21 November 2019, Thursday

FAQ

WHAT IS INSURANCE?

Insurance is a form of risk management primarily used to hedge against the risk of a contingent, uncertain loss. Insurance is defined as the equitable transfer of the risk of a loss, from one entity to another, in exchange for payment. An insurer is a company selling the insurance; the insured, or policyholder, is the person or entity buying the insurance policy. The amount to be charged for a certain amount of insurance coverage is called the premium. Risk management, the practice of appraising and controlling risk, has evolved as a discrete field of study and practice.

The transaction involves the insured assuming a guaranteed and known relatively small loss in the form of payment to the insurer in exchange for the insurer's promise to compensate (indemnify) the insured in the case of a financial (personal) loss. The insured receives a contract, called the insurance policy, which details the conditions and circumstances under which the insured will be financially compensated.

HOW CAN I BUY INSURANCE?

You can call us at 90 312 446 93 16 and/or fill out an online form at www.sigortanish.com to buy insurance from us.

IN CASE OF A FOREIGN PLATED VEHICLE WHICH WISHES TO ENTER TURKEY, DOES NOT HAVE A VALID GREEN CARD:

The foreign vehicle has to take out a short -period MTPL insurance policy valid for Turkey at the border called frontier policy

WHAT IS THE FIRST THING TO DO IN CASE OF DAMAGE?

In case of damage to house, workplace or vehicle, you can call our office at 90 312 446 93 16 during the day and 90 532 1578691.  You can call Customer Services on 444 0 999 for Groupama, give notice of claim and have detailed information on the process.

WHAT IS A GUARANTEE FUND?

Güvence Hesabı (Assurance Account), meets medical treatment expenses of those who suffer bodily injuries (such as injuries, disabilities and death) under any coverage provided under compulsory insurances, and pays disability indemnities to those who become disabled due to such accidents and also death benefits to dependents who have been deprived of the deceased’s support in case of death.

WHAT IS ALL RISK INSURANCE?

A type of insurance coverage that can exclude only risks that have been specifically outlined in the contract. "All risks" means that any risk that the contract does not specifically omit is automatically covered. For example, if an all-risks homeowner's policy does not expressly exclude flood coverage, then the house will be covered in the event of flood damage.

WHAT IS OVER INSURANCE?

Situation where an insured has bought so much coverage that it exceeds the actual cash value (or the replacement cost) of the risk or property insured. Insurance company will only pay claims up to a maximum market value.

WHAT IS UNDER INSURANCE?

Inadequate insurance coverage by the holder of a policy. In the event of a claim, underinsurance may result in economic losses to the policy holder, since the claim would exceed the maximum amount that can be paid out by the insurance policy. While underinsurance may result in lower premiums paid by the policy holder, the loss arising from a claim may far exceed any marginal savings in insurance premiums.

WHAT IS CO INSURANCE?

Co-insurance is an insurance-related term that describes a splitting or spreading of risk among multiple parties

WHAT IS AN ADDENDUM?

An attachment to an insurance policy that changes the original policy conditions, either to include or exclude coverage. The addendum becomes part of the legal contract.

IF I HAVE NO CLAIM DISCOUNT (bonus), AND IF I RENEW THE POLICY FROM ANOTHER INSURANCE COMPANY, DO I LOOSE MY DISCOUNT?

No, you won’t lose your no claim discount when you change your insurance company, the new company will prepare your policy     

WHAT IS GEOGRAPHICAL SCOPE?

The geographical area within the policy is valid.

WHAT IS THE SCOPE OF GENERAL CONDITIONS?

General Conditions state the scope of insurance coverage, exemptions/provisions, claim management, responsibilities of the insured, Premium payments, and terms in case of disagreement.

WHAT IS A CLAUSE?

Clauses are provisions within the policy.

WHO IS BENEFICIARY?

