Maximum lifetime coverage per person
  • US$3,000,000

Maximum charges incurred per policy year, per insured

  • US$350,000
Age range to apply for coverage
  • 60 – 90

Waiting period

  • 30 days

Coverage outside the United States (excluding Brazil)

  • 100% with free choice of doctors and hospitals

Coverage in the United States
  • 100% with exclusive coverage in hospitals of the ‘USA Special Network’
  • Emergency 100% coverage without restriction of hospitals
Companion during hospitalization
  • US$100 per night, maximum 20 nights

Standard room and board (includes costs of medication, laboratory exams, imaging studies, diagnostic procedures, specialized nurses and other expenses during a hospitalization)

  • Up to US$2,500 per day for the first 120 days; US$750 per day for additional days

Intensive care unit

  • Up to US$3,250 per day for the first 30 days; US$1,000 per day for additional days
Surgeon, assistant surgeon and anesthesiologist fees during a hospitalization
  • Up to US$25,000 per surgery, maximum of 2 surgeries per policy year

Outpatient surgery (everything included)

  • Up to US$25,000 per surgery, maximum of 2 surgeries per policy year
Nurse care at home
  • Up to US$100 per day, maximum of 30 days per policy year
Physician and specialist visits (including home visits)
  • Up to US$100 per consultation, maximum of 12 consultations per policy year
Diagnostic study services (pathology, X-rays, MRI/CT/PET scans, echocardiogram, stress tests, etc.)
  • Up to US$500 per exam, per insured
Endoscopic procedures
  • Up to US$500 per exam, per insured
Outpatient prescribed medication
  • Up to US$1,000 per insured
Durable medical equipment
  • Up to US$2,000 per insured
Hearing aids (per lifetime)
  • Up to US$1,000 per insured
Cancer treatment (chemotherapy and radiotherapy), inpatient or outpatient
  • Up to US$80,000 per insured
Physical therapy and rehabilitation (inpatient or outpatient)
  • Up to US$100 per visit, maximum 30 visits
Emergency transportation by ground ambulance
  • 100%, without deductible
Emergency transportation by air ambulance
  • US$30,000 no deductible applies
Emergency dental coverage (per lifetime)
  • Up to US$25,000 per insured
Organ and tissue transplant
  • US$175,000 per diagnostic, per lifetime
  • Additional US$325,000 with optional rider
Benefits for live donors
  • US$15,000
Repatriation of mortal remains
  • Up to US$7,500 per insured
Palliative care for terminal cases
  • Up to US$750 per day, maximum of 120 days
Preventive medical check-up, no deductible (all options)
  • US$150 per insured (affter a 10-month waiting period)
Second Medical Opinion VIP
  • Access to the medical opinion of internationally renowned experts from around the world regarding condition, without deductible

Effective July 2017

Download PDF Version Here

Visit Us On TwitterVisit Us On FacebookVisit Us On YoutubeVisit Us On Linkedin