MEDEX Assistance Corporation (MEDEX)
is a facility available to Aetna and Empire Blue Cross subscribers.
The $0.20 per month per subscriber cost is built into the premium schedule
for Aetna and Empire Blue Cross as set out on 2007 Schedule of Premiums.
MEDEX is a programme providing emergency medical assistance
- including assistance in arranging for emergency evacuation and repatriation - and other travel
assistance services when 100 or more miles from home.
Medical Assistance Services
Worldwide medical and dental referrals are provided to
help the participant locate appropriate treatment or care.
Monitoring of treatment: MEDEX Assistance Coordinators
will continually monitor the participant's case and its Regional Medical
Advisors will provide the participant with consultative and advisory
services, including the review and analysis of the quality of medical
care being received.
Facilitation of hospital payment: Upon securing
payment or a guarantee to reimburse, MEDEX will either wire funds or
guarantee the required emergency hospital admittance deposits.
Transfer of insurance information to medical providers:
MEDEX will assist the participant with hospital admission, such as relaying
insurance benefit information, to help prevent delays or denials of
medical care. MEDEX will also assist with discharge planning.
Medication, vaccine and blood transfers: In the
event medication, vaccine or blood products are not available locally,
or a prescription medication is lost or stolen, MEDEX will coordinate
their transfer to the participant upon the prescribing physician's authorization,
if it is legally permissible.
Replacement of corrective lenses and medical devices:
MEDEX will coordinate the replacement of corrective lenses or medical
devices if they are lost, stolen, or broken during travel.
Dispatch of doctors/specialists: In an emergency
where the participant cannot adequately be assessed by telephone for
possible evacuation, or cannot be moved, and local treatment is unavailable,
MEDEX will send an appropriate medical practitioner to the participant.
Medical records transfer: Upon the participant's
consent, MEDEX will assist with the transfer of medical information
and records to the participant or to the treating physician.
Continuous updates to family, employer, and physician:
With the participant's approval, MEDEX will provide case updates to
appropriate individuals designated in order to keep family, employer
and physicians informed.
Hotel arrangements for convalescence: MEDEX will
assist with the arrangement of hotel stays and room requirements before
and after hospitalization.