IMSSA INSURANCE MEDICAL COVER

SUMMARY

Our License Holders (U15, U17, U20, U23, Senior and Veteran Athletes, Coaches and Referees of all UWW styles) holding a valid license for the current year are insured by IMSSA Insurance against accidents and illness (except pre-existing conditions) at UWW competitions registerd in our calendar, under the conditions described below.

IMSSA’s benefits and procedures differ depending on whether an accident or illness occurs during a competition abroad or in the License Holder’s country of residence.

• During a competition abroad, ambulatory medical expenses must be paid by the Federation on site and will be fully reimbursed by IMSSA via an online claim.
• In the License Holder’s country of residence, only accident-related expenses will be reimbursed by IMSSA to the Federation on a subsidiary basis. This means that IMSSA will only cover the portion of the eligible expenses not covered by the local insurance.

However, in the event of an emergency (tel. +41 26 921 8001) during a competition abroad, IMSSA will pay the medical expenses directly to the hospital, where applicable, and will arrange repatriation if necessary.

As a general rule, when the License Holder returns to his/her country of residence for further treatment, he/she will benefit from IMSSA’s subsidiary coverage. This means that IMSSA will only cover the portion of the eligible expenses not covered by the local insurance. Note that the Federation must contact IMSSA before any treatment is initiated.

A distinction is made between:

• non-emergency cases: diagnosis, treatment and follow-up of a patient without, in general any night of hospitalisation
• Emergencies: surgery, hospitalisation of one night or more, request of medical cover from hospital

Except in cases of emergency, reimbursements are made by IMSSA once the License Holder’s Federation has opened a claim online via IMSSA's website www.imssa.org and has provided the requested UWW Medical Documents received on site by the Doctors.

Regardless of the nature of the accident or illness, IMSSA info@imssa.org and UWW licensing@uww.org must be informed within 48 hours.

In view of the above, all our License Holders are strongly encouraged to take out comprehensive insurance in their country of residence to ensure adequate coverage in cases where IMSSA’s insurance applies on a subsidiary basis.

Please note that if an injured athlete refuses hospitalization recommended by the UWW Doctor, IMSSA Insurance will not open a claim and will not provide coverage.

You will find below:

• the procedure to follow for each case
• details of the IMSSA online claim procedure
• a summary of useful phone numbers and passwords.

PROCEDURE

1. Accident/Illness during a UWW Competition abroad:

License Holders are insured against accidents or illnesses occurring during their stay, the competition and training sessions, provided that the accident or illness first occurs during the competition. IMSSA’s coverage includes all medical expenses (outpatient and inpatient) incurred in the country where the competition takes place.

For minor cases (without any night of hospitalisation) 

• Medical expenses are paid on site by the License Holder’s Federation
• To obtain reimbursement, the Federation must inform UWW and complete the IMSSA online claim form, attaching all relevant UWW medical documents* within 48 hours
• In the claim form, the Federation must provide the bank details of the beneficiary who will receive the reimbursement

In case of EMERGENCY (hospitalisation of one night or more, surgery etc.), the Federation (Coach, Doctor, Athlete) or the UWW Doctor must

• contact the IMSSA alarm centre +41 26 921 8001;
• identify him/herself by telephone with the contract number 22AYCA094011 and the username, which is UWW
• The IMSSA Alarm Centre will arrange the License Holder’s transportation to an appropriate hospital and/or repatriation and provide all the necessary information for the medical follow-up and financial coverage of the case. Payment will be made directly by IMSSA to the medical service providers (hospital, attending doctors, etc.).
• The License holder's Federation informs UWW and completes the IMSSA online declaration form, enclosing all UWW medical documents* within 48 hours.

Exception : IMSSA insurance coverage starts when the License Holder departs from his/her country of residence and ends upon his/her return to that country. During the transfer from home to the airport and from the airport to home, the License Holder is covered for accidents only. 

2. Accident / Illness during a UWW competition in the country of residence of the License holder 

IMSSA will pay the medical expenses related to an accident on a subsidiary basis. Medical expenses related to an illness will not be taken into account by IMSSA. Also, accidents that took place out of competition time like warm-up or the trip to and from the competition are not covered. In this case, the procedure is the following :

• the medical expenses is paid on site by the License holder's Federation
• To be reimbursed on a subsidiary basis, the Federation informs UWW and completes the IMSSA online declaration form (within 48 hours), enclosing all medical documents*.

3. How to complete IMSSA online declaration?

• log in on IMSSA website www.imssa.org
• enter your user name UWW
• enter your password 22AYCA094011 and follow the instructions 
• IMMSA INSURANCE CLAIM TUTO
   

**By “UWW medical documents”, we mean the UWW Injury Report Form (2 pages) and, where applicable, the UWW Hospital Transfer Form, issued and signed by the Competition Doctor. Without these documents and the claim submitted online via the IMSSA website on time, our insurer will not process the case. If the License Holder is taken to hospital, all relevant medical documents (X-ray results, medical reports, etc.) must also be attached.

RECAP 

• IN CASE OF EMERGENCY, CALL + 41 26 921 80 01
• USER NAME FOR THE ONLINE DECLARATION AND TELEPHONE IDENTIFICATION (EMERGENCY): UWW
• PASSWORD FOR THE ONLINE DECLARATION AND TELEPHONE IDENTIFICATION (EMERGENCY): 22AYCA094011
• IMSSA info@imssa.org
• UWW licensing@uww.org

This information is given on the back of the license cards.

IMSSA AND UWW MUST BE INFORMED ABOUT ALL CASES AT THE LATEST 48 HOURS AFTER THE ACCIDENT/ILLNESS

COVID-19 & QUARANTINE ABROAD 

• COVID-19 is considered as an illness. During a UWW competition abroad, medical expenses (ambulatory and/or hospital fees) due to COVID-19 are covered by IMSSA, only if the infection is declared for the first time during the competition. 
• If a licensee is suddenly and unexpectedly detained by the national authorities abroad (in the country of the competition), and is ordered a quarantine, IMSSA will cover food & accommodation for a maximum of 14 days, as well as additional cost of plane ticket (only if the ticket is modifiable) or ground transportation. Maximum amount per case CHF 3000. If the licensee was aware before his departure of a ban on entering the country of the UWW competititon without carrying out a quarantine and/or of a ban on returning to his country of residence without a quarantine, IMSSA will not cover any expenses.
• COVID-19 tests, as well as any complication, aggravation and later consequences due to COVID-19 are not covered by IMSSA. For further details you may contact info@imssa.org

Medical expenses due to COVID-19 during a UWW competition in the country of residence of the licensee are not covered by IMSSA.

COVID-19 tests are not covered by IMSSA

If a licensee is ordered a quarantine at a competition in his home country, quarantine expenses will not be covered by IMSSA. Procedure :

• the medical expenses is paid on site by the License holder's Federation
• To be reimbursed, the Federation (within 48 hours) informs UWW and completes the **IMSSA online declaration form, enclosing all medical documents*.
• In the declaration, the Federation provides the bank details of the beneficiary who wants to receive the reimbursement.

If you have any question, please contact UWW licensing@uww.org or IMSSA Insurance (info@imssa.org).