Iprass - Manutencoop

SUPPLEMENTARY
HEALTH CARE
GUIDE
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Example summary of the services covered by the Supplementary Health Care Plan.
Please see the “Benefits Guide” which lists the services, limits, conditions and procedures.
MANUTENCOOP PROTECTS YOUR HEALTH.
The Manutencoop Group believes in company welfare benefits.
IT BELIEVES that it is important to combine the company’s development with
its employees’ ambitions of personal and professional growth.
IT BELIEVES that to do this, it is important to be able to meet the real needs
of its workers.
For this reason, it provides its employees with a completely free supplementary healthcare plan through enrolment with the IPRASS Fund:
so, Manutencoop Facility Management workers can take advantage of
supplementary healthcare services above and beyond those provided by the
National Health Service (NHS).
With this initiative, Manutencoop anticipates and supplements the requirements of the Cleaning and Multi-services national collective labour agreement
starting from July 2013. To support households in an economically difficult moment such as the present, Manutencoop has chosen to immediately activate a
healthcare plan, investing more resources than the compulsory contributions
required under the national collective labour agreement to ensure services
and reimbursements that can better meet the real needs of its employees.
The supplementary healthcare is provided to employees at no cost.
The healthcare services cover illnesses and accidents and are provided to all
employees with unlimited term contracts as well as their households.
The healthcare is provided by the IPRASS Assistance Fund, a Supplementary Health Care Fund, in partnership with Unisalute, a specialised
health insurance company.
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DO YOU NEED A CARDIOLOGIST,
AN ORTHOPAEDIST OR, IN GENERAL
SPECIALIST EXAMINATIONS?
> If you use National Health Service facilities, you are responsible
for paying only 5 EUROS for each
co-payment, and you will be reimbursed for the rest by Unisalute after
submitting expense records (co-payment
and the prescription from your general practitioner which indicates the assumed or confirmed illness) twice per year (see page 14).
Book an
appointment at
www.unisalute.it
IT’S FAST
AND EASY!
> If you use private healthcare
facilities approved by Unisalute
and approved doctors, you pay
25 EUROS for each examination,
and Unisalute will pay the remaining
amount due directly to the facility
you have chosen. When the service
is provided, remember to submit
the prescription from your general
practitioner which indicates the
assumed or confirmed illness.
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DO YOU NEED DIAGNOSTIC TESTS
FOR EXAMPLE BLOOD TESTS?
> If you use National Health Service
facilities, you are responsible
for paying only 5 EUROS for
each co-payment, and you will be
reimbursed for the rest by Unisalute
after submitting expense records
(co-payment and the prescription from
your general practitioner which indicates
the assumed or confirmed illness) twice
per year (see page 14).
Each household has an annual
expense limit of 1,500 EUROS
for specialist examinations or
diagnostic tests.
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HAVE YOU BEEN HOSPITALISED FOR AN
ACCIDENT OR ILLNESS AND NEED
HOME HEALTHCARE?
For 120 DAYS after the discharge date, you have home
hospitalisation and medical, rehabilitation, nursing and pharmacological assistance services available to you through healthcare
facilities approved by Unisalute.
> If you use private healthcare facilities NOT approved by
Unisalute, you will be reimbursed
for 80% of the expense incurred,
up to the established expense limit.
Unisalute will define the medical/rehabilitation programme
according to the instructions
of the healthcare professionals
who approved the discharge for
up to a maximum annual cost of
10,000 EUROS per person.
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DO YOU NEED EXAMINATIONS, TESTS
OR HIGHLY SPECIALISED TREATMENTS
?
FOR EXAMPLE, ELECTROCARDIOGRAM (ECG), ULTRASOUND PICTURE
OR MAGNETIC RESONANCE?
> If you use National Health Service
from your general practitioner which
facilities, you are responsible for
indicates the assumed or confirmed
paying 5 EUROS for each co-
illness.
payment, and you will be reimbursed
for the rest by Unisalute after submitting
expense records (co-payment and the
prescription from your general practitioner
which indicates the assumed or confirmed
illness) twice per year (see page 14).
Book an
appointment at
www.unisalute.it
IT’S FAST
AND EASY!
