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Menu
 * EMERGENCY HELPLINE
 * Welcome Open submenu
 * UNSMIS Open submenu
 * Basic Concepts
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Close submenuWelcome
 * About UNSMIS
 * Statutes and regulations
 * Enrolment Campaign

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 * Affiliation and Retirement Open submenu
 * My Benefits Open submenu
 * How to Submit a Claim Open submenu
 * Tariff Agreements and Direct Payments
 * Prior Authorization
 * Fraud Prevention
 * Cost Containment
 * Temporary Staff and Specially Protected Persons Open submenu
 * Premium Contributions
 * Additional Services Open submenu
 * Is my Spouse a Dependent or an SPP?
 * Data Protection
 * FAQ's
 * Contact Us

Close submenuAffiliation and Retirement
 * Affiliation Open submenu
 * Retirement
 * Extension of Coverage After Separation

Close submenuAffiliation
 * UMOJA

Close submenuMy Benefits
 * Hospitalization, Surgery and Out Patient Treatment
 * Dental and Optical
 * Maternity and Infertility Treatment
 * Psychiatric Treatments
 * Pharmaceutical Expenses, Medical Imagery, Laboratory Analysis and Tests
 * Injections, Radiotherapy & Specialized Treatments
 * Functional Rehabilitation Treatments
 * Detox, Obesity, Stop Smoking and SPA Cures
 * Nursing Care and Home Help Services
 * Prosthetic Appliances, Hearing Aids, Breathing Devices and Wheel Chair
 * Transport
 * Funeral Expenses

Close submenuHow to Submit a Claim
 * Proof of Payment
 * Language of Documentation
 * Claim Following an Accident
 * Claim attributable to a Service Incurred Accident or Illness
 * Understanding my Claim Form
 * Other Insurance and/or National health Systems

Close submenuTemporary Staff and Specially Protected Persons
 * Specially Protected Persons (Dependent Parents)
 * Temporary Staff

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 * Direct Pay Agreements
 * Issuance of Certificates and Letters of Guarantee
 * Special Leave Without Pay (SLWOP)
 * 3 Month Extension

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 * Medical Insurance Forms Open submenu
 * Annual Reports and other financial documents
 * Newsletters
 * Memos, Communications, Administrative Instructions and Information Circulars

Close submenuMedical Insurance Forms
 * Claim Forms for Active Staff and Retirees
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 * Declaration of Accident Form
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 * UNSMIS position on COVID-19 Vaccines and Tests

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 * EMERGENCY HELPLINE
 * Welcome Toggle Dropdown
   * About UNSMIS
   * Statutes and regulations
   * Enrolment Campaign
 * UNSMIS Toggle Dropdown
   * Affiliation and Retirement Toggle Dropdown
     * Affiliation Toggle Dropdown
       * UMOJA
     * Retirement
     * Extension of Coverage After Separation
   * My Benefits Toggle Dropdown
     * Hospitalization, Surgery and Out Patient Treatment
     * Dental and Optical
     * Maternity and Infertility Treatment
     * Psychiatric Treatments
     * Pharmaceutical Expenses, Medical Imagery, Laboratory Analysis and Tests
     * Injections, Radiotherapy & Specialized Treatments
     * Functional Rehabilitation Treatments
     * Detox, Obesity, Stop Smoking and SPA Cures
     * Nursing Care and Home Help Services
     * Prosthetic Appliances, Hearing Aids, Breathing Devices and Wheel Chair
     * Transport
     * Funeral Expenses
   * How to Submit a Claim Toggle Dropdown
     * Proof of Payment
     * Language of Documentation
     * Claim Following an Accident
     * Claim attributable to a Service Incurred Accident or Illness
     * Understanding my Claim Form
     * Other Insurance and/or National health Systems
   * Tariff Agreements and Direct Payments
   * Prior Authorization
   * Fraud Prevention
   * Cost Containment
   * Temporary Staff and Specially Protected Persons
   * Premium Contributions
   * Additional Services Toggle Dropdown
     * Direct Pay Agreements
     * Issuance of Certificates and Letters of Guarantee
     * Special Leave Without Pay (SLWOP)
     * 3 Month Extension
   * Is my Spouse a Dependent or an SPP?
   * Data Protection
   * FAQ's
   * Contact Us
 * Basic Concepts
 * Documents Toggle Dropdown
   * Medical Insurance Forms Toggle Dropdown
     * Claim Forms for Active Staff and Retirees
     * Affiliation/Enrolment Form
     * Declaration of Accident Form
     * Banking Information Form
     * Form To Request a Cure
   * Annual Reports and other financial documents
   * Newsletters
   * Memos, Communications, Administrative Instructions and Information
     Circulars
 * COVID Toggle Dropdown
   * UNSMIS position on COVID-19 Vaccines and Tests
 * E-Claims

 1. Home
 2. My Benefits


MY BENEFITS

We strongly encourage our members to print out the overall Benefits Table (also
referred to as Annex III) and always keep a copy at hand. This table follows a
strict numeric sequence which is often referred to in other parts of the
Internal Rules.

However for your ease of perusal and for quicker access you will also find that
the website lists the various Benefits according to their general
classification, and then goes into further detail. This will help you quickly
access the information you need.

Please remember that medical treatments must always be carried out by a medical
doctor recognised as such by the competent health authorites. Treatment that
need not be delivered by a medical doctor, must still be done by professionals
recognised as such in their field of practice. (i.e. physiotherapy,
psychotherapy, etc...)

 We urge all members to ALWAYS remember that for certain medical benefits;

 * prior authorization, by the Medical Adviser of the Society, in writing must
   be requested in accordance with rule VIII.4 (b) of the Internal rules. The
   member must attach the written authorization to their claim. Such
   authorizations are only valid for a period of six months from the date on
   which they are granted.
 * The Medical Adviser shall determine the categories in which therapeutic
   treatments not listed in this annex may be classified for purposes of
   reimbursement.
 * Expenses incurred in respect of any of the acts listed in the following
   table, shall be reimbursed at a rate of 80 per cent  unless otherwise stated.
 * Supplementary Plan benefits may be paid depending on the type of medical
   treatment received. The various pages of this website dealing with the
   Benefits of the plan will specify so. Alternatively you may also find such
   information in Annex III of the Internal Rules. 

 

Reimbursement is subject to the procedures and conditions set forth in Annex II.
For the sake of clarification please do note that as a worldwide plan we cannot
possibly have an exhaustive list of every single item that is excluded. The
below points provide some guidance on the main issues of contention, and are not
to be considered an exhaustive list.

 * As a general rule of thumb we reimburse services by a Medical Doctor (MD) and
   medical drugs approved by the local competent authorities of the country
   concerned.

 * Cross border internet purchases of medicine are not reimbursed. Not all
   prescribed medication is reimbursable.

 * All reference to a "session" (for example physiotherapy and psychotherapy) 
   is to be intended as one session per day, irrespective of duration. Multiple
   sessions per day will be considered as a single session and the monetary
   limit of one session will be applied for reimbursement.
 * Alternative medicine treatment can be considered for reimbursement only if
   recognized as a "medical treatment" and carried out by a MD in the country
   concerned. Essentially some treatments may be reimbursable depending in which
   country they are undertaken.
 * Eye tests are reimbursable only if carried by an ophtamologist. Eye tests
   carried out by an optician when purchasing glasses/lenses are not
   reimbursable.
 * Acupuncture must be carried out by a Medical Doctor
 * Prescriptions are normally valid 6 months, unless otherwise stated by the
   doctor.

 

 Do not hesitate to contact at unsmis@un.org(link sends email) for any queries,
doubts or explanations.




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