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Get the free CISI Health/Medical Insurance Enrollment Form - jmu

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This form is used to enroll students in health/medical insurance while participating in a study abroad program at JMU.
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How to fill out cisi healthmedical insurance enrollment

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How to fill out CISI Health/Medical Insurance Enrollment Form

01
Obtain a copy of the CISI Health/Medical Insurance Enrollment Form.
02
Read the instructions carefully before starting to fill out the form.
03
Provide your personal information, including your full name, date of birth, and contact details.
04
Indicate your program or affiliation with the institution that requires the insurance.
05
Fill out any sections related to your emergency contact information.
06
Select the coverage options that best meet your needs.
07
Provide details about any pre-existing medical conditions, if applicable.
08
Review the form for accuracy and completeness.
09
Sign and date the form as required.
10
Submit the completed form by the deadline specified by your institution.

Who needs CISI Health/Medical Insurance Enrollment Form?

01
Students attending programs or institutions that require health insurance.
02
Individuals participating in study abroad programs.
03
Faculty or staff who need health insurance coverage while abroad.
04
Any person required to demonstrate health insurance coverage for visa purposes.
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If you are being treated for an illness or injury which would otherwise be covered under your CISI policy, your physician prescribed medication would also be covered. All prescription medications must be paid by you to the pharmacy at the point of purchase. You are encouraged to download the Prescription Rx Card.
How do I use my CISI insurance in the U.S.? To use your insurance in U.S., present your card to your medical provider at the time of service. Medical providers can contact CISI directly, toll-free at (800) 303-8120 to verify eligibility and/or benefits, from 9AM to 5PM EST.
To check the status of your claim, contact CISI at (800) 303-8120 from 9AM to 5PM EST.
If you are being treated for an illness or injury which would otherwise be covered under your CISI policy, your physician prescribed medication would also be covered. All prescription medications must be paid by you to the pharmacy at the point of purchase. You are encouraged to download the Prescription Rx Card.

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The CISI Health/Medical Insurance Enrollment Form is a document used by individuals to enroll in health or medical insurance plans provided by Cultural Insurance Services International (CISI).
Individuals who are seeking to obtain health or medical insurance coverage through CISI are required to file the CISI Health/Medical Insurance Enrollment Form.
To fill out the CISI Health/Medical Insurance Enrollment Form, individuals must provide personal information such as name, address, date of birth, and other required details. It may also require selecting coverage options and signing the form.
The purpose of the CISI Health/Medical Insurance Enrollment Form is to facilitate the enrollment process for individuals seeking health insurance coverage, ensuring that they receive the appropriate benefits and services.
The CISI Health/Medical Insurance Enrollment Form typically requires reporting personal details, including full name, contact information, date of birth, medical history, and any selected plan options.
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