ACCESS VIP PLUS
Is designed as a complementary plan with an annual coverage of US$2 million
ACCESS VIP
Is designed as a complementary plan with an annual coverage of US$2 million
DEDUCTIBLE OPTIONS*
| Option I | Option II | Option III | Option IV | Option V | Option VI | |
|---|---|---|---|---|---|---|
| US$2,000 | US$5,000 | US$10,000 | US$20,000 | US$50,000 | ||
| US$2,000 | US$5,000 | US$10,000 | US$20,000 | US$50,000 |
*Only one deductible per person, per policy year applies. For family policies, a maximum of two deductibles accumulated per policy, per policy year will be applied. For more information, please refer to the policy’s Conditions of Coverage
TABLE OF BENEFITS
| Description | Coverage |
|---|---|
| Maximum coverage per person, per policy year | US$2,000,000 |
| Maximum age to apply for coverage | Up to 75 years old |
| Waiting period | 30 days |
| Coverage outside USA | 100% UCR with free choice of hospitals and doctors |
| Coverage inside USA | • 100% UCR within the Access Plus Network® corresponding to the region • Outside the Access Plus Network®, the coverage will be at 60%, with a maximum daily room rate of up to US$700 for a standard room and up to US$1,400 for intensive care • Emergency medical treatment will be covered 100% UCR, up to the policy limits |
| Description | Coverage |
|---|---|
| Standard hospital room | 100% UCR |
| Use of intensive care unit | 100% UCR |
| Adult companion accommodation expenses of a hospitalized insured under 18 years old | US$150 per night, max. of 30 nights |
| Adult companion accommodation expenses of a hospitalized insured over 18 years old | 100% UCR, max. of 21 nights |
| Prescribed medications while hospitalized | 100% UCR |
| Physical therapy and rehabilitation | 100% UCR |
| Description | Coverage |
|---|---|
| Emergency room care | 100% UCR |
| Physician and specialist visits | 100% UCR |
| Physician and specialist home visits (where available) | 100% UCR |
| Outpatient prescription medication | US$5,000 |
| Nurse or therapist care at home | US$6,000 |
| Preventive health checkup, no deductible applies (option I) | US$100 for insureds 18 and older (after a 10-month waiting period) |
| Hearing aids | US$500 per lifetime |
| Treatment for Alzheimer’s disease | 100% UCR |
| Allergy treatment | 100% UCR |
| Physical therapy and rehabilitation | US$6,000 |
The following benefits offer the same coverage for both inpatient and outpatient procedures.
| Description | Coverage |
|---|---|
| Surgeon and anesthesiologist fees | 100% UCR |
| Diagnostic study services (laboratory tests, pathology, X-rays, MRI/CT/ PET scans) | 100% UCR |
| Oncology: tests, treatment (chemotherapy and/or radiotherapy) and medication | 100% UCR |
| Surgery to reduce the risk of cancer or prophylactic surgery | US$10,000 per lifetime (after a 12-month waiting period) |
| Dialysis services | 100% UCR |
| Prostheses and medical appliances implanted during surgery | 100% UCR |
| Organ/tissue transplant | US$300,000 per lifetimeIncludes US$25,000 benefit for expenses of the live donor |
| Durable medical equipment | US$8,000 |
| Specialized treatments: autism, sleep apnea and other sleep disorders Specialized therapies: occupational and speech | US$1,500 |
| Congenital and/or hereditary conditions diagnosed before age 18 | US$125,000 per lifetime |
| Congenital and/or hereditary conditions diagnosed after age 18 | 100% UCR |
| Surgical treatment of symptomatic foot disorders | 100% UCR (after a 24-month waiting period) |
| Reconstructive surgery after an accident or illness | Up to the maximum benefit |
10-month waiting period, no deductible applies
| Description | Coverage |
|---|---|
| Maternity (option I) | US$3,500, no deductible appliesIncludes deliveries for pregnancies that are a result of any type of fertility treatments |
| Maternity and newborn complications (option I) | US$250,000 |
| Inclusion of the newborn within 90 days after the birth (option I) | Without underwriting, if born from a covered maternity |
| Description | Coverage |
|---|---|
| Emergency transportation - Ground ambulance | 100% UCR, no deductible applies |
| Emergency transportation - Air ambulance | US$40,000, no deductible applies |
| Repatriation or cremation of mortal remains | US$7,000 |
| Description | Coverage |
|---|---|
| Treatment for injuries during the training or practice of hazardous hobbies and/or non-professional sports | 100% UCR |
| Emergency dental coverage | 100% UCR for treatment within the first 180 days of the covered accident |
| Palliative care | 100% UCR |
| Temporary coverage for accidents while application is being underwritten | US$30,000 |
| Elimination/reduction of the policy deductible for no claims during the last 3 years | Option I: • Elimination for 1 year after the 3rd year without claims • Reduction of 50% of the deductible for 1 year after the 3rd year, if the deductible was not met in any of the years Options II, III & IV: • Reduction of 50% of the deductible for 1 year after the 3rd year without claims |
| Elimination of deductible in case of a serious accident (options I & II) | Elimination of the annual deductible for the first hospital urgent treatment that requires a hospitalization within the first 24 hours after the serious accident |
| Emergency coverage when traveling abroad | Up to US$5,000 for emergency medical treatment while traveling abroad |
| Second Medical Opinion VIP® | Access to a second medical opinion of renowned experts from around the world, no deductible applies |
All benefits with 100% coverage are up to the policy limit. Benefits with established coverage will be up to the limits stated in each of them