Claim Submission Requirements

When submitting a reimbursement claim, please ensure that you provide all original supporting documents, including:

  • Prescriptions
  • Bills
  • Receipts
  • Prior Authorization (only in cases where prior authorization from the Society’s Medical Adviser is required)
  • Declaration of Accident Form (only in cases of accidents)

Duplicates, reminders, faxes, and photocopies cannot be accepted.

Please do not modify, erase, or write anything on your bills.

Submission Timelines

  • Claims must be submitted no later than 24 months after the invoice date.
  • We strongly encourage members to submit claims regularly to avoid delays and the buildup of many invoices.

Proof of Payment

You must pay all expenses before claiming reimbursement. UNSMIS may request documentary proof of payment at any time. In case of an expensive invoice—please add the note to your claim For amounts above CHF 500.- / USD 500.-, please avoid paying in cash. Instead, use:

  • Card
  • Bank transfer
  • Cheque
  • Postal giro (bulletin de versement)

This ensures verifiable payment records and helps prevent processing delays.

Pharmaceutical Claims

For medication-related expenses, always attach:

  • The till receipt or receipted bill with the name and price of each product

This supports accurate processing and avoids disputes regarding eligibility.

Calculation of Benefits

Benefits are based on:

  • Treatment date for medical service fees
  • Purchase date for pharmaceuticals and medical appliances

Submitting Claims through the eClaims Portal

UNSMIS introduced the eClaims Portal in 2017 to allow insured members to:

  • Submit claims electronically
  • View dental and optical credit balances
  • Download attestations
  • Access reimbursement advices from previous claims

Why use the eClaims Portal?

Electronic submission:

  • Reduces paper use
  • Enables claims submission from anywhere in the world
  • Eliminates mailing time and costs
  • Offers a central hub to view credits, past reimbursements, submissions, and attestations

How to Get Started

Guidance on portal use and login procedures is available here: EN | FR
Please also review the disclaimer outlining your duties and responsibilities (available in English and French).
To access the portal directly, please click here.

Important Reminders

  1. Claims must be submitted within 24 months of the invoice date.
  2. Benefits are calculated according to the rules described above.

Documentation Language

If your documentation is in a language other than the six official UN languages, please refer to the Language of Documentation page.
All other steps remain the same.

Checklist for Submitting a Claim

Please ensure that you:

  • Submit a separate claim for each insured family member.
  • Attach all original invoices, prescriptions, receipts, and supporting documents.
  • Submit claims regularly to avoid delays.
  • Keep copies of all documents for your own records (if submitting physically).
  • Obtain prior authorization from the Medical Adviser when required; authorizations are valid for six months.
  • Avoid cash payments for amounts above USD 500.-.
  • For pharmaceutical claims, attach the till receipt and packaging stickers.
  • Submit claims within 24 months of the billing date.
  • Note that UNSMIS cannot accept instalment schedules or statements of account as invoices.

Submitting a Claim in Paper Form

If submitting paper claims, please use the following form:

Prescriptions

UNSMIS requires a valid written prescription from a medical doctor for any treatment or purchase, including but not limited to:

  • Medication
  • Medical or optical appliances
  • Services from:
    • Radiologists
    • Laboratories
    • Nurses and home care professionals
    • Physiotherapists, occupational therapists, osteopaths
    • Podiatrists, speech therapists, psychotherapists, ASD therapist
  • Post natal care by a midwife
  • Non emergency transportation
  • Thermal cures

You must obtain a valid prescription before starting any treatment or making a purchase. The original prescription must be attached to the same reimbursement claim as the related invoice, even if it was submitted previously.

What is a Valid Prescription?

UNSMIS requires a valid written prescription for any treatment or purchase requested by a medical doctor.
A prescription is valid only if it clearly shows:

Identification

  • First and last name of the patient receiving care

Prescription Date

  • Must be dated before the treatment or purchase
  • Validity rules:
    • Non renewable: maximum 6 months from prescription date
    • Renewable: maximum 12 months, with explicit indication of renewal terms, specifying the duration of its validity (up to a maximum of 12 months)
    • Prescriptions older than 12 months are not accepted
    • Retroactive prescriptions cannot be accepted—even if the doctor indicates a retroactive validity

Treatment or Medication Details

  • Name and quantity/duration of treatment or medication
  • For renewable prescriptions: number of renewals or validity period (e.g., “valid for 12 months,” “until 01.12.24”)
  • For physical rehabilitation (physiotherapy, osteopathy, podiatry, etc.): number of sessions prescribed and the period of treatment

Doctor’s Information

  • Signature
  • Printed name
  • Professional title

Once a prescription has been submitted with an invoice, no changes or modifications can be accepted—whether made by you or the doctor.