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HOSPITAL, OUTPATIENT & EMERGENCY MEDICAL PLAN |
|
STANDARD MEDICAL PLAN |
COMPREHENSIVE MEDICAL PLAN |
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| MAXIMUM BENEFIT FOR ANY ONE DISABILITY AND SEQUELAE | US$1,000,000 (US$2,000,000 option) |
US$2,000,000 (US$3,000,000 option) |
| Covers normal, usual and customary charges for: | ||
| INPATIENT BENEFITS | ||
| Room and Board | Semi-private
in E.U.Countries/ HK / N.America / Switzerland (Private Room option) or Private in other countries |
Private |
| Parent
Accommodation An extra bed in the same room for a parent accompanying an insured child under 12 years old |
100% | 100% |
| Intensive Care Unit, Coronary Care Unit and Operating Room | 100% | 100% |
| Surgeon's
Fee Includes pre-surgical assessment and normal post-surgical care |
100% | 100% |
| Anaesthetist's Fee | 100% | 100% |
| Miscellaneous
Inpatient Charges For required diagnostic laboratory tests, x-rays, prescribed medicines; professional fees; blood and plasma; wheel chair rentals; outpatient surgery; surgical appliances and devices; and intra-operative standard prosthetics (as approved by the Company) |
100% | 100% |
|
Organ Transplant This benefit is a lump sum maximum per organ and no other policy benefits are payable in respect of Organ Transplant |
US$200,000 | US$200,000 |
| HIV/AIDS Coverage will apply when HIV and/or its related illnesses present for the first time after 5 years continuous coverage under the Policy and any renewal thereof, with lifetime limit of |
US$100,000 | US$100,000 |
| Home
Nursing When certified necessary by the attending physician for up to 30 days immediately after hospitalization |
100% | 100% |
| Rehabilitation When certified necessary by the attending physician for up to 45 days of inpatient, day case or outpatient treatment starting within 14 days of hospitalization |
100% | 100% |
| Oncology Radiotherapy and chemotherapy (by way of infusion and injection) received as inpatient, day case or outpatient treatment |
100% | 100% |
| Hospice
Care For terminal illnesses with lifetime limit of |
US$10,000 | US$10,000 |
| Medical
Check-up Annual limit for routine medical check-ups |
Not Available | US$500 |
| Psychiatric
and Mental Disorders Hospital charges of US$5,000 per year with lifetime limit of |
US$10,000 | US$10,000 |
| Maternity
Benefit Maximum limit per pregnancy after a 12-month waiting period (90 days for miscarriage and therapeutic abortion) up to When both parents are insured, the limit shall be increased by 50% |
US$5,000 | US$6,000 |
| EMERGENCY BENEFITS | ||
| Emergency Room Treatment | 100% | 100% |
| Accidental
Damage to Teeth Emergency treatment for up to 7 days following accidental loss or damage caused to sound natural teeth |
100% | 100% |
| Emergency Local Ambulance Service | 100% | 100% |
| 24-Hour
Emergency Assistance Services and Emergency Medical Evacuation Service Additional Travel Expenses (following Evacuation) One economy class airline ticket to return an Insured Person to the Country of Residence |
Included | Included |
| OUTPATIENT BENEFITS | ||
| Physician and specialists' fees for office visits; physiotherapist and chiropractor when referred by the attending physician; and, for required diagnostic laboratory tests, x-rays and prescribed medicines | 100% | 100% |
| Alternative
Medicines Fees for visits to homeopath, osteopath, acupuncturist, bonesetter, herbalist and Chinese medicine practitioner; and prescribed herbs up to an annual limit of |
US$1,500 | US$1,500 |
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NOTE: |
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"100%" herein means full reimbursement of the normal, usual and customary charge in accordance with the eligible room type or other localized circumstances or customs. |
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ADDITIONAL BENEFIT PLANS |
| Covers normal, usual and customary charges for eligible expenses: |
STANDARD MEDICAL PLAN |
COMPREHENSIVE MEDICAL PLAN |
| Dental
Benefit 80% reimbursement up to an annual limit of |
(US$2,000 option) | US$2,000 |
| Vision
Benefit 80% reimbursement for eye examinations and prescription lenses annually for each Insured Person (this option is only available to groups of 21 or more people with 100% of the group participating) up to |
(US$500 option) | US$500 |
| Personal
Accident Benefit Covers loss of life, loss of one or both hands or feet, loss of vision in one or both eyes, or permanent and total disability caused directly and solely by an accident. (Maximum benefit is US$100,000 after age 65 and coverage is terminated after age 75. Child benefit limits are US$10,000 to US$50,000) |
(US$100,000 to US$500,000 option) |
US$100,000 for an adult / US$10,000 for a child (with added load for Class 2 and 3) (US$110,000 to US$500,000 option) |
| Travel
Benefit Covers the following eligible expenses worldwide when travelling outside your country of residence on trips lasting up to 90 days: |
(option) | Included |
|
Emergency Medical Expenses - covers illness or injury including:
"Emergency Evacuation" - (up to US$25,000) with a maximum of US$300 per day for hospital room and board which is doubled when the room fee includes medical service costs and tripled when the room fee also includes all professional services.
"Get You Home Benefit " - covers the additional cost of your own travel and accommodation necessarily incurred as a result of a covered disability to get you back home. |
US$35,000 | US$35,000 |
|
Baggage & Travel Documents - covers loss and damage of baggage and personal items including laptop computer; and loss of travel documents up to |
US$750 | US$750 |
|
Baggage Delay - covers purchase of essential clothing and toiletries if your checked baggage is delayed on arrival at your destination for over 12 hours up to |
US$125 | US$125 |
|
Personal Money - covers theft, burglary and robbery of cash, bank notes and travellers checks up to |
US$500 | US$500 |
|
Hospital Cash Income - pays US$50 per day for each day you are hospitalized over 24 hours up to |
US$600 | US$600 |
|
Travel Delay
- covers transportation expenses incurred as a direct consequence of
travel delay resulting from serious weather conditions, industrial
action, hijack, mechanical derangement if an Insured Person has to
re-route his trip due to cancellation of a prior confirmed booking; or |
US$650 | US$650 |
|
Cutailment of Trip & Cancellation Charges - covers irrecoverable prepaid travel arrangement deposits or any increased cost of travel in the event of death, serious injury or illness of the Insured Person, immediate family members or close business partner or travel companion of the Insured Person, witness summons, jury service,compulsory quarantine; natural disasters at the planned destination or complete destruction of the Insured Person's principal residence. |
US$2,500 | US$2,500 |
|
Optional Rental Car Protection - covers loss and damage occurs to a rental car result directly from fire,theft,collision or vandalism. Deductible: US$250 |
(US$10,000 option) | (US$10,000 option) |
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