Insurance

NOTE:

From 1 February 2016, the new injury policy conditions for the OPES members are in force.

To see it click here

In the event of an accident, fill in the INJURY-INJURY FORM FOR INACCURACY in all its parts in block letters and send it by registered mail with return receipt within 3 days from the event to the following address:

O.P.E.S. Italy
Via Salvatore Quasimodo No. 129
00144 ROME

or through pec at the address infortuni.opes@gmail.com

Also attach:

Consent to the processing of personal data pursuant to Legislative Decree 196/2003 for the company Assiteca spa;
Photocopy of the first medical certificate from which the diagnosis, prognosis and possible packaging of immobilising orthopedic devices must be unequivocally;
Radiological assessment and related report from this must be the indemnity, the date of the investigation and the type of injury for which reimbursement is requested (the radiological test is required only for injuries whose indemnity is linked to the evidence radiology provided in the table and must be drawn up by the public emergency department and / or equivalent private facility);
Compliant copy of the Clinical Record (for the lesions whose reimbursement is subordinated to the surgical intervention)
Possible School Absence Certificate
Photocopy of the tax code
Photocopy of the eventual report drawn up by the authority intervening on the site of the accident.

 

N.B.: ANCHE PER LE LESIONI PARTICOLARI CONTENUTE IN POLIZZA E VERIFICATESI ENTRO 60 GIORNI DALL’EVENTO OCCORRE INVIARE LA DOCUMENTAZIONE SOPRA DESCRITTA.

 

ATTENZIONE: IN MANCANZA DELLA DOCUMENTAZIONE SOPRA EVIDENZIATA NECESSARIA AD UNA CORRETTA VALUTAZIONE DELLA LESIONE RIPORTATA NON SARA’ POSSIBILE DAR CORSO ALLA VOSTRA PRATICA.

 

SI RICORDA INOLTRE CHE LA PRATICA VERRA’ LIQUIDATA SUCCESSIVAMENTE ALLA COMUNICAZIONE DI CHIUSURA DELL’INFORTUNIO.

Appena possibile l’infortunato dovrà inviare:

 

DOCUMENTAZIONE MEDICA:

 

  • IN CASO DI RICOVERO OSPEDALIERO: ORIGINALE COPIA CONFORME CARTELLA CLINICA
  • FATTURE, TICKETS SANITARI, COMPROVANTI EVENTUALI SPESE MEDICHE SOSTENUTE
  • DICHIARAZIONE DI CHIUSURA INFORTUNIO DEBITAMENTE COMPILATA E SOTTOSCRITTA DAL MEDICO CURANTE E/O CERTIFICATO DI GUARIGIONE CLINICA ATTESTANTE LA PRESENZA O MENO DI POSTUMI INVALIDANTI

DOCUMENTAZIONE RICHIESTA IN CASO DI DECESSO:

  • MODULO DI DENUNCIA DEBITAMENTE COMPILATO CERTIFICATO DI MORTE (IN ORIGINALE)
  • STATO DI FAMIGLIA STORICO (IN ORIGINALE)
  • DICHIARAZIONE SOSTITUTIVA ATTO DI NOTORIETA’ AI FINI SUCCESSORI VERBALI AUTORITA’ INTERVENUTE
  • CARTELLA CLINICA E COPIA REFERTO AUTOPTICO O CERTIFICATO MEDICO ATTESTANTE LE CAUSE CLINICHE CHE HANNO PROVOCATO IL DECESSO
  • EVENTUALI DICHIARAZIONI DI TERZI PRESENTI AL FATTO EVENTUALI ARTICOLI DI STAMPA
  • COPIA DEL RAPPORTO DI GARA SE L’INFORTUNIO E’ AVVENUTO DURANTE UNA COMPETIZIONE INVIARE LA DOCUMENTAZIONE RACCOLTA A

 

O.P.E.S. Italia Via Salvatore Quasimodo 129 -00144 ROMA

Phone . 06.55179342 – EMail: infortuni.opes@gmail.com

 

Click to download the Module:

 

FILL OUT THE RCT COMPLAINT FORM IN EVERY PART IN THE PRINTER AND SEND THE SAME BY RECOMMENDED POSTAL WITH RECEIPT OF RETURN WITHIN 5 DAYS FROM THE EVENT SAME TO: O.P.E.S. Italy Via Salvatore Quasimodo 129 -00144 ROME Tel. 06.55179342 – Mail: infortuni.opes@gmail.com ATTACHING THE FORM OF COMPLAINTS COMPLETED IN EACH SINGLE VOICE: CONSENT TO THE INSURANCE TREATMENT OF PERSONAL DATA ACCORDING TO THE D Lgs 196/2003 FOR THE ASSITECA SPA COMPANY; PHOTOCOPY OF THE TAX CODE PHOTOCOPY OF THE EVENTUAL MINUTES DRAWN UP BY THE AUTHORITY INTERVENED ON THE PLACE OF THE LEFT N.B .: ALSO FOR SPECIAL INJURIES IN POLICE AND CHECKS WITHIN 60 DAYS FROM THE EVENT YOU MUST SEND THE DOCUMENTATION ABOVE DESCRIBED. CAUTION IN THE ABSENCE OF THE DOCUMENTATION ABOVE HIGHLIGHTED NECESSARY TO A CORRECT EVALUATION OF THE INJURED LESION WILL NOT BE POSSIBLE TO COURSE TO YOUR PRACTICE ASAP, THE ACCIDENT WILL HAVE TO SEND: DOCUMENTATION REQUESTED IN CASE OF DEATH: MODULE OF DENUNCIATION DEBTLY COMPLETED DEATH CERTIFICATE (IN ORIGINAL) STATE OF HISTORIC FAMILY (IN ORIGINAL) DECLARATION SUBSTITUTING ACT OF NOTORIETA ‘FOR FINI SUCCESSORI MINUTES AUTHORITIES CLINICAL BRIEF AND COPY OF AUTOPTIC REFERENCE OR MEDICAL CERTIFICATE ATTESTING THE CLINICAL CAUSES WHICH CAUSED THE DEATH ANY DECLARATIONS OF THIRD PARTIES PRESENT TO THE FACT EVENTUAL PRINTING ITEMS COPY OF THE COMPETITION RELATIONSHIP IF THE INJURY WAS INCURRED DURING A COMPETITION.

 

SEND THE DOCUMENTATION COLLECTED TO:

O.P.E.S. Italia  Via Salvatore Quasimodo 129 -00144 ROMA

Phone . 06.55179342 – EMail: infortuni.opes@gmail.com

Click to download the Module: