Q: How do I know what benefits are being paid?
A: You will receive an Explanation of Benefits (EOB) which shows how your benefits were applied to your claim. This will show what was claimed, the amount applied to your deductible and any co insurance; the amount you owe the provider; what we paid the provider; an explanation of why a claim was denied. If a refund is made to you it will be attached.
Q. What is a deductible?
A: This is the dollar amount of Covered Expenses that must paid by you before other benefits are paid. It is on a per policy period basis.
Q: When/How can I get claim status?
A: You can call GBG Administrative Services at 877-916-7920 or direct at 949-916-7941 24 hours a day
Q: I am receiving bills from my provider. What do I need to do?
A: Please look at the statement and make sure that the provider has your insurance information. If they do not, contact the provider to give them the information from your ID card. They only have 90 days to file the claim.
Q: Can you send my claim reimbursement via ACH transfer?
A: We can send your claim reimbursement via ACH to any US Bank when the information is provided to us on the claim form. Banks outside the USA are considered on a case by case basis.
Q: My parents are returning home. Can the claim check be sent to me?
A: We must give the benefits to the to the person who is claiming. In order to reimburse someone other than the insured, the insured must provide a signed assignment of benefit with an address stating to whom and where claims payments should be sent.
Q: How do I appeal my claim if I do not agree with the decision?
A: Claim Appeals must be received in writing with information supporting your reason for appeal. They are addressed by GBG within 60 days after receipt. You may submit your written appeal to the address provided on the EOB and listed below.
Q: What if I paid for my medical bills in a foreign currency and my doctor’s receipts are in a foreign language?
A: We will have your documents translated. If the claim is considered eligible, you will be reimbursed in U.S. dollars, based on the exchange rate for the U.S. dollar.
Claim documents must be signed and submitted within 90 days from the date of service via postal mail or email attachment to:
GBG Administrative Services
26741 Portola Pkwy #1E # 527
Foothill Ranch CA 92610