Claims Process inside the U.S.
Download the attached claim form and submit with accompanying documentation to:
HTH Worldwide Insurance Services
On Behalf of Nationwide Mutual Insurance Company
PO Box 26222
Tampa, FL 33623
Download Your Claim Forms:
Claims Process outside the U.S. (1-2-3)
We contract with world class providers in over 180 countries. By visiting a contracted doctor or facility, we are able to arrange Direct Pay* so members can avoid having to pay up front for services.
3 easy options to arrange medical services and enjoy Direct Pay:
- Visit our Member Services area and log in
- Call +1.610.254.8771 for assistance
- Email email@example.com with your request
*Please note: Direct Pay may not be available in every situation.
You are free to use providers outside of our community. When you do so, please pay for outpatient services and submit a claim to us. Upon request, we will make our best effort to arrange Direct Pay with a non-contracted facility. When this is not possible, please pay for outpatient services and submit a claim.
To check status of a claim:
Call toll-free from the US 888.243.2358 ; OR collect from outside the US +1.610.254.5850 OR
Single Trip, Multi Trip and Expatriate Health Plans
We are contracted with highly-qualified physicians in over 180 countries to provide care to our members. These physicians bill us directly for covered services when the services are pre-authorized and guaranteed by us in conjunction with our appointment scheduling service. Please note, direct billing may not be available in all situations.
Our members can request appointments with our contracted physicians outside the United States by submitting an online Appointment Scheduling request, contacting our 24/7 at +1 610 254 8772 or emailing firstname.lastname@example.org.
If our members seek treatment from a contracted physician without notifying us in advance, the physician will expect payment in full at the time of service. Members who elect to pay the physician at the time of service should request an itemized invoice and receipt from the physician and must submit these documents with a claim form (see below) to us for reimbursement of covered charges.
Our members are free to seek care from any physician. If the physician is not contracted with us, the member should pay the physician at the time of service and submit a claim to us.
Planned Hospital Admissions
We can assist members with access to over 900 leading international medical centers called Partner Facilities, which have agreed to bill us directly for pre-authorized inpatient services. These facilities are identified in the CityHealth Profile with our logo. Please note, direct billing may not be available in all situations.
To arrange for a Partner Facility to bill us directly, members must contact us by email@example.com or by calling +1 610 254 8772 The request should be made at least 2 business days prior to scheduled treatment. If our members seek treatment at a Partner Facility without notifying us in advance, the Facility may expect payment in full at the time of service.
Download a HTH Global Citizen or Global Navigator claim form
Download a HTH TravelGap claim form
How to submit a claim form
Following these instructions will expedite the payment of your claim
Following the steps below will help us processing your claim as quickly as possible. Submitting an incomplete form will result in delays in the payment of your claim.
- Complete Part A of the claim form in full each time you are seen for a new sickness or injury. Answer all questions, even if the answer is "none" or "N/A."
- Submit the original detailed provider bill, which should include the following:
| ||1. Patient's Name|
| ||2. Insured's Name|
| ||3. Charges Incurred|
| ||4. Diagnosis|
| ||5. Date of Service|
- When services are rendered at a clinic, hospital or other medical facility, you will need to ask the provider to complete Part B of the claim form indicating the date seen and the diagnosis. Please include the full name and address of the provider. Part B is found on the reverse side of the claim form.
- If another health insurance plan is the primary payer, please indicate the insurance company name, address and phone number along with your policy number.
- 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.
- Benefits payable under this plan will be coordinated with any automobile coverage. Benefits under our plan will also be coordinated with benefits provided or required by any no-fault automobile coverage statute, whether or not a no-fault policy is in effect. This plan will be applied on a secondary basis to any state mandated automobile coverage for services and supplies eligible for consideration under this plan.
- All claims must be filed with our office within the twelve (12) month period from the date of the incurred expense.
Please submit all claims forms for TravelGap Single Trip and TravelGap Multi Trip with attached receipts to the following address:
HTH Benefit Services
PO Box 26222
Tampa, FL 33623
To check on status of a TravelGap Voyager, TravelGap Excursion, Travel Gap Silver or TravelGap Gold claim, please call 888.957.5009
Please submit all claims forms for HTH Global Citizen, HTH Global Navigator and Voyager with attached receipts to the following address:
C/O Claims Department
One Radnor Corporate Center
100 Matsonford Road
Radnor, PA 19087 USA
(Fax) 610.293.3529 Attn: Claims Department
Questions? To check status of a claim:
Call Toll free from the US 888.243.2358; OR collect from outside the US +1.610.254.8700