A beneficiary (also, in trust law, cestui que use) in the broadest sense is a natural person or other legal entity who receives money or other benefits from a benefactor. For example: The beneficiary of a life insurance policy, is the person who receives the payment of the amount of insurance after the death of the insured

WHAT ARE SPECIAL CONDITIONS?

Detailed provisions, rules of conduct, duties and obligations required for coverage. If policy conditions are not met, the insurer can deny the claim.

COULD WE RECEIVE PAYMENT IN CASE OF DAMAGE IF WE DID NOT PAY OUR PREMIUM?

Claims will not be processed if the required premium is not paid when required.

DO ALL CAR INSURANCE POLICIES HAVE ASSISTANCE COVERAGE?

Assistance coverage is added to the coverage in the policy for a fee on customer's demand. If there is the expression "Assistance" in the Coverage and Premiums part of your policy, it means you have the related coverage.

HOW CAN I BENEFIT FROM THE RENT-A-CAR SERVICE IN THE SCOPE OF ASSISTANCE COVERAGE?

To benefit from Rent-A-Car service, an incident covered by car insurance has to occur and the time period of repairing should be over than 24 hours. If these requirements are met, customers can benefit from Rent-A-Car service.

WHAT HAPPENS TO NO CLAIM DISCOUNT (BONUS) WHEN DAMAGE HAPPENS?

In case of traffic insurances the no claim discount will go one level down.

DOES TRAFFİC INSURANCE POLİCY COVER THE DAMAGE TO MY OWN CAR?

No. The damage to the Insured's own vehicle is not covered by Traffic Insurance Policy. It covers the bodily and material damage done to third parties by the cause of using the vehicle.

DOES CAR INSURANCE POLICY COVER THE DAMAGE TO THE OTHER CAR?

No. Car Insurance Policy covers the damage to the Insured's own vehicle. However, for the part of the damage to the other car/third parties over traffic insurance policy, voluntary financial liability coverage of the car insurance may be paid to the third party within the limits.

I HAVE CAR INSURANCE POLICY; IF I SELL MY CAR, DOES MY CAR INSURANCE CHANGE HANDS AS WELL?

No. Car insurance policy does not change hands. Policy is cancelled and the premiums on daily base are returned to the Insured. The new owner of the vehicle may buy a new insurance policy if he/she wishes.      

ARE ACCESSORIES INCLUDED IN CASCO COVERAGE?

Only original tires and rims are covered. You will always need to make sure that you specifically add any additional accessories to be covered by your car insurance policy. This includes any accessories that aren't factory fitted. Your car insurance company will not cover you for these items if you don't specifically specify this. This includes mag rims, special interior trims, tow bars, window tints and even metallic paint.      

WHEN A CAR IS STOLEN, IS THERE A WAITING PERIOD FOR PAYMENT?

If the car is not found within 30 days of being stolen, upon receipt of an official letter stating that the car was not found, the agency will pay the claim. If the car is found following the payment than the insured is required  to let the agency know in writing either to take the car and return the claim or to transfer the car to the Agency.

WHAT IS TOTAL LOSS?

In motor insurance, a total loss is a situation in which a vehicle is damaged and the cost of repair and salvage would exceed the vehicle's market value. Generally, the insurance provider will only pay out the lesser cost of buying a replacement vehicle, instead of paying to repair the old one to its previous state.      

WHAT HAPPENS TO THE INSURANCE POLICY WHEN THE INSURED IS NO LONGER ALIVE?

All rights and all debts will be transferred to the legal inheritors.      

WHAT TYPE OF COVERAGES ARE THERE IN HEALTH INSURANCE?

There are 2 types of coverage, outpatient and inpatient coverage.  You can both outpatient and inpatient coverage while you can opt to take only inpatient coverage. Please review our health insurance coverage section for details.

WHAT DOES INPATIENT TREATMENT COVER?

