Q: I recently took a Mediterranean cruise on Oceania’s MS Marina. I bought Allianz Global Assistance trip insurance through my travel agent, and paid $789 for coverage for me and my wife. The travel insurance includes $25,000 medical coverage for the cruise.
Three days before the cruise ended, I awoke shivering with a temperature of 103.1 degrees. The ship’s medical staff treated me with IV antibiotics and other medications, and gave me a chest X-ray. I was in the sick bay for two days.
I am over 65 years old and have Medicare health insurance, which does not cover anything outside the U.S. That is the main reason I bought the trip insurance. I sent the medical records and invoice from Oceania to Allianz in late October once I returned from my cruise and started a claim. After two weeks, I called and chatted with Allianz online and was told that the claim was still under review.
It’s been three weeks, and Allianz just sent me a request for an explanation of benefits from my primary and supplemental insurance. I sent an email back to the company letting it know that there is no explanation of benefits, since I can’t file a claim from out of the country with Medicare.
How long can Allianz drag this on? It advertises quick claim resolution and states that it reviews claims in seven to 10 days. I would consider that to be untrue. I paid Oceania $5,929 for two days of onboard medical care. Can you help expedite this claim?
Boca Raton, Florida
A: Did you say you paid $5,929 for two days in the sick bay? What did they do, give you a makeover? These expenses should have been covered by your travel insurance, of course – and quickly. When your insurance company started asking for more time, it should have explained why and given you an estimate on how much longer your claim would take. Unfortunately, travel insurance companies don’t always do that, so they leave you guessing.
You made the right call, buying insurance. Without your Allianz policy, you would have paid the $5,929 out of pocket with no hope for reimbursement.
Travel insurance works in a deliberate – often painfully deliberate – way. An adjuster needs to verify that you’re not covered by other insurance and complete other kinds of due diligence before cutting a check.
It appears Allianz had asked you to file a claim with your primary and/or supplemental health insurer and to contact it when your claim had been finalized. It also requested an explanation of benefits or a letter of denial of coverage, both of which are routine but can take some time. Travel insurance companies can fast-track claims of under $100, in my experience, but for something like this, they really need to cross the T’s and dot the I’s.
If you’d received a rejection, or if the claims process had gone on another month, you might have reached out to one of the Allianz customer-service executives. I list their names, numbers and email addresses on my consumer-advocacy site.
I contacted Allianz on your behalf, and it paid your entire claim. So what was the holdup? Evidently, it really needed you to file a claim with your primary insurance carrier, Medicare, even though the claim would be denied. Rules are rules.
Write to Chris at firstname.lastname@example.org.