| |
Global Medical Insurance |
Global Basic Insurance |
|
Coverage area |
Worldwide |
Worldwide |
|
Policy maximum per individual |
US$5,000,000 |
US$5,000,000 |
|
Hospital room & board |
Usual,
reasonable, and customary charges |
US$600
per day
[maximum of 240 consecutive days per covered event] |
|
Intensive care unit |
Usual,
reasonable, and customary charges |
US$1,500 per day
[maximum of 180 consecutive days per covered event] |
|
Inpatient or outpatient surgery |
Usual,
reasonable, and customary charges |
Usual,
reasonable, and customary charges |
|
Anesthetist’s charges associated with
surgery |
Usual,
reasonable, and customary charges |
20% of the
surgery benefit payable |
|
Lab tests, X-rays, other tests associated
with an inpatient covered event |
Usual,
reasonable, and customary charges |
Usual,
reasonable, and customary charges |
|
Transplants |
US$1,000,000
lifetime |
US$250,000
all inclusive per transplant |
|
Outpatient visits or exams |
Usual,
reasonable, and customary charges |
25 visits,
including prenatal and postnatal care, per insured person per coverage
period reimbursed to the maximum limit as outlined below:
Physician – US$70/visit
Specialist – US$70/visit
Psychiatrist-US$60/visit
Chiropractor-US$50/visit
Surgical intervention consultation-US$500/visit |
|
Outpatient X-rays |
Usual,
reasonable, and customary charges |
US$250 per
exam maximum limit |
|
Outpatient lab tests |
Usual,
reasonable, and customary charges |
US$300 per
exam maximum limit |
|
Prescription medication related to a
covered event |
Usual,
reasonable, and customary charges |
Usual,
reasonable, and customary charges |
|
Emergency room |
Usual,
reasonable, and customary charges
[Charges incurred for the use of the Emergency Room for
treatment of an illness are subject to an additional (extra) US$250
deductible if treatment does not require admittance to the hospital.] |
Usual,
reasonable, and customary charges |
|
Necessary treatment to of sudden,
unexpected pain to sound natural teeth |
US$100 per
period of coverage |
No coverage
available |
|
Emergency dental due to an accident |
Usual,
reasonable, and customary charges |
US$1,000 per
coverage period |
|
Local ground ambulance |
Usual,
reasonable, and customary charges |
US$1,500 per covered event
[not subject to deductible or coinsurance] |
|
Emergency medical evacuation |
Up to policy
maximum; included is Emergency Reunion benefit of US$10,000 lifetime |
US$50,000 per coverage period
[not subject to deductible or coinsurance] |
|
Repatriation |
US$25,000 |
US$25,000
[not subject to deductible & coinsurance]
|
|
Supplemental accident |
US$300 per
occurrence |
No coverage |
|
Maternity |
US$50,000 lifetime
[maximum of US$5,000 for normal delivery; US$7,500 for
c-section – available after 12 months of coverage]
|
Limited
to US$4,000 per pregnancy
[not subject to coinsurance – available after 12 months of
coverage] |
|
Professional services related to inpatient
maternity expenses |
Included in
benefit above |
US$200
per day
[not subject to coinsurance] |
|
Newborns |
Usual,
reasonable, and customary charges – eligible newborn children may be added
without evidence of insurability under certain circumstances |
US$15,000
lifetime maximum for the first 30 days after birth – newborns must be
medically underwritten |
|
Child wellness |
US$200
maximum per period of coverage
[not subject to deductible or coinsurance – available for
eligible children from 14 days to 18 years of age after 12 months of
continuous coverage] |
3
visits per coverage period
[maximum limit of US$70 per visit] |
|
Pre-existing conditions |
US$50,000 lifetime
[maximum of US$5,000 per period of coverage – available after
24 months of continuous coverage] |
US$50,000 lifetime
[maximum of US$5,000 per period of coverage – available after
24 months of continuous coverage] |
|
Mental/nervous care |
US$10,000 per period of coverage, US$50,000 lifetime
[available after 12 months of continuous coverage – inpatient
and outpatient care by a licensed psychiatrist] |
Outpatient
services covered only as indicated in the “Outpatient visits or exams”
section |
|
Wellness |
US$250
per period of coverage
[not subject to deductible or coinsurance – includes routine
physicals, mammograms, and ob/gyn visits for those age 30 and over after 12
continuous months of coverage – visits must be separated by at least 12
months] |
No coverage
available |
|
Complementary medicine |
Each per
period of coverage
Acupuncture – US$150
Aroma therapy – US$50
Herbal therapy – US$50
Magnetic therapy-US$75
Massage therapy-US$150
Vitamin therapy-US$100 |
No coverage
available |
|
Extended care facility services |
Usual,
reasonable, and customary charges |
Limited to
the first 30 days of convalescent confinement |
|
Home nursing care services |
Usual,
reasonable, and customary charges |
Limited to 30
days per covered event |
|
Inpatient hospice care |
Usual,
reasonable, and customary charges |
Limited to 30
days per covered event |
|
Chemotherapy & radiation therapy |
Usual,
reasonable, and customary charges |
Usual,
reasonable, and customary charges |
|
Physical therapy |
Usual,
reasonable, and customary charges
[Maximum US$50 per visit] |
Maximum
US$40 per visit
[30 visits per coverage period] |
|
MRI, CAT scan, endoscopy, echocardiography,
gastroscopy, colonoscopy, & cystoscopy |
Usual,
reasonable, and customary charges |
US$600 per
exam maximum limit |
|
Prosthetic devices |
Usual,
reasonable, and customary charges |
No coverage
available |
|
Recreational SCUBA Coverage |
Usual,
reasonable, and customary charges
[Illness or injury while using safe diving practices as laid
down by an Authoritative Diving Body] |
No coverage
available |