This cover provides for the expenses incurred by the insured person for diagnosis and treatment requiring hospitalization for minimum 24 hours, for surgical procedures at a cost of 150 units or above, carried out under general anesthesia and/or under local anesthesia without hospitalization despite it could be carried out under general anesthesia, for ectopic pregnancy, for liver biopsy, for chemotherapy, radiotherapy, for dialysis, for cardiac and cerebral angiography, and for morgue expenses in the event of death of the insured person after hospitalization, up to the limit of coverage and as subject to the rules of application stated in the policy. The first breast prosthesis following a cancer surgery shall be included in the coverage for one time only for the duration of the insurance.

Expenses not related with the diagnosis put during the inpatient treatment shall not be paid; any expenses included in the coverage, which are not indicated for hospitalization, shall be paid under the outpatient treatment cover.

WHAT DOES OUTPATIENT TREATMENT COVER?

This cover provides for the expenses incurred for outpatient physician examinations carried out at physician’s private consultation room or at a healthcare institution, for medicines prescribed by the physician, for consumables, for diagnostic lab tests, for all endoscopic procedures, for endoscopic minor surgical interventions, for endoscopic biopsy, for angiography (excluding cardiac and cerebral angiography), for MR, MR angiography and radiographic examinations, for nuclear medicine and algology applications, etc., up to the limit of coverage and as subject to the rules of application stated in the policy.

The maximum drug dosage to be taken in one go may not exceed two months, providing that it doesn’t extend beyond the expiry date of the policy. The period between the date of prescription and the date of purchase of the drug must not be longer than 7 days. If there are continuously used drugs, the insured person can use a photocopy of the prescription for the formalities for 1 year following the date of the prescription if the policy is continuing. Tetanus, pneumococcus, rabies and influenza vaccines are included in this cover. 

HOW CAN I BE PAID FOR MY HEALTH INVOICES?

If you receive treatment in a facility with which the Agency does not have an agreement, you can submit your invoices to our Agency for them to be processed. The payment will be payment within 10 days within the limits of special and general conditions of your policy. You will need to provide your bank account information when you turn in your invoices to eliminate possible delays in payment.      

I WOULD LIKE TO CANCEL MY HEALTH INSURANCE, WOULD I BE ABLE TO GET MY PAID PREMIUM BACK?

If you cancel your health policy within 15 days of getting it and if you did not use it than you will get back the full Premium back. If it is after 15 days than Premium amount will be reimbursed in proportion to the length of the policy.      

WHAT DO I NEED TO PAY ATTENTION TO WHEN FILLING OUT THE HEALTH INSURANCE FORM?

Health Insurance Form will need to include your height, weight, social habits and all sicknesses and will need to be signed. You will need to state all the illnesses even if you think they are not important or even if you no longer have the illness.      

WHAT DOES MOTHERHOOD COVERAGE COVER?

This cover provides for normal childbirth expenses and for any expenses incurred for medical and surgical interventions (Caesarian section, miscarriage, compulsory abortion, etc.) carried out as part of an inpatient or outpatient treatment provided during pregnancy or childbirth, due a condition which in the opinion of the attending physician would jeopardize the life of the mother and/or the child in the course of the regular birth or the pregnancy. This cover includes the costs of room-meals-accompanying person (up to the cost of standard room-meals-accompanying person) and of routine checks.

This cover provides for customary pregnancy checks, for any post-natal complications of the mother associated with the childbirth, for routine care and tests of the child performed for first evaluation of the health condition of the infant at the hospital, and for contraception methods.

However, expenses provided for under this cover shall be excluded from the coverage for 12 months immediately following the inception date of the cover.

If the insured person shifts to a more comprehensive plan containing the motherhood cover, the motherhood cover shall be limited at most with the motherhood cover of the plan held during the preceding year.

I HAVE HEALTH INSURANCE POLICY; WHAT CAN I DO WHEN I NEED AN AMBULANCE?

You need to call Customer Services on 444 0 999 for Groupama, Our customers may benefit from ambulance service within the scope of assistance services.

 






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