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GeoBlue is the trade name of Worldwide Insurance Services, LLC, an independent licensee of the Blue Cross and Blue Shield Association.

Made available in cooperation with Anthem Blue Cross and Blue Shield.

Welcome to GeoBlue, a program designed to keep you safe and healthy as you travel the

world. Your GeoBlue Traveler

plan features a full range of personal solutions, including

concierge-level services and convenient online and mobile self-service tools available on

www.geo-blue.com. Register online to learn about the extra care you receive when you

travel with GeoBlue.

GeoBlue Traveler provides coverage for you while on a business trip outside of your home

country.

Your Guide to GeoBlue Traveler

Get your GeoBlue ID card.

It is important to have your GeoBlue ID card to access healthcare

services; you will need to present your ID card whenever you

receive medical care. You can access this card from either of

these sources:

• A printable ID card is available in the Member Hub.

• You can show, fax or email your ID card through the

GeoBlue app.

Download the GeoBlue app.

Download the GeoBlue app and login with the email address and

password you created when you registered on the website. If you

have not previously registered, you can register directly through

the app. The GeoBlue app provides you with the most convenient

access to your ID card and GeoBlue’s self-service tools.

beneﬁts.

Visit www.geo-blue.com to register and access important plan

information:

• Print an ID card

• Review plan beneﬁts

• Locate qualiﬁed providers and hospitals

To Register, enter this Group Access Code:

QHG99999UCBT

You can also register through the GeoBlue app.

Need help with registration?

Visit how-to.geo-blue.com to watch the member tutorial video,

or contact us:

Inside the U.S.: 1.888.412.6403

Outside the U.S.: +1.610.254.5830

customerservice@geo-blue.com

University of Colorado

www.geo-blue.com

Request Informed Choice consultation.

Understand your local, regional or international treatment options

for serious unexpected medical problems outside the U.S. Then

let GeoBlue help you put a plan into action.

Check your symptoms.**

Translate symptoms into action with this authoritative triage

tool. You can decide to seek treatment in an emergency room,

schedule a doctor visit or employ home remedies.

Translate medical terms.

Convert symptoms, diagnoses and treatment plans into the

twelve most common languages.

Translate medications.

Find country-speciﬁc equivalents for prescriptions and

over-the-counter medications.

Understand health and security risks.

Receive daily alerts detailing the latest security and health issues

in your destination. Dig into country or city-level proﬁles on

crime, terrorism and natural disasters.

Locate a doctor or facility outside the

U.S.*

To ﬁnd a contracted doctor or facility, visit the “Find International

Doctors and Hospitals” section in the Member Hub on

www.geo-blue.com or in the GeoBlue member app. Review

detailed proﬁles of contracted doctors to ﬁnd the best match

and then locate the ofﬁce. In order to avoid paying up-

front for your medical care and having to submit a claim for

reimbursement, schedule your appointment through GeoBlue

using one of these methods:

• Select “Schedule an appointment with this Provider” in the

Member Hub or through the GeoBlue app.

• Contact GeoBlue to request an appointment: +1.610.254.8771

or globalhealth@geo-blue.com.

Outside of the U.S. you are free to see any provider you choose

without a reduction of beneﬁts.

Arrange Direct Pay outside the U.S.*

If you make your own appointment, contact GeoBlue (with as

much notice as possible) to provide the doctor’s ofﬁce with the

information required to arrange Direct Pay. This is necessary

when scheduling follow-up appointments as well. In many

countries providers require payment at the time of the visit unless

Direct Pay has been arranged.

• Call Collect: +1.610.254.8771

• Toll Free Inside the U.S.: 1.800.257.4823

• globalhealth@geo-blue.com

Visit the Member Hub on www.geo-blue.com or download the

GeoBlue app to access tools and services for navigating risks and

nding the best care options.

*Certain limitations and exclusions apply to your coverage under this

plan and may affect your coverage. Your Certiﬁcate of Insurance is on

ﬁle with your Human Resources Department and in the Member Hub on

www.geo-blue.com.

** Available on geo-blue.com only.

www.geo-blue.com

For medical assistance (including Direct Pay outside the U.S.):

Toll free within the U.S.: 1.800.257.4823

Collect Calls Accepted: +1.610.254.8771

globalhealth@geo-blue.com

Submit your Claim

Submit a claim via email, fax or postal mail, using a claim form available in the Member Hub on www.geo-blue.com.

Email: claims@geo-blue.com

Fax: +1.610.482.9623

Postal Mail: GeoBlue, Attn: Claims, One Radnor Corporate Center, Suite 100, Radnor, PA 19087

If a physician, ambulance company or other provider sends their bill directly to you, or you pay the medical provider at the time of service,

you will need to complete and submit a Claim Form. The Claim Form was developed for you to notify us of any covered health services for

which we have not already been billed.

Please read the following instructions about how to report health care services. Following these instructions will expedite

the payment of your claim.

1. Complete and sign the claim form each time you are seen for a new Sickness or Injury. Answer all questions, even if the answer

is “none” or “N/A.” Be certain that the name on the bill you are submitting is the same as that which is indicated on your ID card. If

not, please enclose a short note of explanation.

2. Attach the provider bill/documentation to the claim form and follow the instructions on the back of the form for submission to

GeoBlue.

• Bills must be itemized: Canceled checks, cash register receipts and non-itemized “balance due” statements cannot be

processed.

• Each itemized bill must include: name and address of provider (doctor, hospital, laboratory, ambulance service, etc.), name of

patient, date(s) of service, amount charged for each service, total charge, diagnosis or reason for treatment.

• Outpatient Prescription Drugs: duplicate pharmacy generated receipts (not register tape) must include Rx number; date ﬁlled,

medication name, form, strength and quantity. (NOTE: All prescription drug charges will be reimbursed to the insured person

only.)

3. Additional Information

• If submitting expenses for more than one family member, please use a SEPARATE claim form for each person.

• All claims should be ﬁled with our ofﬁce within the six (6) month period from the date of the incurred expense.

• If you have questions regarding the completion of this claim form, please contact Customer Service.

GeoBlue’s goal is to process your claim within 2 to 4 weeks of receipt. Submitting an incomplete form will result in delays in the payment

of your claim.

One Radnor Corporate Center

Suite 100, Radnor PA 19087

1.888.412.6403

1.610.254.5830

Contact Information

For questions about your medical plan:

Toll free within the U.S.: 1.888.412.6403

Outside the U.S.: +1.610.254.5830

customerservice@geo-blue.com