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SCHEDULE OF BENEFITS
www.marinebenefits.no
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CONTENTS
NOTE: This document outlines the main features of your Marine Benefits healthcare program
and is subsidiary to the full policy wording as agreed with your Employer. Information in this
booklet and welcome package are based on current agreed terms and conditions.
The latest updated overview of benefits at any time, is always available in the member portal
or in the Pocket Assistant.
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Your employer has provided you with a private medical insurance, and the plan
provides for a comprehensive medical coverage.
Your membership is valid from effective date shown on your membership card,
and you are entitled to take advantage of the benefits immediately from that
date. This medical insurance covers you while you are ashore in your country
of residence. (i.e. the insurance does not cover you when you are working
onboard). It will cover you for treatment up to the limits and according to terms
as specified in the Schedule of Benefits (SoB).
Should your employment with the company cease, your membership in the
program will be terminated.
Kindly read through the full content of this booklet including the Schedule of
Benefits to fully enjoy your medical plan.
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NOTE: All insurance companies are mandated by law to get your active consent. Marine
Benefits is compliant with GDPR requirements in storing and handling your personal data.
Before clicking on the REGISTER button, it is highly important that you have read and fully
understood our Data Privacy Policy.
STEP 2 - Open the mobile app and register by using your MBAS ID
number and assign your password. Your username is your
MBAS ID.
STEP 4 - To continue with the registration process, you must read and
agree to the Marine Benefits Data Privacy Policy.
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DEFINITION OF TERMS
The most commonly used phrases and terms used in connection with your
coverage is explained in the following:
CHARGE means the usual and customary fees Incurred for a service or item
provided in the geographical area under similar or comparable circumstances,
as determined solely by Underwriters. Charges for hospital or confinements are
incurred on the date of admission. All others are incurred on the date the service
or item is received.
BENEFITS mean the insurance coverage provided by the Policy and any additional
extensions or restrictions shown on the Schedule or by endorsement.
CLINIC means a licensed medical facility devoted to the diagnosis and care of
outpatients, and which:
• provides, as its chief function, diagnostic and therapeutic services and care
of injured or sick persons.
• has a professional staff of one or more licensed Physicians and surgeons
to provide or supervise its services at all times.
• is operated in accordance with the laws of the jurisdiction in which it is
located, and
• is legally licensed as a medical or surgical hospital in the country in which
it is located.
* a clinic cannot be a health resort, spa or sanatorium.
COVERAGE PERIOD means the period that begins on the effective date and
continues for as long as the premium is paid and accepted by Underwriters or the
expiry date, whichever first occurs.
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DEDUCTIBLE means the amount of charges which must be borne by the insured
person in respect of each claim.
INITIAL VISIT means the first visit by an insured person to a Physician, hospital or
clinic for a general consultation during the period of insurance.
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INSURED PERSON means all Officers and Crew employed by the Assured
wherever situated (Primary Insured Persons) and their Spouses, Dependent
Children (Dependent Insured Persons) and Parents, where applicable and as
shown in the Schedule.
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PER CAUSE means each separate sickness or injury or each separate medical
diagnosis.
PRESCRIPTION DRUGS are medications whose sale and use are legally restricted
to the order of a Physician and which can only be obtained with a Physician’s
written prescription.
SPOUSE means a person who is the primary insured’s legal wife or husband.
Where used, it can also mean cohabiter, being a person who:
• is enrolled by name as a member through the usual approval process by
the employer, and they have been entered on the schedule of insured
persons by the assured and the appropriate premium has been paid, and
• has resided at the domicile of the primary insured person continuously for
the prior 365 days.
• A Primary Insured may have one legal wife covered under the Policy.
USUAL AND CUSTOMARY means the reasonable, usual and customary Charges
in the geographic area in which such charges were incurred. At no time will the
policy pay any amount higher than the usual and customary rates for a specific
geographic area.
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1 GET IN TOUCH
MARINE BENEFITS
2 APPROVES VISIT
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MEMBER NOTIFIES
1 MARINE BENEFITS IT IS
LATEST WITHIN 72
HOURS OF MEMBER’S
HOSPITAL VISIT
MEMBER LOGS-IN
2 3 AND SUBMITS
REIMBURSEMENT
CLAIM ONLINE
MEMBER
SETTLES
THE BILL
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INPATIENT AVAILMENT
NON- EMERGENT / ELECTIVE CASES
I. Cashless claim
1. Get Admitting Order from an Accredited Specialist.
2. Call Marine Benefits or Partner Provider at least 48 hours
prior to admission for assistance in securing the entitled room
assignment and other verifications regarding the coverage.
3. Member goes to the Admitting Section in the hospital and
presents his admitting order and identification.
4. Hospital staff secures Letter of Approval (LOA) for the confinement
and will be attached to the other admitting documents.
