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Inpatient Treatment

Medically necessary hospital confinement including room and board, specialist services, surgical expenses and nursing costs.

Emergency Room

Emergency treatment for an illness or injury that requires immediate attention at an Emergency Room.

Intensive Care Unit

Intensive Care Unit charges for treatment of a critical ailment.

Outpatient Services

Medical services, procedures, tests and consultations are performed at a medical center without an overnight stay.

Prescription Medicines

Medicines prescribed by a physician or specialist to treat a covered ailment.

Maternity Care and Childbirth

Subject to a 10-month waiting period, ultrasound examinations, consultations and childbirth with or without complications are covered.

Physiotherapy

Physical therapy costs for the treatment of a covered ailment or injury.

Treatment Abroad

Medical treatment abroad for a covered ailment or injury that occurs during a trip abroad of less than 30 days or pre-approved referral by a specialist for medically necessary treatment or procedure abroad that cannot be obtained locally.

MAXIMUM LIMITS

Overall Annual Limit

Maximum Lifetime Limit

HOSPTIAL SERVICES

Inpatient Treatment

Surgical Expenses

Miscellaneous Expenses

Intensive Care

Emergency Room

OUTPATIENT SERVICES

Physician Consultation

Specialist Consultation

Prescription Medicines

X-Ray and Laboratory

Psychologist Consultation

Psychiatrist Consultation

MATERNITY CARE

Normal Prenatal Care

Prenatal Care with Complications

Medically Necessary Ultrasound

Normal Delivery

Childbirth with Complications

Newborn Care

PHYSIOTHERAPY

Physical Therapist Treatment

TREATMENT ABROAD

Hospital Services

Outpatient Services

TRANSPORTATION

Local Ambulance

Non-Emergency Medical Transportation

Emergency Medical Transportation

BASIC

MAXIMUM LIMITS

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100,000

Overall Annual Limit

100,000

300,000

Maximum Lifetime Limit

300,000

HOSPTIAL SERVICES

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Yes, shared room

Inpatient Treatment

Yes, shared room

Yes

Surgical Expenses

Yes

Yes

Miscellaneous Expenses

Yes

Max. 14 days per ailment

Intensive Care

Max. 14 days per ailment

Yes

Emergency Room

Yes

OUTPATIENT SERVICES

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Yes

Physician Consultation

Yes

Yes

Specialist Consultation

Yes

Yes

Prescription Medicines

Yes

Yes

X-Ray and Laboratory

Yes

Excluded

Psychologist Consultation

Excluded

Excluded

Psychiatrist Consultation

Excluded

MATERNITY CARE

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Max. 6 Physician Consultations

Normal Prenatal Care

Max. 6 Physician Consultations

Max. 6 Gynecologist Visits

Prenatal Care with Complications

Max. 6 Gynecologist Visits

Max. 6 Examinations

Medically Necessary Ultrasound

Max. 6 Examinations

Max. 2 Days

Normal Delivery

Max. 2 Days

Max. 7 Days

Childbirth with Complications

Max. 7 Days

First 30 Days of Life

Newborn Care

First 30 Days of Life

PHYSIOTHERAPY

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Max. 8 treatments per ailment

Physical Therapist Treatment

Max. 8 treatments per ailment

TREATMENT ABROAD

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Max. 30 days per ailment

Hospital Services

Max. 30 days per ailment

2,000

Outpatient Services

2,000

TRANSPORTATION

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Yes

Local Ambulance

Yes

Max. 3,000 per year

Non-Emergency Medical Transportation

Max. 3,000 per year

Max. 15,000 pear year

Emergency Medical Transportation

Max. 15,000 pear year

More Information

EXTENDED

MAXIMUM LIMITS

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150,000

Overall Annual Limit

150,000

450,000

Maximum Lifetime Limit

450,000

HOSPTIAL SERVICES

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Yes, shared room

Inpatient Treatment

Yes, shared room

Yes

Surgical Expenses

Yes

Yes

Miscellaneous Expenses

Yes

Max. 21 days per ailment

Intensive Care

Max. 21 days per ailment

Yes

Emergency Room

Yes

OUTPATIENT SERVICES

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Yes

Physician Consultation

Yes

Yes

Specialist Consultation

Yes

Yes

Prescription Medicines

Yes

Yes

X-Ray and Laboratory

Yes

Max. 8 visits per ailment

Psychologist Consultation

Max. 8 visits per ailment

Max. 8 visits per ailment

Psychiatrist Consultation

Max. 8 visits per ailment

MATERNITY CARE

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Max. 6 Physician Consultations

Normal Prenatal Care

Max. 6 Physician Consultations

Max. 7 Gynecologist Visits

Prenatal Care with Complications

Max. 7 Gynecologist Visits

Max. 7 Examinations

Medically Necessary Ultrasound

Max. 7 Examinations

Max. 2 Days

Normal Delivery

Max. 2 Days

Max. 10 Days

Childbirth with Complications

Max. 10 Days

First 30 Days of Life

Newborn Care

First 30 Days of Life

PHYSIOTHERAPY

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Max. 12 treatments per ailment

Physical Therapist Treatment

Max. 12 treatments per ailment

TREATMENT ABROAD

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Max. 45 days per ailment

Hospital Services

Max. 45 days per ailment

3,000

Outpatient Services

3,000

TRANSPORTATION

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Yes

Local Ambulance

Yes

Max. 4,000 per year

Non-Emergency Medical Transportation

Max. 4,000 per year

Max. 20,000 per year

Emergency Medical Transportation

Max. 20,000 per year

More Information

Note: All figures are in ANG/AWG