Today is
pacific-logo
  • Company Profile
  • News
  • Products
    • Medical Plans
    • Travel Plans
  • Location of Accredited Providers
  • Sister Companies
  • Access
    • Broker Access
  • Contact Us

    MEDICAL PLANS: Senior Health Insurance Plan

profile-pic
  • Benefits
  • Discount Options
  • Premiums
  • General Information
  • Quote Wizard

 

BENEFITS

 

HOSPITAL, OUTPATIENT & EMERGENCY MEDICAL PLAN

 

SENIOR STANDARD MEDICAL PLAN

SENIOR COMPREHENSIVE MEDICAL PLAN

MAXIMUM BENEFIT FOR ANY ONE DISABILITY AND SEQUELAE
(reduces to US$250,000 for applicants over age 65)
US$1,000,000 US$1,000,000
Covers normal, usual and customary charges for:    
Room and Board Semi-private in
E.U.Countries/ HK /
N.America / Switzerland
(Private Room option)
or
Private in other countries
Private
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
Fees for kidney, heart, liver and bone marrow transplants (up to 50% for donor and the remaining percentages for recipient, at the option of the Insured Person) to a total of

 

This benefit is a lump sum maximum per organ and no other policy benefits are payable in respect of Organ Transplant
US$100,000 US$100,000
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
Psychiatric and Mental Disorders
Hospital charges of US$5,000 per year with lifetime limit of
US$10,000 US$10,000
Medical Check-up
Annual limit for routine medical check-ups
Not Available US$500
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

NOTE:

"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.

 

ADDITIONAL BENEFIT PLANS

 

SENIOR STANDARD MEDICAL PLAN

SENIOR COMPREHENSIVE MEDICAL PLAN

Covers normal, usual and customary charges for eligible expenses:    
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 up to
Not Available 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. Coverage is terminated after age 75.
(US$100,000
option)
US$100,000
(with added load for Class 2 and 3)
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; and

 

"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
" Cash Allowance " - pays US$25 for each full 12 hours delay up to a maximum of US$100.

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)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Company Profile | News | Products | Location of Hospitals | Sister Companies | Contact Us

Copyright © 2000-2011 Pacific Cross Insurance Company Limited. All rights reserved. Restricted Access