UNIVERSAL VIP
The most comprehensive
plan with annual coverage
of US$7 million
UNIVERSAL VIP
The most comprehensive plan with annual coverage of US$7 million
DEDUCTIBLE OPTIONS*
Option I | Option II | Option III | Option IV | Option V | Option VI | Option VII | |
---|---|---|---|---|---|---|---|
Inside USA | US$500 | US$2,000 | US$3,000 | US$5,000 | US$10,000 | US$20,000 | US$50,000 |
Outside USA | US$1,000 | US$2,000 | US$3,000 | US$5,000 | US$10,000 | US$20,000 | US$50,000 |
*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 policy’s Conditions of Coverage.
TABLE OF BENEFITS
Description | Coverage |
---|---|
Maximum coverage per person, per policy year | US$7,000,000 |
Maximum age to apply for coverage | Up to 75 years old |
Waiting period | 30 days |
Geographical coverage | Worldwide, without restrictions of doctors and hospitals |
Description | Coverage |
---|---|
Standard private/semi-private hospital room | 100% UCR |
Special benefit for suite accommodation (subject to availability) | Up to US$2,000 per day within the USA Special Network® |
Use of intensive care unit | 100% UCR |
Adult companion accommodation expenses of a hospitalized insured under 18 years old | US$350 per night, max. of 30 nights |
Adult companion accommodation expenses of a hospitalized insured over 18 years old | 100% UCR, max. of 21 nights |
Prescribed medications while hospitalized | 100% UCR |
Description | Coverage |
---|---|
Emergency room care | 100% UCR |
Physician and specialist visits | 100% UCR |
Physician and specialist home visits (where available) | 100% UCR |
Outpatient prescription medication | 100% UCR |
Complementary therapy: chiropractor, psychologist, psychiatrist, osteopath and/or acupuncturist | US$3,500 |
Nurse or therapist care at home | 100% UCR |
Preventive health checkup, no deductible applies (after a 10-month waiting period) | Options I, II & III: • US$200 up to 17 years old • US$350 at 18 years and older Options IV, V & VI: • US$200, all ages Preventive care benefits (options I, II, III & IV): • Colon cancer screening (at 50 years and older): US$1,200 every 10 years • Mammogram (at 40 years and older): US$400 • Pap smear (from 21 to 65 years of age): US$150 every 3 years • Prostate cancer screening (at 50 years and older): US$300 |
Hearing aids | US$2,000 per lifetime |
Treatment for Alzheimer’s disease | 100% UCR |
Allergy treatment | 100% UCR |
The following benefits offer the same coverage for both inpatient and outpatient procedures.
Description | Coverage |
---|---|
Surgeon and anesthesiologist fees | 100% UCR |
Diagnostic study services (laboratory tests, pathology, X-rays, MRI/CT/ PET scans) | 100% UCR |
Oncology: tests, treatment (chemotherapy and/or radiotherapy) and medication | 100% UCR |
Surgery to reduce the risk of cancer or prophylactic surgery | US$30,000 per lifetime (after a 12-month waiting period) |
Dialysis services | 100% UCR |
Prostheses and medical appliances implanted during surgery | 100% UCR |
Organ transplant (per organ/tissue) | US$1,100,000 per lifetime Includes US$60,000 benefit for expenses of the live donor |
Durable medical equipment | 100% UCR |
Physical therapy and rehabilitation | 100% UCR |
Specialized treatments: autism, sleep apnea and other sleep disorders Specialized therapies: occupational and speech | US$3,000 |
Congenital and/or hereditary conditions diagnosed before age 18 | US$2,000,000 per lifetime |
Congenital and/or hereditary conditions diagnosed after age 18 | 100% UCR |
HIV-AIDS treatment | US$1,000,000 per lifetime (after a 24-month waiting period) |
Gastric bypass bariatric surgery and any type of surgical procedure | US$10,000 per lifetime (after a 24-month waiting period) |
Surgical treatment of symptomatic foot disorders | 100% UCR (after a 24-month waiting period) |
Reconstructive surgery after an accident or illness | Up to the maximum benefit |
10-month waiting period, no deductible applies.
Description | Coverage |
---|---|
Maternity (options I, II & III) | US$7,000 |
Extension of the maternity coverage* | US$1,500 |
Extraction and storage of newborn stem cells (options I, II & III) | US$1,000 per covered delivery |
Maternity and newborn complications (options I, II & III) | US$1,000,000 per lifetime |
Inclusion of the newborn within 90 days after the birth (options I, II & III) | Without underwriting, if born from a covered maternity |
Free coverage for dependents up to 5 years old (options I & II) ** | • Max. of 2 children born from a covered maternity |
*When the insured selects a hospital from the Special Maternity Network®.
**Included in the policy within 90 days from birth. After 90 days, premium payment will be required.
Description | Coverage |
---|---|
Emergency transportation - Ground ambulance | 100% UCR, no deductible applies |
Emergency transportation - Air ambulance | 100% UCR, no deductible applies |
Cost of return ticket for the insured and one companion after an evacuation by air ambulance | Up to US$1,000 per ticket |
Repatriation or cremation of mortal remains | 100% UCR |
Description | Coverage |
---|---|
Treatment for injuries during the training or practice of hazardous hobbies and/or professional sports | 100% UCR |
Emergency dental coverage | 100% UCR for treatment within the first 180 days of the covered accident |
Refractive eye surgery | US$500 per eye, per lifetime (after a 24-month waiting period) |
Palliative care | 100% UCR |
Temporary coverage for accidents while application is being underwritten | US$30,000 |
Free extended coverage for eligible dependents after the policyholder’s | 2 years |
Elimination/reduction of the policy deductible for no claims during the | Options I, II, III & IV:
|
Elimination of deductible in case of a serious accident (all options) | Elimination of the annual deductible for the first hospital urgent |
Second Medical Opinion VIP® | Access to a second medical opinion of renowned experts from around |
Description | Coverage |
---|---|
Emergency coverage when traveling abroad* | Up to US$5,000 for emergency medical treatment |
*For policies issued to Argentina, Chile, Colombia, Paraguay, Peru and Uruguay residents, this benefit is included in their plan with no extra premium.
All benefits with 100% coverage are up to the policy limit. Benefits with established coverage will be up to the limits stated in each of them.