> If you use private healthcare facilities approved by
Unisalute
and
The
highly
specialised
servic-
es also include treatment cycles
such
dialysis
as
chemotherapy,
and
radiotherapy:
the complete list of services is available in the Benefits Guide on the
website www.manutencoopfm.it
in the section for employees.
approved
doctors, you pay 45 EUROS for
each diagnostic test or treatment cycle, and Unisalute will pay
the remaining amount due directly to the facility you have chosen.
Each
household
has
a
When the service is provided, re-
guaranteed annual expense
member to submit the prescription
limit of 5,000 EUROS.
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ARE YOU EXPECTING A CHILD
Each household has a guaranteed annual expense limit of 1.000 EUROS.
You can also receive a daily benefit
of 70 EUROS for hospitalisation
(overnight) for childbirth for a maxi-
mum of 15 days per year, per houseThe following are completely FREE at
facilities approved by Unisalute:
> check-up ultrasound
pictures
> amniocentesis
> blood tests to monitor the
pregnancy
> specialist check-ups on the
progress of the pregnancy*
> a gynaecological check-up
after childbirth*
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hold**.
Book an
appointment at
www.unisalute.it
IT’S FAST
AND EASY!
* service reimbursed even if provided
in unapproved facilities within the expense limit of 1.000 euros.
** This is considered an additional benefit with
respect to the 1.000 euro expense limit established for examinations and tests.
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HAVE YOU HAD AN ACCIDENT AND NEED
PHYSIOTHERAPY REHABILITATION?
Unisalute will pay expenses for phys-
treatment cycle, and Unisalute will
iotherapy treatments following acci-
pay the remaining amount due direct-
dents exclusively for rehabilitation pur-
ly to the facility you have chosen after
poses following submission of an
submission of the prescription of your
emergency room certificate and
general practitioner which indicates
a prescription from the primary care
the assumed or confirmed illness.
doctor or a rehabilitation therapist.
> If you use private healthcare fa-
> If you use National Health
cilities NOT approved by Unisalute,
Service
will
you will be reimbursed for 75%
for
of the total expense incurred, al-
co-payments by Unisalute after
though you will still need to pay 70
submitting expense records (co-pay-
EUROS per invoice/person, by sub-
ment, copy of the request of the general
mitting the expense records (invoices,
practitioner which indicates the illness
receipts, copy of the request of the general
and a copy of the emergency room cer-
practitioner which indicates the illness and
tificate) twice per year (see page 14).
a copy of the emergency room certificate).
be
Book an
appointment at
www.unisalute.it
IT’S FAST
AND EASY!
facilities,
FULLY
you
reimbursed
> If you use private healthcare facilities approved by
Each household has a guar-
Unisalute and approved doc-
anteed annual expense lim-
tors, you pay 30 EUROS for each
it of 300 EUROS.
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DO YOU NEED A SPECIALIST
DENTAL EXAMINATION?
Unisalute pays for one specialist
dental examination and one professional cleaning per year (the
latter for up to a maximum cost of
60 EUROS) in approved healthcare facilities indicated by the
Operational Centre, which must
also make the appointment***.
Book an
appointment at
www.unisalute.it
IT’S FAST
AND EASY!
*** Unisalute authorises a second professional
cleaning in the same year if the doctor finds this
necessary. All other dental care, such as dental prostheses, periodontal disease treatments,
dental treatments and dental tests, is excluded.
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DO YOU NEED SPECIFIC
DIAGNOSTIC SERVICES?
DO YOU INTEND TO HAVE A PHYSICAL EXAMINATION?
Unisalute pays for check-ups (once
per year in a lump sum) in approved
healthcare facilities: the services, which are different for men and
women, include for example blood
tests, Pap tests, PSA tests, etc.
Book an
appointment at
www.unisalute.it
IT’S FAST
AND EASY!
The complete list of services is
available in the Benefits Guide
at www.manutencoopfm.it
in the section for employees.
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AND, LASTLY, DO YOU SIMPLY
NEED ADVICE
?
You can request:
The Unisalute Operational Centre
is available to you at the toll free
number 800-822470 Monday
to Friday from 8:30 a.m. to
7:30 p.m. (Italy country code
+0516389046 if calling from abroad).
