FREQUENTLY ASKED QUESTIONS
MANAGER
MEDICAL CONSULTATION
LIFE INSURANCE
MEDICAL EXPENSES
TERMINATIONS
RIGHTS
MANAGER
Why an insurance broker?
An insurance broker is a professional who works for you, researching, analyzing, and recommending the best way to manage your risks. The broker is knowledgeable about the products and operating procedures of different insurance companies and understands that each client has unique needs. A broker advocates for their clients' interests when dealing with insurance companies. The broker is backed by an Insurance Brokerage Company, which is regulated by the General Superintendency of Insurance. A broker is an intermediary who does not increase the cost of your policies. With their advice, they can help minimize premium costs and maximize benefits.
Is an insurance broker the same as an insurance company?
They are not the same; the broker is the insurance intermediary, and the insurer is the one who assumes the risks. Both are regulated and supervised by the General Superintendency of Insurance.
How much do Confia's services cost?
These services are free for you, as Confía represents insurance companies. For this reason, it is highly recommended that you manage your insurance through a broker, as they will have access to the entire market and will act as your advisor and ally in the event of a claim.
The broker can advise you on the best product to purchase, the coverage, the benefits, and the insurance exclusions.
What does Confia do?
We specialize in insurance brokerage for personal and general insurance policies. We strive to ensure our clients are well-informed about the insurance they wish to purchase and to support them should they need to use any type of insurance.
Why switch insurance brokers?
Customers can change insurance brokers at any time; they simply need a letter of authorization addressed to the insurer with their request. These changes are generally made for service reasons, as customers want to work with intermediaries who provide good advice and are readily available to answer their questions and address their needs.
Why is it important to work with Confia?
Confía can best advise you on the insurance policies you can purchase. They will present you with comparison charts showing all the options on the market. We can translate our experience on how insurance companies work and which products are best suited to your specific situation.
In the insurance purchase process, you'll obtain better terms than if you were to do it yourself, since, as insurance specialists, the product will be structured according to your needs. Confia will also advise you on how to use the insurance and will assist you throughout the claims process until you receive timely payment.
Through Confía, you can have a diversified insurance portfolio while maintaining a single relationship. We are your partner in everything related to Confía.
Which insurance companies does Confia represent me with?
- BAKE
- Panamerican Life Insurance
- BMI
- Insurer of the Isthmus
- BlueCross BlueShield
- Qualitas Funds
- INS
- Oceanic
- Lafise
- Mapfre
- Sagicor
- Masterium
- Bolívar
What types of insurance can I buy through Confia?
You can access the full range of personal and general insurance. Any insurance you need can be purchased through Confía, as we provide access to the entire market.
Therefore, you can purchase travel, accident, health, life, or dental insurance, or insure your home, car, company, machinery, import or export, as well as cover third-party risks. We have extensive experience in various industries.
Is an agency the same as an insurance broker?
They are not the same, since a broker represents all the insurers in the market with whom it has contracts, while an agency represents only one product line. A broker has a much broader organizational structure than an agency because it must manage insurance for all insurers and must also have a compliance officer, a deputy, and an internal auditor. It also requires more robust information systems to manage client products with all the insurers in the market.
It is more advisable to work with an insurance broker, due to the access to the variety of insurance options that can be presented to you.
MEDICAL CONSULTATION
Medical consultations within the medical network.
Insured individuals will have free choice of doctors in case of accident or illness, or they can use the insurers' medical networks where they would only have to make co-payments, and the prices of consultations are already agreed with the insurers.
You can find information about the medical networks of insurance companies in our medical expenses section. Select the insurance company with which you have your plan and click on the medical networks section. This information is also available at www.confiamovil.co.cr.
The insured should preferably present their insurance card at the time of the appointment. The doctor must complete the claim form available on this website; some claims are numbered and therefore cannot be reused. To process reimbursements, you must attach the medical prescriptions and original pharmacy receipts if medications or other tests are required to be covered by the insurance.
Medical consultations outside the medical network.
The insured may visit any physician authorized by the College of Physicians and Surgeons. In these cases, the full cost of the consultation must be paid upfront, and reimbursement requested afterward. To do so, the claim form must be completed and all original invoices attached. The insurer will pay for these out-of-network medical consultations at reasonable and customary rates.
Which hospitals are within the medical network?
