingdom
Telephone +44(0) 1273 323 563
Fax +44(0) 1273 820 517
Email info@bupa-intl.com
Open 24 hours a day 365 days a
year
www.bupa-intl.com
Dear Mr Terrero Saco
Complaint reference number 13440
Thank you for your email dated 29 June 2009. I am sorry for the delay in replying.
I understand that you are unhappy that the hospital where you received out-patient
treatment has asked you to pay their accounts and for you to reclaim these costs from
us, and that we were unable to pre-authorise treatment for you.
Also you have raised concerns about the evacuation process, our membersworld
website, and a salary insurance scheme.
I will try to address each of the points in the order that you have raised them.
We do have agreements with some doctors and hospitals whereby we can settle
accounts for treatment on our members behalf, however, this is rarely available for
treatment provided on an out-patient basis.
TUTTL/BI-3091-4000-2800_
I believe my colleague Darren Robson has explained to you in a previous email that we
are unable to pre-authorise out-patient treatment and arrange direct settlement of
accounts for this type of treatment.
In addition I understand that Darren also explained that we had experienced some
difficulties with our membersworld website. These unfortunately had been caused by our
installation of a new system designed to improve the information available on the
website.
I hope you have received the claim forms sent as attachments to previous emails, and I
can assure you once we receive your fully completed claim forms, with the invoices and
receipts detailing the treatment provided, it will assessed as quickly as possible and we
will arrange for payment to be made to you.
Moving onto your query about the evacuation cover available to you as part of your plan
with us.
You have mentioned that you had an accident whilst working on an offshore rig and you
were taken to the Congo for treatment.
From the details you have given, I have concluded that you were evacuated from the
offshore rig, and transported to the Congo by arrangements made through your
employer.
Although Bupa International does provide you with evacuation cover, there are certain
situations and locations that are impossible for us to provide this service from, such as
an oil rig.
We do explain more about this in your membership guide under section 4 Assistance
cover.
I am sorry I am unable to help you with your query about salary insurance, as this is not
something we as a medical insurance provider offer. May I suggest that you speak with
your company human resources department, as this insurance may be something
offered directly by your company.
I hope I have been able to answer all of the concerns you have raised.
In line with our complaints procedure, I need to ensure you are satisfied with my
response and that the issues you raised have been resolved. I do hope that this is the
case. I would be very grateful if you could confirm this by completing the attached slip
and returning it in the pre-paid envelope enclosed.
If you feel unhappy with my response and wish to take your complaint further, please
write to the Head of Customer Relations at the above address within 8 weeks from the
date of this letter. Alternatively, you may prefer to telephone, fax or email via the
contacts detailed above, quoting your membership number and complaint reference
number. If we do not receive a reply within 8 weeks from the date of this letter we will
close the complaint.
If you remain unhappy after our final reply you may refer your complaint to the Financial
Ombudsman Service within 6 months. Their contact details are; South Quay Plaza, 183
Marsh Wall, London, E14 9SR, telephone +44 (0) 207 965 1000
Kind regards
Mrs Lynn Tutt
Customer Relations Advisor
" ---------------------------------------------------------------
TUTTL/BI-3091-4000-2800
Complaint reference number 13440
I confirm acceptance of the resolution detailed in your letter dated 3 July 2009
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