Sunday, August 30, 2009

Compare our Core Plans for Individuals

Core Plans
Treatment Guarantee is required for all in-patient benefits () and may be required for other benefits () as indicated in the table below - please refer to note 2 for more information. These plans are valid from 1st November 2008. To change currency, please use the dropdown menu above.
Premier Individual Club Individual Classic Individual Essential Individual
Maximum plan benefit
€2,250,000€1,500,000€1,125,000€500,000
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()">
In-patient benefits - please refer to note 2 for Treatment Guarantee
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()"> Hospital accommodation refers to standard private or semi-private accommodation as indicated on the Table of Benefits. Deluxe, executive rooms and suites are not covered.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Hospital accommodation
Private roomPrivate roomPrivate roomSemi-private room
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()"> Prescription drugs refers to products, including insulin, hypodermic needles or syringes, prescribed by a medical practitioner for the treatment of a confirmed diagnosis or medical condition or to compensate vital bodily substances. The prescribed drugs must be clinically proven to be effective, and recognised by the pharmaceutical regulator in a given country.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Prescription drugs and materials
Full refundFull refundFull refundFull refund
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()">
Surgical fees, including anaesthesia & theatre charges
Full refundFull refundFull refundFull refund
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()">
Physician and therapist fees
Full refundFull refundFull refundFull refund
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()"> Surgical appliances and prostheses refers to artificial body parts or devices, which are an integral part of a surgical procedure or part of any medically necessary treatment following surgery.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Surgical appliances and prostheses
Full refundFull refundFull refundFull refund
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()">
Diagnostic tests
Full refundFull refundFull refundFull refund
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()"> Organ transplant is the surgical procedure in performing the following organ and/or tissue transplants: heart, heart/valve, heart/lung, liver, pancreas, pancreas/kidney, kidney, bone marrow, parathyroid, muscular/skeletal and cornea transplants. Expenses incurred in the acquisition of organs are not reimbursable.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Organ transplant
Full refundFull refundFull refund€10,000
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()"> Psychiatry and psychotherapy refers to treatment of a mental, nervous or eating disorder carried out by a clinical psychiatrist or clinical psychologist. The disorder must be associated with present distress, or substantial impairment of the individual’s ability to function in a major life activity (e.g. employment). The aforementioned condition must be clinically significant and not merely an expected response to a particular event such as bereavement, relationship or academic problems and acculturation. The disorder must meet the criteria for classification under an international classification system such as the Diagnostic and Statistical Manual (DSM-IV) or the International Classification of Diseases (ICD-10).","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Psychiatry and psychotherapy
(10 month waiting period applies)
Full refund€6,000€5,000€5,000
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()"> Accommodation costs for one parent staying in hospital with an insured child under 18 refers to the hospital accommodation costs of one parent for the duration of the insured child’s admission to hospital for eligible treatment. If a suitable bed is not available in the hospital, we will contribute the equivalent of a 3 star daily room rate towards any hotel costs incurred. We will not, however, cover sundry expenses such as meals, telephone calls, newspapers etc.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Accommodation costs for one parent staying in hospital with an insured child under 18
Full refundFull refundFull refundFull refund
Emergency in-patient dental treatment refers to acute emergency dental treatment due to a serious accident requiring hospitalisation. The treatment must be received within 24 hours of the emergency event. Please note that cover under this benefit does not extend to follow-up dental treatment, dental surgery, dental prostheses, orthodontics or periodontics. If cover is provided for these benefits, it will be listed separately in the Table of Benefits.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Emergency in-patient dental treatment
Full refundFull refundFull refundFull refund
‘1’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 80% of the eligible benefits.","", 300, "one")' ;="" onmouseout="hideddrivetip()">
Other benefits - please refer to note 2 for Treatment Guarantee
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Day-care treatment is treatment received in a hospital or day-care facility during the day, including a hospital room and nursing that does not medically require the patient to stay overnight and where a discharge note is issued.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Day-care treatment
Full refundFull refundFull refundFull refund
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Out-patient surgery is a surgical procedure performed in a surgery, hospital, day-care facility or out-patient department that does not require the patient to stay overnight out of medical necessity.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Out-patient surgery
Full refundFull refundFull refundFull refund
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Nursing at home or in a convalescent home refers to nursing received immediately after or instead of eligible in-patient or day-care treatment. We will only pay the benefit listed in the Table of Benefits where the treating doctor decides (and our Medical Director agrees) that it is medically necessary for the member to stay in a convalescent home or have a nurse in attendance at home. Cover is not provided for spas, cure centres and health resorts or in relation to palliative care or long term care (as defined).","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Nursing at home or in a convalescent home
(immediately after or instead of hospitalisation)
€4,250€2,830€2,500€2,500
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Rehabilitation is treatment aimed at the restoration of a normal form and/or function after an acute illness or injury. The rehabilitation benefit is payable only for treatment that starts immediately after the acute medical treatment ceases.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Rehabilitation treatment
(immediately after acute medical treatment ceases)
€4,420N/AN/AN/A
Local ambulance is ambulance transport, required for an emergency or out of medical necessity, to the nearest available and appropriate hospital or licensed medical facility.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Local ambulance
Full refundFull refundFull refund€500
Emergency treatment outside area of cover. Where applicable, you and your dependants will be covered for emergencies only, which occur during business and holiday trips, outside of your chosen area of cover (where relevant). Cover is provided up to a maximum period of 6 weeks per trip within the maximum benefit amount. You will not be covered for any curative or follow-up non-emergency treatment, even if deemed unable to travel to a country within your geographical area of cover.