Medical networks typically include major hospitals such as Cima, Bíblica, Católica, Jerusalem, Unibe, Metropolitano, La California, San Rafael Arcángel, and Blue Medical, among others. Some laboratories include LABIN and Echandi.
LIFE INSURANCE
What does a life insurance policy cover?
Life insurance protects your family and/or business in the event of your death. It also includes advances for funeral expenses and terminal illnesses, as well as coverage for total and permanent disability and accidental dismemberment, up to a percentage of the insured sum.
Why group insurance?
With a group life insurance policy, you can provide a real benefit to your employees, increasing their loyalty to your company. This insurance is obtained by grouping 10 or more individuals, allowing access to better rates and greater benefits. This benefit is highly valued by staff and their families, as it provides protection in the event of the primary provider's passing.
How much do these insurance policies cost?
The cost of a life insurance policy typically varies depending on the person's age, gender, occupation, and the amount insured.
Let us help you find the best option for you!
MEDICAL EXPENSES
What does a medical expenses insurance policy cover?
Group medical expense insurance policies typically cover expenses incurred by the insured due to injuries, illnesses, maternity, or accidents.
Through negotiation, and depending on the size of the group to be insured, there is a possibility that the insurer may or may not include pre-existing health conditions.
Health insurance gives you access to all local and international private healthcare. Plans include the following coverage:
- Medical consultations
- Laboratories, X-rays
- Prescription drugs
- Accident and illness emergencies
- Hospitalizations
- Maternity
- Travel assistance coverage
What risks are not covered by these policies?
Damages caused by the insured, professional sports practice, static operations, pre-existing conditions, sterilization treatment, hair loss, stress, psychologist, dental expenses, and vision (only resulting from an accident) will not usually be covered.
Why group health insurance?
With a group medical expense policy, you can provide a real benefit to your employees, increasing loyalty to your company, as it is the most valued benefit by staff and their families.
How much do these insurance policies cost?
Group health insurance premiums typically vary depending on the age and gender of the insured individuals. Other factors include the deductible structure, the coverage amount, the risks covered, medical checkups, and whether coverage is local or international. Purchasing a group policy can often result in a better rate.
¡Let us help you find the best option for you!
TERMINATIONS
What is a deductible?
The deductible is the amount the insured is responsible for paying in the event of a claim. This is stipulated in the specific terms and conditions of the insurance policy and can be a fixed amount, a percentage of the insured value, or a percentage of the loss.
What is coinsurance?
Co-insurance is the percentage of the insured's share of the expenses submitted to the insurance company. These percentages are stipulated in the specific terms and conditions of each insurance contract.
What is underinsurance?
Underinsurance is when the insured value is less than the market value of the asset. In the event of a claim, the insurer will pay proportionally less than the lower insured amount. This is why insured assets must be insured at their market value, and never below it.
What is a pre-authorization?
This is the request sent to the insurance company for a specific procedure, such as a CT scan, MRI, hospitalization, or expenses exceeding $300. The goal is for the insurer to authorize the cost of the procedure and coordinate direct payment with the service provider. Pre-authorization is crucial; otherwise, there could be discrepancies between the amounts charged for the procedures and the payments made by the insurance companies.
What are pre-existing conditions?
These are illnesses or injuries suffered before the insurance policy's effective date. These conditions are not usually covered by medical expense insurance unless expressly authorized by the insurance company. This authorization must be included in writing in the specific terms and conditions of the medical expense insurance policy.
RIGHTS
Fair treatment.
To obtain fair treatment in the promotional practices employed in the marketing and sale of insurance.
Economic interests.
To obtain effective protection against competitive practices that may harm their economic interests and their ability to choose in the market, so that they can obtain the maximum benefit from their economic resources.
Freedom of choice.
Freedom of choice between insurers, intermediaries and auxiliary service providers, with adequate quality standards.
Right to information.
The right to information, with particular emphasis on ensuring there are no doubts about the content of the agreement, especially given the technical terms used in insurance. The information must be clear, accurate, and sufficient to enable the consumer to make well-informed and independent decisions.
Timely response.
Timely response to their requests, and, where appropriate, timely payment of the compensation or benefits provided for.
Privacy and confidentiality of information.
Privacy and confidentiality of the information you disclose to the insurer, intermediaries and auxiliary service providers.
Principle in doubt.
Pro-consumer in dubio principle.