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Schedule of Benefits
PRIMEup to 1,000,000 EUR
"Paid in full" below means that relevant expenses shall be paid or reimbursed within the individual Sum Insured, under conditions that such expenses are Usual, Customary and Reasonable, and relevant Treatment is Medically Necessary.
Amounts below mean limits of possible reimbursement of actual costs paid / expenses incurred under relevant items, under condition that such costs/expenses are Usual, Customary and Reasonable, and relevant Treatment is Medically Necessary.
Number of visits/days/nights means that the reimbursement shall be based on the actual number of visits/days/nights, but no more than for the number of visits/days/nights indicated below.
Explanation of definitions used in this Schedule of Benefits is provided in the International Medical Insurance Terms And Conditions.
Hospitalisation
Planned and emergency In-patient Treatment (including day-patient), except for dental Treatments.
AccommodationStandard Private or Semi-Private room
If the room of the level specified in the Schedule of Benefits is not available at the time of admission, then the Usual, Customary and Reasonable expenses for the lower level accommodation conditions shall be paid for/reimbursed. The Insured Person is allowed to select any of the available categories of more comfortable rooms, however, the reimbursement will be limited to an amount corresponding to the accommodation in room level specified in the Schedule of Benefits, while the difference in the accommodation cost must be paid at Insured Person's own expense.
Inpatient Treatment - Doctor, Surgeon & Anaesthetist Fees Paid in full
Operating Theatre, ER, Recovery Room, ICU Paid in full
Diagnostic Tests & Medical Imaging Paid in full
Drugs, Dressings & Medical Materials Paid in full
Parental Accommodation Paid in full
Accommodation for a Breastfed Baby
Inpatient Psychiatric Treatment30.00000 nights
Reconstructive Surgery Paid in full
Internal Prosthetic Devices and Aids Paid in full
TransplantationPaid in full except USA, Singapore, Switzerland, Saudi Arabia, UAE and UK where 250,000 limit shall apply
Palliative Treatment & Hospice Care Paid in full
Hospitalization Daily Allowance—
Inpatient Treatment
Post-Hospital Treatment
Rehabilitation60.00000 days
Outpatient Physiotherapy20.00000 visits
External Prostheses and Devices900 EUR
Oncology Treatment
Consultations, Tests, Radiotherapy, Chemotherapy & Take-Home Drugs Paid in full
Cost of a Wig/Hairpiece900 EUR
Out-Patient Care
Except for Oncology Treatment and dental Treatments.
My Daily Telehealth Virtual Consultation Paid in full
Treatments and Consultations from Private Doctors and Outpatient Clinics2,300 EUR
Fees of GPs, Family Doctors or Specialists2,300 EUR
Prescription Drugs & Dressings2,300 EUR
X-rays, Diagnostic and Pathology Tests2,300 EUR
Hi-tech Scans (CT, MRI & PET)2,300 EUR
Hormone Replacement Therapy
Physiotherapy10.00000 visits
Alternative/Complementary Medical Practices10.00000 visits
Limit per Visit40 EUR
Homeopathic & Chinese Medicine Prescriptions400 EUR
Nursing at Home
Psychiatric Outpatient Consultations & Prescribed Drugs1,000 EUR
Restorative Speech Therapy5,750 EUR
Restrictions and Limits Applicable to Certain Medical Conditions or Events
Waiting Periods and limits indicated in this section prevail over those envisaged elsewhere in the Schedule of Benefits.
Congenital and Hereditary Diseases5,000 EUR
HIV/AIDS16,500 EUR
War and Terrorism as an Innocent Bystander
Dental Care
Dental Care Annual Limit600 EUR
Dental Treatment Following an Accident1,200 EUR
Kind of Dental TreatmentBasic Restorative, Preventive & Diagnostic
Dental Waiting Period3 months
Maternity Care
Limits established on a per Pregnancy basis. Waiting period applies for Pregnancy conception from the inception date of the Maternity Care coverage.
Normal Pregnancy and Childbirth5,000 EUR
Complicated Pregnancy and Childbirth15,000 EUR
New-born Care
Elective Circumcision for Newborn Males500 EUR
Preventive Care
Well Child Care
Adult Health Screening (Check-up)250 EUR
Vaccination150 EUR
Emergency Care
Local Road Ambulance Paid in full
Emergency Medical Evacuation Paid in full
Emergency Medical Evacuation - Companion-related Costs Paid in full
Companion Flight TicketEconomy
Hotel Accommodation for Companion7.00000 nights
Taxi / Transportation Costs of Companion150 EUR
Hotel Accommodation for Insured Person after Hospitalisation14.00000 nights
Emergency Medical Evacuation - Companion-related Costs for Insured Family Members3,000 EUR
Compassionate Trip Home Paid in full
Flight TicketEconomy
Repatriation or Local Burial Paid in full
Repatriation or Local Burial - Family Members' Travel Costs3,000 EUR
Kidney Dialysis Paid in full
Emergency Care out of Primary Area of Cover110,000 EUR
Accidental Death
Lump-sum Benefit
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