MEDICAL

INSURANCE

The school has insurance with IMG (International Medical Group). On arrival you will be enrolled by the HR department

How to use IMG Health and Vision Insurance

1. Insurance card

2. Deductible

- The deductible for individuals and is $250 per person.

- Deductible per family and 2 person party is $500

- Deductibles are per calendar year, not school calendar year

3. Claims

- Claims may be presented by mail or by fax.

-Please make copies of all claims you turn in and keep a file of statements of benefits for your paid claims

If you have turned in a letter of creditable coverage from your previous carrier you will not be subject to limits on pre-existing conditions. This is a letter stating your name, the dates you were covered and the name of the carrier.

Outside the United States

  1. Make an appointment with any physician of your choice (if you need help or references, please see HR Coordinator or our school doctor)

  2. Pay for the services and request an invoice (factura) in your name or your dependents name.

  3. Mail, email or fax in claim form and expect reimbursement or application to deductible within four weeks.

  4. Check booklet for procedures and tests that require preauthorization. You can get pre authorization online a www.imglobal.com and clicking on Current Clients and Initiate Pre certification.

In the United States

  1. Search for a provider on the IMG website (www.imglobal.com) by clicking on Current Clients.

  2. If you do not use an IMG provider you will be required to file a claim and you will only be reimbursed 80% after a $200 deductible.

  3. Present your card when you arrive and pay $10.

  4. You do not need to file claim forms or pay anything else.

  5. Preauthorization for surgery or tests must be requested by the doctor.

Hospitalization

  1. In Guatemala you should use Sanatorio Nuestra Señora del Pilar (tel. 2420-0000, Colonia Tecun Uman, Zone 15). For hospitalization claims over $250 there is a direct billing agreement. In order to begin the direct billing process please contact Jennifer immediately. During office hours, please ask to speak to Brenda Barco in Billing. This does NOT include emergency room services, lab tests or outpatient procedures.

  2. If your claim is under $250, for emergency room or outpatient procedures or if you use another hospital, you will need to proceed as described above for filing claims.

  3. For any type of inpatient or programmed outpatient care you will need preauthorization. If you are able, you can obtain preauthorization via the IMG website or by calling the number on the back of your card. If not, please contact or have some contact the HR Coordinator for you.

  4. For hospital care in the US you will need to have preauthorization, which your doctor will usually obtain for you. Make sure you check the website to verify the participating hospitals in your area.

Pharmacy

Prescription medications are covered. Please pay and submit the receipts and prescription along with your claim. Over the counter medications are NOT covered.

eDoc America

This service gives you the ability to email health questions and concerns directly to an MD who is certified to answer their questions and provide advice. You aren’t charged for the advice, and there’s no limit on the service or number of contacts you may make

School Doctor

Colegio Maya has a school doctor, Dr. Andres Arango. He is on campus weekday during school hours and you may visit her when she isn’t with students. He can refer you to specialists as needed.

Limits on Vision Coverage

1. Eyeglasses (lenses and frames) and contact lenses up to $150 every 24 months.

2. Eye examinations up to $100 every 24 months.

Please note that eye examination, lenses contacts or frames area available after 12 months of continuous coverage

Life Insurance

Foundation teachers are provided with a life insurance policy equal to one year’s salary. You are required to fill out an enrollment form and indicate your beneficiaries. This form will be kept on file in the Foundation office.

DENTAL CARE

How to use dental insurance at Centro Dental

Your dental insurance is provided by Dr. Julio Montenegro. He is located in Edificio Multimedica, Blvd. Vista Hermosa 25-19 Vista Hermosa I on the 8th floor. For appointments call 5691-4001. You will receive 3 vouchers per person, 5 vouchers per couple or 7 vouchers per family. Dr. Montenegro has the vouchers at the clinic.

Under our plan they will cover all diagnostics and X-rays, and cleanings as well as fillings and extractions. For other services they will provide you with a price list and payment plan. A list has been sent to the Dental office of teachers and family members. If you have specific questions, please see the HR Coordinator.

MAKING A CLAIM

The normal procedure is to pay up front and claim for reimbursement. To make a claim you need to complete this form

HOSPITAL

Sanatorio El Pilar

Direct Bill

3rd street, 10-71, zone 15, colonia Tecún Umán

24 hour emergency and laboratory

Tel. 2279-5000

100% IMG insurance coverage


ALLERGY, IMMUNOLOGY & ASTHMA

Dra. Michelle Rigalt

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 10th floor, office 1007

Tel. 2385-7753


CARDIOLOGY

Dr. Juan Luis Arango

4th ave, 17-53, zone 10, Clínicas Médicas building, 8th floor, office 801

Tel. 2228-6087


DENTIST

Dr. Julio Cesar Montenegro

8vo nivel de Multimedica

Tel. 5691-4001/4212-3004


DERMATOLOGY

Dr. Carlos Villanueva Jr

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 9th floor, office 905

Tel. 2385-7681


Dr. Ana de Ojeda

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building 12th floor, office 1211

Tel. 2385-7763


ENDOCRINOLOGY

Dr. Luis Ramirez

6th avenue, 7-39, Zone 10, Las Brisas, 3th floor, office 301.

