HEALTH PLAN

Access VIP

Access VIP is designed as a complementary plan offering coverage of US$1.5 million and free choice of hospitals and doctors anywhere outside the US and 100% coverage in the US within the “Access Network” corresponding to the region.

*Only one deductible per person, per policy year applies. For family policies, a maximum of two deductibles accumulated per policy, per policy year will be applied. For more information, please refer to the Conditions of Coverage of the policy.

DESCRIPTION COVERAGE
Maximum coverage per person, per policy year
  • US$1.500.000
Age limit to apply
  • 75
Waiting period
  • 30 days
Coverage outside USA
  • 100% with free choice of hospitals and doctors
Coverage inside USA
  • 100% through the “Access Network” corresponding to the region
  • Outside the “Access Network” the coverage will be at 60% with a maximum daily room rate of up to US$700 for a standard room and up to US$1,400 for intensive care
  • Emergency medical treatment will be covered 100% up to the policy limits
INPATIENT BENEFITS
Intensive care unit
  • 100%
Adult companion accommodation (related to a hospitalization of a child under age 18)
  • US$150 per night, max. of 30 nights
Prescribed medications while in a hospital
  • 100%
OUTPATIENT BENEFITS
Physician and specialists visits
  • 100%
Physician and specialists home visits
  • 100%
Outpatient prescription medication
  • US$5,000
Nurse care at home
  • US$6,000
Hearing aids
  • US$500 per lifetime
Specialized treatments (autism, Alzheimer’s, sleep apnea and other sleep disorders)
  • US$1,500
GENERAL BENEFITS (The following benefits offer the same coverage for both inpatient and outpatient procedures)
Surgeon and anesthesiologist fees
  • 100%
Diagnostic study services (laboratory tests, pathology, X-rays, MRI/CT/PET scans)
  • 100%
Cancer tests, medication and treatment (chemotherapy and/or radiotherapy)
  • 100%
Dialysis
  • 100%
Prostheses and medical appliances implanted during surgery
  • 100%
Organ transplant (per lifetime)
  • US$300,000 
Benefits for live donors
  • US$25,000
Durable medical equipment
  • US$6,000
Physical therapy and rehabilitation
  • US$6,000
Congenital conditions diagnosed before age 18 (per lifetime)
  • US$125,000
Congenital conditions diagnosed after age 18 (per lifetime)
  • 100%
MATERNITY BENEFITS (10-month waiting period)
Maternity (option I)
  • US$4,000, no deductible applies
Maternity and newborn complications (option I)
  • US$500,000 (with rider)
Inclusion of the newborn (option I)
  • Without underwriting if born from a covered maternity
MEDICAL EVACUATION BENEFITS
Emergency transportation by ground ambulance
  • 100%, no deductible applies
Emergency transportation by air ambulance
  • US$40,000, no deductible applies
Repatriation of mortal remains
  • US$7,000
OTHER BENEFITS
Hazardous hobbies and sports (non-professional)
  • 100%
Emergency dental coverage
  • 100% for the first 180 days
Palliative care for terminal cases
  • 100%
Temporary coverage for accidents while application is being underwritten
  • US$30,000
Deductible elimination / reduction for no claims made
  • Elimination for 1 year, after the 3rd year without claims (option I)
  • Reduction of up to 50% for 1 year after the 3rd year without claims (options II, III, IV & V)
Second medical opinion VIP
  • Access to the medical opinion of internationally renowned experts from around the world regarding a condition, without deductible

Effective July 2017

 

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All content is for informative purposes only. The benefits are governed by the terms described in the Conditions of Coverage of the policy.  Unless otherwise stated, the benefits are offered on a per-insured/per-policy year basis in which the chosen deductible applies.  All amounts are in US Dollars (USD).  The benefits are limited to the medical expenses covered under this policy and are subject to the usual, customary and reasonable expenses (UCR) for the geographic area where the expenses were incurred.


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