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Nomad Insurance Essential: Can you pay my medical costs up front?

When you are admitted as an inpatient, you have the option to request us to arrange the payment. The process depends on whether you’re receiving treatment in the US, or outside the US.

For care outside the US

Please note:

  • Nomad Insurance Essential is, first and foremost, a reimbursement-based plan.

  • A Guarantee of Payment (GOP) can only be granted if the case is clearly within policy terms.

  • A GOP can be provided on a case-by-case basis whenever possible.

  • If a GOP is denied, this does not mean your claim will be rejected — it just means pre-approval wasn’t possible at this time.

To request a GOP, call +44 (0) 2921 684319 or email safetywing@imglobal.com with the following information: 

  • Recommended subject line: GOP request – NI-[your policy number]

  • The name, contact information, and location (city and country) of the hospital

  • The date of the procedure

  • Your name as it appears in your passport and passport number

  • Any medical documents that include your symptoms and when they started, diagnosis, planned procedures, and any lab results

  • A detailed list of each service and their costs

  • Any accident reports from the police, ambulance, or tour guides

  • A phone number where we can reach you (standard international fees apply to our communications)

For short-term medical care, we recommend paying the facility out of pocket and then filing a claim for reimbursement.


For care in the US

  • If the bill is less than US$1000, you are advised to pay and claim.

  • If your care costs more than US$1000, we recommend setting up direct billing through SafetyWing

    • With direct billing, your provider will submit your insurance claim on your behalf

    • Note: it is not the same as payment. After we examine your claim, any amount not covered by the plan is your responsibility to pay

To file a claim within the US, email us at claims@safetywing.com. Please include:

  • Subject heading: US care - HIPAA - NI-xxxxxxxx (your policy number)

  • A brief explanation of your situation

  • The provider's billing department information

  • Address and phone number you gave the provider (for ID verification)

  • Patient or account number from provider if they assigned this to you (for ID verification)

Our claims team will confirm the contact information. Then you will be sent a HIPAA form to fill out from claims@safetywing.com.

If any payment is due from you, you will not need to make it until after the claim is settled.


Need Help?

Just reach out to our Customer Care Team if you have any further questions. We’d be happy to help!

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