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GAA Insurance Scheme and an injury

  • 11-03-2011 7:55am
    #1
    Registered Users, Registered Users 2 Posts: 4,756 ✭✭✭


    I sustained an injury last weekend in a club game, physio reckons an outside knee ligament is damaged.
    The referee said he would mention the injury in the match report.

    What are the steps I have to take in order to get the injury treated under the GAA Insurance Scheme?
    I don't have private health insurance.
    I won't need losee of wages covered as I can still hobble around the office.
    Please let me know


Comments

  • Moderators, Education Moderators, Regional South Moderators Posts: 15,247 Mod ✭✭✭✭rebel girl 15




  • Registered Users, Registered Users 2 Posts: 4,756 ✭✭✭beggars_bush


    I have read that already.

    It isn't very clear.

    Can i just go to a doctor and get it assessed and make an appointment for xrays, scans, consultant etc?
    then submit the claim when all is done?
    or does someone have to be informed before i go getting medical attention?


  • Moderators, Education Moderators, Regional South Moderators Posts: 15,247 Mod ✭✭✭✭rebel girl 15


    I have read that already.

    It isn't very clear.

    Can i just go to a doctor and get it assessed and make an appointment for xrays, scans, consultant etc?
    then submit the claim when all is done?
    or does someone have to be informed before i go getting medical attention?


    From the looks of reading the material on that page, you can work away, once you submit the stuff within 60 days
    A claim form should be downloaded from www.gaa.ie and the GAA Injury Scheme can be found under the ‘Clubzone’ section of gaa.ie.
    • Claimants Membership Number must be supplied on claim form.
    • If a player returns to play after an injury and he is Reinjured a new claim form must be submitted.
    • A copy of the Referee’s report if the injury was sustained in an official match.
    • A letter from the ClubChairman/Secretary if the injury occurred in an official Training Session or Challenge Match
    • Where a claim is being pursued under 1.4, a letter from the Club Chairman/Secretary confirming the claimant’s membership and stating the circumstances surrounding the accident/injury
    • The claim form in particular sections A, E and F should be fully completed and signed by the injured member. The claim form together with all relevant supporting documentation should then be forwarded to the Club or County Secretary/Designated Scheme Officer for their signatures/validation.

    All claims are required to be reported to Willis within 60 days of the injury by
    completing, as a minimum the 1st two pages of the claim form which should be signed and dated by the claimant.
    In the event that the claimants signature and date is omitted the first two pages of the claim form will be returned for completion. Claims reported outside the 60 days will not be processed.

    25. In addition to the claim form the following supporting documentation is
    required depending on claim type:
    Medical / Dental claims:
    • Official Medical receipts (invoices are not acceptable).
    • Under Section A of the claim form confirmation whether the injured member has any third party medical insurance must be completed to enable the claim to be assessed as the scheme only provides cover for non-recoverable costs up to the limits of the scheme.
    • In all cases Section E must be completed and stamped by the attending Doctor or Dentist only. If no stamp is available a business card or confirmation on the doctor/dentists headed paper must be submitted.

    26. Once the injured member is satisfied that the claim form has been fully completed and all supporting documentation attached, he/she should sign it and forward it to the Club or County Secretary/Designated Scheme Officer as appropriate for their signatures/validation and onward transmission to Willis who will only then be in a position to assess the claim.

    27. If a submitted claim is not fully documented, the necessary documents, which must be submitted in a timely manner, will be requested by Willis.

    http://www.gaa.ie/content/documents/publications/insurance/GAA_Injury_Scheme_Claim_Form_Sept_2010_Ireland.pdf


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