Not only are you covered in the event of an accident but you are also covered for the sudden beginning or worsening of a severe illness, resulting in a medical condition that presents an immediate threat to your health. To be considered emergency treatment, and thus covered under this benefit, please remember that the medical treatment (through a physician, general practitioner or specialist) should commence within 24 hours of the emergency event.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Emergency treatment outside area of cover
(for trips of a maximum period of 6 weeks)
Full Refund
Max. 42 days
Full Refund
Max. 42 days
Full Refund
Max. 42 days
Up to €10,000
Max. 42 days
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Medical evacuation applies where the necessary treatment for which the insured person is covered is not available locally or if adequately screened blood is unavailable in the event of an emergency. We will evacuate the insured person to the nearest appropriate medical centre. Please note that the nearest appropriate medical centre may not be located in your home country.

Following completion of treatment, we will also cover the cost of the return trip, at economy rates, for the evacuated member to return to his/her principle country of residence.

If medical necessity prevents the insured member from undertaking the evacuation or transportation following discharge from an in-patient episode of care, we will cover the reasonable costs of hotel accommodation up to a maximum of 7 days, comprising of a private room with en suite facilities.

Where an insured member has been evacuated to the nearest centre of excellence for ongoing treatment, we will agree to cover the reasonable cost of hotel accommodation comprising of a private room with en suite facilities.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Medical evacuation
Full refundFull refundFull refundFull refund
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Expenses for one person accompanying an evacuated/repatriated person refers to the cost of one person travelling with the evacuated/repatriated person. If this cannot take place in the same transportation vehicle, transport at economy rates will be paid for. Following completion of treatment, we will also cover the cost of the return trip, at economy rates, for the accompanying person to return to the country from where the evacuation/repatriation originated. Cover does not extend to hotel accommodation and other related expenses.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Expenses for one person accompanying an evacuated or repatriated person
€3,000€3,000€3,000€3,000
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Repatriation of mortal remains is the transportation of the insured person’s mortal remains from the principal country of residence to the country of burial. Covered expenses include, but are not limited to, expenses for embalming, a container legally appropriate for transportation, shipping costs and the necessary government authorisations. Cremation costs will only be covered in the event that this is required for legal purposes. Costs incurred by any accompanying persons are not covered.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Repatriation of mortal remains
€10,000€10,000€10,000€10,000
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> CT, MRI and PET scans, as well as CT/PET scans, carried out on an in-patient or out-patient basis. Submission of a Treatment Guarantee Form is required for MRI, PET and CT/PET scans.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
CT, MRI & PET scans
(in-patient and out-patient treatment)
Full refundFull refundFull refundFull refund
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Oncology refers to specialist fees, diagnostic tests, radiotherapy, chemotherapy, and hospital charges incurred in relation to the planning and carrying out treatment for cancer, from the point of diagnosis.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Oncology
(in-patient and out-patient treatment)
Full refundFull refundFull refundFull refund
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Complications of pregnancy relates to the health of the mother. Only the following complications that arise during the pre-natal stages of pregnancy are covered: ectopic pregnancy, miscarriage, stillbirth and hydatidiform mole.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Complications of pregnancy
(in-patient and out-patient treatment)
(10 month waiting period applies)
Full refundFull refundFull refundN/A
Laser eye treatment refers to the surgical improvement of the refractive quality of the cornea using laser technology, including necessary pre-operative investigations.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Laser eye treatment
(limited to one treatment per lifetime)
€1,000
per lifetime
€500
per lifetime
N/AN/A
In-patient cash benefit is payable when treatment and accommodation for a medical condition, that would otherwise be covered under the insured’s plan, is provided in a hospital where no charges are billed. Cover is limited to the amount specified in the Table of Benefits and is payable upon discharge from hospital.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
In-patient cash benefit
(per night) (where treatment has been received free of charge)
€150
Max. 25
nights
€150
Max. 25
nights
€150
Max. 25
nights
€150
Max. 25
nights
Emergency out-patient treatment is treatment received in a casualty ward/emergency room following an accident or sudden illness, where the insured does not, out of medical necessity, occupy a hospital bed. The treatment must be received within 24 hours of the emergency event.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Emergency out-patient treatment
(where these benefit amounts are reached, any additional costs may be reimbursed within the terms of any separate out-patient plan)
€750€750€750N/A
Emergency out-patient dental treatment is treatment received in a dental surgery/hospital emergency room for the immediate relief of dental pain, including temporary fillings limited to three fillings per Insurance Year, and/or the repair of damage caused in an accident. The treatment must be received within 24 hours of the emergency event. This does not include any form of dental prosthesis and root canal treatment.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
Emergency out-patient dental treatment
(where these benefit amounts are reached, any additional costs may be reimbursed within the terms of any separate dental plan)
€750€500N/AN/A
‘2’, we reserve the right to decline a claim. If in the aftermath the respective treatment is proven medically necessary, we will pay only 50% of the eligible benefits.","", 300, "two")' ;="" onmouseout="hideddrivetip()"> Palliative care refers to in-patient, day-care or out-patient treatment following the diagnosis that your condition is terminal and treatment can no longer be expected to cure your condition. Included within your benefit we will pay for your physical care, pyschological care as well as hospital or hospice accommodation, nursing care and prescription drugs.

Long term care refers to care over an extended period of time after the acute treatment has been completed, usually for a chronic condition or disability requiring periodic, intermittent or continuous care. Long term care can be provided at home, in the community, in a hospital or in a nursing home.","", 500, "def")' ;="" onmouseout="hideddrivetip()">
NEW Palliative care and long term care
Full refund, Max. 30 days per lifetimeFull refund, Max. 30 days per lifetimeFull refund, Max. 30 days per lifetimeFull refund, Max. 30 days per lifetime

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