Medical consultations within the medical network
The insured will have free choice of doctors in case of accident or illness or they can use the medical networks of the insurers where they would only have to make the co-payments, and the prices of the consultations are already agreed with the insurers.
The information of the insurers’ medical networks can be found in our medical expenses section, you must select the insurer with which you have the plan, and click on the medical networks section. They are also available at www.confiamovil.co.cr
The insured must preferably present their insurer’s card at the time of the appointment. The doctor must complete the claim form available on this website, some claims are numbered so they can not be reused. To process the reimbursement of expenses, you must attach medical prescriptions, invoices originating from pharmacies in case of needing medications or other exams to be covered by insurance.
Medical consultations outside the Medical Network
The insured can go to any doctor authorized by the College of Physicians and Surgeons. In these cases you must cancel the entire cost of the consultation and then request reimbursement. For this you must complete the claim form and attach all the invoices in original. The insurer would pay the reasonable and customary costs for these medical consultations outside of their network.
Which hospitals are within the medical network?
The medical networks usually include the main hospitals Cima, Biblica, Catholic, Jerusalem, Unibe, Metropolitan, La California, San Rafael Arcángel, Blue medical among others. Some Laboratories such as LABIN, Echandi, San José.