WhatsApp Tel: 407-243-8760
Tel: 408-850-2154
Toll Free: 855-428-3425


  Home Programs Quote FAQ   Online Forms FirstHealth PPO Member Area Contact Us
Members Area
  Members Area Home Claims Insurance
Reenrollments
Membership
Updates
Network
Providers
Rx, Dental &
Vision Discounts
Trawick Print /
Fax Forms

Members Area

India Network Foundation's Member's Area provides convenient access to on-line claim processing, insurance enrollments, membership updates, print friendly forms to mail or fax, First Health Network providers and TelaDoc Program to the India Network Foundation members participating in Axis Insurance Program. Links are provided in the Members Area for accessing the membership benefits.

Additional services are also available including:

- Discount Cards for Dental, Vision and RX through Aetna or the Careington network of providers
- Increased maximum medical coverage from $250,000 to $1,000,000 through Trawick International.



IMG Platinum Plan and VisitorCare Plans

International Medical Group
PO Box 88500
Indianopolis, IN 46208-0500
Tollfree: 1-800-628-4664
Telephone: 1-317-655-4500
--> On-line Claim Form for Policy Numbers SSRPO-xx

Axis Fixed Plan Reenrollment Form


Claims

India Network offers programs underwritten by ACE American Insurance Company and Axis Insurance Company.

ACE Insurance Policy Claims (fixed and network plans)

Administrative Concepts, Inc. (ACI) administers claims for policy numbers starting with GLM. For customer service, eligibility verification, plan information, or to file a claim, contact:

Administrative Concepts, Inc. (ACI)
994 Old Eagle School Rd., Suite 1005
Wayne, PA 19087-1706
Toll Free: 888-293-9229 (from inside the U.S.)
 Phone: 610-293-9229 (from outside the U.S.)
Fax: 610-293-9299
Web: http://www.visit-aci.com
EDI Payor#: 22384

On-line Claim Form for Policy Numbers GLM xx

 

 

AXIS Insurance Policy (25K/$75K) Claims

WebTPA Claims
PO Box 99906
Grapevise, TX 76099-9706
Fax: 469-417-1989
EDI Payor #: 75261

Web: http://www.webtpa.com


On-line Claim Form for Policy Numbers SRPO xx


Insurance Reenrollments
Please use the on-line insurance enrollment form for reenrollment of an existing plan. You may reenroll for up to 12 months of continuous coverage. Complete the form in its entirety. The last step will produce Summary of Benefits and Insurance ID Cards. If you have problems with online enrollment forms or need assistance in completing the forms, please contact our office for assistance at 407-243-8760 or 408-850-2154.

Standard Plan Reenrollment Form

Premier Plan Reenrollment Form

ACE Network Reenrollment Form


Membership Updates
Please use the on-line links to add existing visitors, update a membership or to change your address. If your membership has expired and you want to purchase health insurance for a visitor, use the Online Health Insurance Enrollment form and check "Please Renew my India Network membership ($10)" when prompted in Step 1 of the online application form. Contact our office for assistance at 407-243-8760 if you have questions.

Membership Form

Member/Visitor Update Form


First Health Network
India Network Foundation’s Standard and Premier Insurance Plans allow insureds to choose the doctor or hospital of their choice. To help our insureds enrolled in the ACE Network Coverage find a provider participating in a network, India Network provides access to the First Health PPO Network. Click on the link below to search for providers within the First Health Network or contact First Health at 888-293-9229.

First Health Network Provider Search
(For ACE network and Axis Plans)

MultiPlan Network Provider Search

Consult a Physician for Axis Policy holders with numbers SRPO..
The TelaDOc program is to help visiting parents and others who need to consult a physician during their stay in the United States or Canada for questions on medications, or pre-existing ailments such as Diabetic, Blood Pressure, Pain management, and for minor non-emergency physician consultations. This service is provided for the benefit of the Axis Plan Participants. Program is available 24 x7 and can be reached TelaDoc office by 1-800-TelAdoc.

24 X7 TelaDoc Physican Assistance

Consult a Nurse for ACE Policy holders with numbers GLM..
The purpose of this program is to help visiting parents and others who need to consult a medical professional such as a Registered Nurse during their stay in the United States or Canada for questions on medications, or pre-existing ailments such as Diabetic, Blood Pressure, Pain management etc. . This service is provided for the benefit of the India Network Health Insurance Participants. Program is available 24 x7 and can be reached a RN by calling 1-855-428-3425.

24 X7 Nurse Line Assistance

Dental and Vision Discount Cards
Aetna offers a discount card for dental, vision and RX benefits for US and Non US Citizens. The discount card is priced at a very low affordable level of $7.99 per month. If you wish to review and apply for the Aetna Discount Card, please click on the Vital Savings by Aetna link.

Careington offers a discount card program for RX, Dental, Vision, Chiropractic, HearPO and Diabetic supplies. It has a large network of participating dentists and discounts vary. Cost is only $15.95 per month for the entire household. To apply, click on the Careington Discount Medical Plan Application link.

Vital Savings by AETNA


Careington Discount Medical
Plan Application


TravelGuard
TravelGuard Worldwide Health is ideal for travelers going outside their home country looking for medical coverage from $250,000 up to $1 million. This program is designed for trips of 5 days up to a maximum of one year and provides coverage for emergency evacuation, medical expense, and trip interruption. Worldwide Health is Travel Guard's recommended product for travelers applying for a Schengen Visa. Worldwide Health covers residents from any country.

Travel Guard Worldwide Coverage

Trawick International
Trawick International is ideal for travelers going outside their home country looking for medical coverage from $250,000 up to $1 million. This program is designed for trips of 5 days up to a maximum of one year and provides coverage for emergency evacuation, medical expense, and trip interruption. Safe Travels USA is for travelers to the USA and Safe Travels International is for worldwide travel outside the USA and is recommended for travelers applying for a Schengen Visa. A Group Health Insurance for travel outside the USA is also available through Safe Travels Groups.

Collegiate Care (for students coming to USA
Safe Travels USA (USA and Worldwide)
Safe Travels USA Cost Saver (USA and Wordwide)
Safe Travels International (outside USA Worldwide)
Safe Travels Groups


Insurance Applications for Print and Faxing

 

Membership Forms  

Membership (pdf) -  Membership (doc)

Insurance Enrollment Form

Insurance (pdf) -  Insurance (doc)

Insurance ReEnrollment Form

Reenrollment (pdf)  - Reenrollment (doc)

Print the required form(s) and mail the completed documents to:
India Network Services
7065 Westpointe Blvd, Suite 209
Orlando, FL 32835-8758

Include (2) checks. One for Insurance Premium to India Network Services and one for
$10 membership fee payable to 'India Network Foundation' or Fax Completed Forms to 407-479-3289

Applicable only if cancellation occurs before start date of coverage.

Cancellation Form (pdf)

Insured must complete the first page of claim form (according to policy number) and  file with Administrative Concepts, Inc. (ACI) directly or along with provider office. A notarized affidavit duly signed by visitor to authorize US person to discuss claim status/questions with Administrative Concepts, Inc. (ACI).

Administrative Concepts, Inc. (ACI) Forms

ACE Claim Form (pdf)

ACE Accidental Death Claim Form (pdf)

ACE Dismemberment Claim Form (pdf)

   

Please Complete the HIPPA Form if you wish to discuss claim status on behalf of the visitor.

HIPPA Form (pdf)


*The India Network Visitors insurance provides limited accident and sickness benefits on a short-term limited duration basis for non-U.S. citizens traveling in the US