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> direct and indirect assistance in Italy and abroad
> information on specialised
medical centres for specific
diseases in Italy and abroad
> information on drug ingredients, indications and contraindications
> information on the location
and specialisations of public
and private healthcare facilities
> information on healthcare administration aspects (bureaucratic information, co-payment exemption, etc.).
You can also obtain medical advice
through the Operational Centre.
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WHAT TO DO...
> BEFORE THE HEALTHCARE SERVICE
For all services covered by the Healthcare Plan
PLEASE GO TO THE Customers section on the website
www.unisalute.it or, alternatively, CALL the Operational Centre’s
toll free number 800-822470 (8:30 a.m. - 7:30 p.m. Monday to Friday)
CHOOSE the type of healthcare facility you prefer:
> National Health Service (NHS)
> Private Healthcare Facilities approved by Unisalute (you
can check which facilities are approved at www.unisalute.it or by
calling the toll free number)
> Unapproved private facilities (covered by healthcare assistance
only for rehabilitation treatments after accidents and gynaecological
examinations during pregnancy)
BOOK AN APPOINTMENT and OBTAIN the service you need.
If you choose facilities approved by Unisalute booking an
appointment is fast and easy! Just use the medical visit/exam
appointment tool on the website www.unisalute.it in the
Customers section.
This tool is useful because you can immediately see if the required
service is covered by the healthcare Plan and understand which
approved healthcare facility best meets your needs. Or, you can
contact the Operational Centre at the dedicated toll free number.
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> AFTER THE HEALTHCARE SERVICE
DID YOU CONTACT THE NATIONAL HEALTH SERVICE OR
TO A PRIVATE UNAPPROVED FACILITY?
1.PRINT and FILL OUT the reimbursement form (also available on
the website www.manutencoopfm.it in the section for employees or
in your Private area on the website www.unisalute.it).
2.ATTACH a copy of the medical and expense records and
SEND everything to: UNISALUTE - Rimborso Clienti
[Customer Reimbursements] - c/o CMP BO
via F. Zanardi 30 - 40131 - BOLOGNA
Remember that the healthcare co-payment reimbursement request
may be made only twice per year, once in June and once in December. Therefore, keep the co-payment tickets for the half-year and send
them in one reimbursement request.
Without prejudice to disputes or requests for clarification, Unisalute pays
amounts due by bank transfer (and reserves the right to request the original
records if necessary).
DID YOU CONTACT A FACILITY
APPROVED BY UNISALUTE?
Unisalute directly pays the facility based on what is established by
the individual coverage. If you are required to make a payment, you
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must pay it directly to the facility after the service is provided.
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> WWW.UNISALUTE.IT AT YOUR SERVICE
It is possible to access services easily online to speed up and simplify all reimbursement transactions and personal information updates as much as possible.
On the website www.unisalute.it, after registering in the Customers section,
you can access a series of tools provided especially for you, designed to facilitate your use of the healthcare Plan:
>book appointments for examinations or tests at approved facilities directly
online
>check and update your personal and banking information
> request reimbursements and print the reimbursement request form
> check the status of reimbursement requests submitted to us
> check your online account statement
> check the services provided by your healthcare Plan
(which services are included, and their limits and conditions)
> check the list of approved healthcare facilities
> obtain online medical advice
> REMEMBER
Check which services are included, and their limits and conditions, any time
by calling the toll free number or checking the website www.unisalute.it or
the Benefits Guide.
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www.depsrl.it
For all services covered by the Healthcare Plan
go to the Customers section of the website:
www.unisalute.it
or contact
the Operational Centre at the dedicated toll free number:
Numero Verde
800 82 24 70
(hours: 8:30 a.m. - 7:30 p.m. Monday to Friday)
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This brochure has been prepared as a summary document, and under no circumstances may the brochure replace the “Benefits Guide - Manutencoop healthcare service no. 16”, from which it exclusively highlights the main characteristics.
The Guide (available on the website www.manutencoopfm.it and delivered to
each party concerned) is therefore the only valid document which provides full and
exhaustive information.
Via U. Poli no. 4,
40069 Zola Predosa (BO)
Tel. +39.051.35.15.111
Fax. +39.051.61.66.807