Tel. 2368-3625


ENT (ears, nose and throat)

Dr. Michel Nuyens / Dr. Juan Pablo Días

9th street, 4-52, zone 10, Integra Medical Center, tower 1, 6th floor.

Tel. 2218-2929


GASTROENTEROLOGY

Dr. Arturo Carranza

10th street, 2-45, zone 14, Clinicas Las Americas, 5th floor, office 501

Tel. 2363-0900


Dr. Jorge Chang

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 8th floor, office 806

Tel. 2386-7522


GENERAL PRACTITIONER

Dr. Carlos Nitsch

7th ave, 4-82, zone 10

Tel. 2361-8381


GENERAL & VASCULAR SURGERY

Dr. Rudolf Garcia Gallont

6th ave, 7-39, zone 10, Las Brisas building, 2nd floor, office 206

Tel. 2290-8570


GYNECOLOGIST & OBSTETRICIAN

Dr. Rodolfo Robles Pemuller

6th ave, 7-55, zone 10, Herrera Llerandi clinics, North wing, 2nd floor, office 14

Tel. 2332-1101

Dr. Giovanni Benini

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 9th floor, office 907

Tel. 2385-7705


GYNECOLOGICAL & LASER SURGERY

Dr. Stuardo Irungaray

4th ave, 15-70, zone 10, Paladium Building 9th floor, office 9F

Tel. 2290-8564


INFECTIOUS DISEASES

Dr. Eduardo Arathoon

9th street 4-52, zone 10, Integra Medical Center, 3rd floor office 306

Tel. 2279-0929


NUTRIOLOGIST

Dra. Maria Jose Basterrechea

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 10th floor, office 1010

Tel. 2385-7717



NEUMOLOGIST

Dr Juan Pablo Moralejo Aycinena

Edificio Integra Medical Center, 9A Calle 4-52, Guatemala

Tel: 22790919


NEUROLOGIST

Dr. Ariel Ramirez

6th ave, 3-22, zone 10, Centro Médico clinics, 9th floor, office 905

Tel. 2361-9403


NEUROSURGERY

Dr. Enrique Azmitia Springmuhl

6th ave, 7-39, zone 10, Las Brisas building, 4th floor, office 404

Tel. 2334-0179


PEDIATRICIANS

Pediatric Cardiologist

Dr. Gonzalo Clavinmontes Foianini

6 av. 7-39 zone 10, 3rd floor, office 301

Tel. 23339-3799


Pediatric Endocrinologist

Dra. Gabriela Echeverria

6th ave, 9-18, zone 10, Sixtino 2 Building, office 608.

Tel. 2269-7934


Pediatric Gastroenterologist

Dr. Arturo Batres Prado

Blvd Vista Hermosa, zone 15, 25-19, Multipedia, Multimedica building, 6th floor, office 614 and 615.

Tel. 2385-7880


Pediatric Infectious Diseases

Dr. Carlos Gracioso

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 14th floor, office 1404

Tel.2314-0707


Pediatric Neumologist

Dr. Pablo Larios

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 11th floor, office 1106

Tel. 2385-7671


Pediatric Neurologist

Dr. Carlos Orellana

Km 19.5 carretera al Salvador, Cínicas Punto Medico, clinic No. 4.

Tel. 6676-8842


PLASTIC & RECONSTRUCTIVE SURGERY

Dr. Carlos Garcia-Salas

6th ave, 7-39, zone 10, Las Brisas building, 2nd floor, office 203 A

Tel. 2334-6153


PSYCHIATRIST

Dr. Cyrano Ruiz

20 ave A, 00-96, Colonia Vista Hermosa II, zone 15, Centro de Dinámica Humana

Tel. 2369-7424


Dr. Hector Ochomogo

Diagonal 6 12-42 zona 10. Design Center, torre 2, level 6, office 604

Tel. 2296-1555 / 2296-1554


ONCOLOGIST

Dr. Fredy Sandoval

6th ave 3-22, zone 10, Clínicas Centro Medico, 7th floor, office 701

Tel. 2334-7666


OPHTHALMOLOGIST

Dr. Julio Anguiano

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 8th floor, office 816

Tel. 2385-7597


ORTHOPEDICS & TRAUMATOLOGY

Dr. Guillermo Claverie

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 12th floor, office 1207

Tel. 2385-3564


Dr. Hector Nuila

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, Penthouse 15th floor, office 1505 and 1506

Tel. 2385-7892


Dr. Alvaro Collia Zuger

Blvd Vista Hermosa, zone 15, 25-19, Multimedica building, 12th floor, 1214 clinic.

Tel: +502 2385-7435

+502 2385-7437



RHEUMATOLOGY

Dr. Jaime Caceres

4ta ave, 15-73, zona 10, Clínicas Médicas Santa Clara building, 5th level, office 504

Tel. 2337-1895


PSYCHOLOGY

Lcda. Briggite Aquin

6 Av 6-63 zona 10. Sixtino building level 8, clinic 802

Te. 2269-7060


Lcda. Rosa María Ruiz

28 Ave 5-56 zona 15, San Lázaro

Tel. 5678-1598


UROLOGY

Dr. Jorge Wong

14th street, 7-13, Zone 9, Torreblanca building, 5th floor

Tel. 2367-1052