In case of any imminent or declared incident all insured have the obligation to contact immediately the dedicated claims management.
Should verification of a claim no longer be possible due to the failure of the insured to notify the insurer in a timely way, and due to this late notification a claim can no longer be identified or verified, the Insurer will not reimburse the claim that cannot be identified or verified.
In case of a medical assistance, it is mandatory to contact the 24/7 alarm center number as soon as possible after the incident has occurred.
Tel : +49 (0) 211 54014750
Email: sc-medical@de.sedgwick.com
Tel : +49 (0) 211 5401 4239
Email: sc-claims@de.sedgwick.com
If the insured is entirely unable to notify the insurer immediately and it can be proven that a personal or indirect contact with the dedicated claims management prior to consulting a certified medical practitioner at the moment of the event was impossible because of the patient’s life threatening situation, a notification in a timely manner by the policyholder/insured, the police, the hospital or any party to the incident, will be considered a valid notification.
All inpatient treatments (except emergency hospital admissions), are subject to pre-authorization. This means that in case of non-emergency hospitalization (planned treatments) for which the diagnosis of the medical condition has been established more than five (5) days before actual admission into a hospital the insurer has to be informed - by e-mail at the latest five (5) days before the hospitalization will take place.