Claims and Assistance Services
General Information

Regardless of the type of claim, whether for emergency medical expenses, a cancelled trip, lost baggage or any other benefits or assistance service included with your specific plan, you will find the appropriate claims forms and contact information here.

STEP 1

Determine the Appropriate Claim Form by identifying the name of your plan on your confirmation of coverage or certificate that was emailed to you at the time of purchase. Submitting the correct claim form to the Claim Administrator will help ensure prompt processing.

STEP 2

Complete the information and include all documents related to the type of claim you are filing. Please include a copy of your passport showing the identification page and entry/exit stamps when traveling outside the US or travel itinerary/receipts for your scheduled trip.

STEP 3

Send the completed claim form along with required documentation to the address or email listed on the form.

Medical Claim: Initial documents required include but are not limited to: all detailed bills for medical services received, receipts for payments made for medical treatment, medical documentation, doctor and hospital reports. Please review the claim form for other documents that may be required for your claim.

Trip Cancellation and Trip Interruption: Initial documents required include but are not limited to,: all receipts showing payment for the trip and proof the trip was canceled. Please review the claim form for other documents that may be required for your claim.

Medical Evacuation: All evacuation transportation expenses must be authorized in advance by the Company or its authorized representative at:

602-344-9225 and Press “2” at the prompt to be connected

OR

(888) 963-4933 and Press “2” at the prompt to be connected

Regardless of the type of claim, whether for emergency medical expenses, a cancelled trip, lost baggage or any other benefits or assistance service included with your specific plan, you will find the appropriate claims forms and contact information here.

STEP 1

Determine the Appropriate Claim Form by identifying the name of your plan on your confirmation of coverage or certificate that was emailed to you at the time of purchase. Submitting the correct claim form to the Claim Administrator will help ensure prompt processing.

STEP 2

Complete the information and include all documents related to the type of claim you are filing. Please include a copy of your passport showing the identification page and entry/exit stamps when traveling outside the US or travel itinerary/receipts for your scheduled trip.

STEP 3

Send the completed claim form along with required documentation to the address or email listed on the form.

Medical Claim: Initial documents required include but are not limited to: all detailed bills for medical services received, receipts for payments made for medical treatment, medical documentation, doctor and hospital reports. Please review the claim form for other documents that may be required for your claim.

Trip Cancellation and Trip Interruption: Initial documents required include but are not limited to,: all receipts showing payment for the trip and proof the trip was canceled. Please review the claim form for other documents that may be required for your claim.

Medical Evacuation: All evacuation transportation expenses must be authorized in advance by the Company or its authorized representative at:

602-344-9225 and Press “2” at the prompt to be connected

OR

(888) 963-4933 and Press “2” at the prompt to be connected

Trip Protection/Cancelation Plans Claims and Assistance Services

Trip Cancelation Plans are administered by TME Travel Insurance, Assistance Services Provided by ON CALL INTERNATIONAL and Claims Processing by CO-ORDINATED BENEFITS PLANS (CBP)

If you purchased a Trip Protection Plan underwritten by Nationwide titled TME Choice Plan, TME Preferred Plan or TME Elite Plan, please use the following claim forms and assistance service contacts and numbers.

IMPORTANT: To facilitate prompt claims settlement please use the links below for the appropriate claim form and include all required documentation.

Use these forms for TME Travel Insurance Trip Protection Plans (Choice, Preferred and Elite) Only:

Medical Expenses
Trip Cancellation
Trip Interruption
Baggage Loss or Delay
Travel Delay or Missed Connection
Collision Damage Waiver
Accidental Death and Dismemberment

If you purchased a Trip Cancellation Plan underwritten by Nationwide titled with “Safe Travels” in the plan name, please scroll down and use the designated forms and assistance service contacts and numbers provided for these plans.

Medical Expenses
Trip Cancellation
Trip Interruption
Baggage Loss or Delay
Travel Delay or Missed Connection
Collision Damage Waiver
Accidental Death and Dismemberment

For Claim Status please contact 727-725-7522

Email: NWTravClaims@cbpinsure.com
Co-ordinated Benefit Plans, LLC On Behalf of Nationwide Mutual Insurance Company and Affiliated Companies
P.O. Box 26222
Tampa, FL 33623

Please Note: All claims must be filed within the time period specified in your plan. The insurance provided shall be in excess of all other valid and collectible insurance of indemnity, see your plan terms for details.