5. All non-coverable and excess charges must be settled by the
member upon discharge. (Extra food, extra pillow/ blanket, etc.)
II. Member may initially pay for all inpatient expenses and reimburse
later.
EMERGENCY CASES
Accredited Hospitals
1. Go to Emergency Room (ER) of nearest Accredited Hospital.
2. Kindly declare to the ER Staff that member is under Marine
Benefits and present your member card.
3. Avail of treatment at Emergency Room.
4. ER personnel will facilitate approval of medical services.
Non-accredited Hospitals
1. Go to Emergency Room of nearest hospital.
2. Avail of treatment at the Emergency Room.
3. If confinement is necessary, call the number at the back of your
card or MBAS as soon as possible and within 24-48 hours for
assistance to assess coverage or arrange the transfer to an
accredited hospital.
4. If a payment guarantee has not been arranged, settle all ER
fees and secure all original pertinent documents related to the
availment (i.e. Medical Certificate, official receipts, etc).
5. Forward all original documents and the Claim Reimbursement
Form to Marine Benefits without delay after discharge.
DATA PROTECTION:
“Personal and Medical data acquired and recorded during medical claims availment are handled according
to European and Norwegian Data protection guidelines and will in no way be shared with your employer/
employers.”
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Should you have additional enquiries and for more information, you
may also contact our global call centre or use our chat function at
www.marinebenefits.no
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NOTE: Countries not in the list, please call +632 7 753 4442. You will be handled by English speaking
representatives. Note that above is subject to change as we are continuously improving our Network.
Updated contact points at any time are found on our Website and in Pocket Assistant.
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STAYING HEALTHY
When you face illness, Marine Benefits is there to provide support and cover for needed
medical treatment. However, to stay healthy some simple steps can reduce risk factors
that potentially can lead to illness.
Living a healthier life isn’t rocket science, and the equation is rather simple in theory. It is
all about; EAT + MOVE + SLEEP + POSITIVE RELATIONS.
Practicing and balancing these principles is of course no guarantee for a healthier and
better life, but the probability is at least much higher. Whatever you do is a matter of
choices, and everything you do is either a net gain or a net loss.
+ + +
POSITIVE
EAT MOVE SLEEP
RELATIONS
• • •
• Eat regularly, • Be physically active • Get 6-8 hrs. of sleep/ • Make it a point to
three main meals: at least 30 min/ night. get to know your
breakfast, lunch and day or walk at least fellow crew -do you
dinner. Possibly 1-2 10.000 steps /day. • Spend 20 minutes know everyone’s
snacks if needed. outdoors every day, name and the
• Do vigorous physical preferably in the names of their family
• Eat only one portion activity 3-5 days/ morning. We need members?
every meal. week. sunlight!
• Find a hobby that
• Eat five different • Muscle strength 2-3 • Create a dark, cool you can bring
vegetables every times/week involving and quiet sleeping onboard.
day. For weight loss major muscle groups. environment.
max. 1 fruit/day. • Eat your meals
• Movement pause: • Drink all caffeine together with your
• Eat clean: Avoid For every 20 minutes before 2pm (or colleagues.
processed and sitting, walk 2 earlier).
fast food such as minutes. • Engage in social
candy, sweets, • Create a routine activities onboard:
cakes, cookies, ice • Find activities you for going to bed & BBQ, karaoke
cream, soda, pizza & enjoy and do them avoid screen time 1hr nights, games,
burgers. more often -the more before sleeping. dancing etc.
physical activity the •
• Drink water, at more health benefits. • Keep a daily
least 8 glasses/ gratitude diary –
day. Unlimited tea • Exercise with a friend write down 3 things/
and coffee (without and it will be more day in your life you
sugar). fun! are thankful for.
•
• Never eat alone.
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SI M P L E H E A LT H
INDI CATO R S I N NU M B ERS
N A ME
WAIST IN CM WEIGHT IN KG
HEIGHT IN CM HEIGHT IN M
METERS CM
SYSTO LIC B P
D I ASTO LIC B P
PULSE
R E ST I N G
MAX 220 -
YO UR AGE
=
WAIST IN CM
=
WA I ST TO H E I G H T
HE IG HT IN CM R AT I O
M A L E • I D E AL B ODY W EIGH T
( METERS . CM
YOUR HE I G HT )
2
X 23.0 =
KI LO G R A M S
( METERS . CM
YOUR HE I G HT )
2
X 21.5 =
KI LO G R A M S
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Visiting Address:
Olav Kyrresgate 11, NO-5014
Bergen, Norway
SUPPORT &
O P E R AT I O N S
HOTLINE
+ 63 2 7 753 4442
mbasbergen@marinebenefits.no
mbasmanila@marinebenefits.no www.marinebenefits.no