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India Network - Member Area

India Network Foundation's Member's Area provides convenient access to online claim processing, insurance enrollments, membership updates, print friendly forms to mail or fax, First Health Network providers and Teladoc Program to the India Network Foundation members participating in AXIS BasicCare Insurance Program. Links are provided in the Members Area for accessing the membership benefits.

Select a Topic to Learn more Program Details

CHUBB Insurance Policy Claims (fixed and network plans) Insurance Reenrollments
Membership Updates FirstHealth Network
Consult a Physician for BasicCare Policy holders with numbers SRPO... Consult a Nurse for CHUBB Policy holders with numbers GLM...
Cancellation Policy

Claims

India Network offers programs underwritten by CHUBB American Insurance Company and AXIS Insurance Company.

CHUBB Insurance Policy Claims (fixed and network plans)

Administrative Concepts, Inc. (ACI) administers claims for policy numbers starting with GLM. For customer service, eligibility verification, plan information, or to file a claim, contact:

Administrative Concepts, Inc. (ACI)
994 Old Eagle School Rd., Suite 1005
Wayne, PA 19087-1706
Toll Free: 888-293-9229 (from inside the U.S.)
 Phone: 610-293-9229 (from outside the U.S.)
Fax: 610-293-9299
Web: http://www.visit-aci.com
EDI Payor#: 22384

In case of accidental or natural death of insured person, BEFORE YOU DO ANYTHING ELSE, PLEASE CALL AXA Travel Assistance Services at 855-327-1414 for 24-hour access.

Online Claim Form for Policy Numbers GLM xx

AXIS BasicCare Insurance Policy (25/50/75/100K) Claims

WebTPA Claims
PO Box 99906
Grapevine, TX 76099-9706
Fax: 469-417-1989
EDI Payor #: 75261

Web: http://www.webtpa.com

In case of accidental or natural death of insured person, BEFORE YOU DO ANYTHING ELSE, PLEASE CALL Europ Assistance Services at 877-243-4134 for 24-hour access or call collect at (240) 330-1528.

Online Claim Form for Policy Numbers SRPO xx

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Insurance Reenrollments
Please use the online insurance enrollment form for reenrollment of an existing plan. You may reenroll for up to 12 months of continuous coverage. Complete the form in its entirety. The last step will produce Summary of Benefits and Insurance ID Cards. If you have problems with online enrollment forms or need assistance in completing the forms, please contact our office for assistance at 408-540-3600.

CHUBB Standard Plan Reenrollment Form

CHUBB Premier Plan Reenrollment Form

CHUBB Network Reenrollment Form

AXIS BasicCare Fixed Plan Reenrollment Form

Membership Updates
Please use the online links to add existing visitors, update a membership or to change your address. If your membership has expired and you want to purchase health insurance for a visitor, use the Online Health Insurance Enrollment form and check "Please Renew my India Network membership ($10)" when prompted in Step 1 of the online application form. Contact our office for assistance at 408-540-3600 if you have questions.

Membership Form

 

Cancellation Policy:
Cancellation is applicable only if occurs before start date of coverage, and it requires $25 processing fee. Please fill out the cancellation form, and fax your completed form to 408-520-4967.
Cancellation or refund are not offered on or after effective date of insurance.
Note: Cancellation applies to the whole policy (regardless of number of people insured).

First Health Network
India Network Foundation’s Standard and Premier Insurance Plans allow insureds to choose a doctor or hospital of their choice. To help our insureds enrolled in the CHUBB Network Coverage find a provider participating in a network, India Network provides access to the First Health PPO Network. contact First Health at 888-293-9229.

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Consult a Physician for AXIS policy holders
The Teladoc program is to help visiting parents and others who need to consult a physician during their stay in the United States or Canada for questions on medications, or pre-existing ailments such as Diabetic, Blood Pressure, Pain management, and for minor non-emergency physician consultations. This service is provided for the benefit of the BasicCare Plan Participants. Program is available 24 x7 and can be reached Teladoc office by 1-800-TelAdoc.

24 X7 Teladoc Physican Assistance  

Consult a Nurse for CHUBB Policy holders with numbers GLM
The purpose of this program is to help visiting parents and others who need to consult a medical professional such as a Registered Nurse during their stay in the United States or Canada for questions on medications, or pre-existing ailments such as Diabetic, Blood Pressure, Pain management etc. This service is provided for the benefit of the India Network Health Insurance Participants. Program is available 24 x7 and can be reached a RN by calling 1-855-428-3425.

   

*The India Network Visitors insurance provides limited accident and sickness benefits on a short-term limited duration basis for non-U.S. citizens traveling in the US