TRIP PROTECTION PLAN ASSISTANCE SERVICES are provided by ON CALL INTERNATIONAL

The Travel Assistance program feature provides a variety of travel related services. Services offered include: Pre-Trip Information Medical Monitoring Medical, Dental and Pharmacy Referrals Legal Referrals – Bail bond, Hospital Admission Guarantee Dispatch of Medicine Translation Service Lost Baggage Retrieval Inoculation Information Passport / Visa Information Emergency Message Forwarding Emergency Cash Advance* Prescription Drug / Eyeglass Replacement* * Payment reimbursement is Your responsibility.

FOR 24/7 TRAVEL ASSISTANCE SERVICES By ON CALL INTERNATIONAL:

602-344-9225 and Press “2” at the prompt to be connected

OR

(888) 963-4933 and Press “2” at the prompt to be connected

Medical Evacuation Plans and Travel Medical Plans Claims and Assistance Services

If you purchased a TME Travel Insurance Medical Evacuation Plan or a Travel Medical Plan underwritten by Nationwide, please use the following procedures, forms and assistance service contacts and phone numbers. Note – If you are suffering from a serious illness or injury, call your local emergency services and seek immediate help first.

NOTE: All evacuation transportation expenses must be authorized in advance by the Company or its authorized representative at:

602-344-9225 and Press “2” at the prompt to be connected

OR

(888) 963-4933 and Press “2” at the prompt to be connected

Travel Medical Coverage Reimbursement Claims for Travel Medical Plan Holders

If you purchased the Travel Medical Coverage option for your plan and have been provided medical services, please download the claim form and submit for reimbursement of eligible benefits:

Click Here for Claim Form.

If you purchased the Travel Medical Coverage option for your plan and have expenses related to the delay of your trip for covered hazards, please download this claim form and submit for reimbursement of eligible benefits:

Click Here for Trip Delay Claim Form.

Please Note: All claims must be filed within the time period specified in your plan. The insurance provided shall be in excess of all other valid and collectible insurance of indemnity, see your plan terms for details.

You may mail your claim form/documentation to:

Co-ordinated Benefit Plans, LLC
On Behalf of Travel MedEvac
P.O. Box 26222
Tampa, FL 33623

Or E-mail your information to: NWTravClaims@cbpinsure.com

Phone: 866-223-4772 (Direct Dial 727-450-8796)

IMPORTANT: To facilitate prompt claims settlement please be sure to include the following when submitting your claim form:

Detailed medical statements and medical records from treating physicians

  • Copies of invoices with receipts, or applicable credit card/bank statements, for proof of payment of medical services performed and medical supplies provided
  • Please Note: A copy of the Explanation of Benefits (EOB) for any other health insurance you have may be required, in order to coordinate benefits among insurers
  • Co-ordinated Benefits Plans may follow-up with you and/or the treating physician(s)/hospital, with questions and requests for additional information as appropriate.

ASSISTANCE SERVICES are provided by ON CALL INTERNATIONAL

The Travel Assistance program feature provides a variety of travel related services. Services offered include: Pre-Trip Information Medical Monitoring Medical, Dental and Pharmacy Referrals Legal Referrals – Bail bond* Hospital Admission Guarantee Dispatch of Medicine Translation Service Lost Baggage Retrieval Inoculation Information Passport / Visa Information Emergency Message Forwarding Emergency Cash Advance* Prescription Drug / Eyeglass Replacement* * Payment reimbursement is Your responsibility

FOR 24/7 TRAVEL ASSISTANCE SERVICES By ON CALL INTERNATIONAL:

602-344-9225 and Press “2” at the prompt to be connected

OR

(888) 963-4933 and Press “2” at the prompt to be connected

Claims and Assistance Services
General Information

Trip Protection Plan Claims and
Assistance Services

Medical Evacuation Plans and
Travel Medical Plans Claims and
Assistance Services