Module 1 - Non-hospitalisation benefits
Reimbursements under this supplementary module are effected at 100% of the expenses,
unless you have chosen a deductible. In this case you will be reimbursed as soon as qualified
expenses exceed the amount of the deductible.
Reimbursements will not in any event exceed the following amounts or the annual maximum
limit of EUR 35,000/GBP 25,000/USD 35,000.
| General Practitioners and Specialists |
| GP consultations, per consultation |
80 |
60 |
80 |
Chinese doctor consultation (if charged separately), per consultation
Max. EUR 200/GBP 150/USD 200 per policy year |
20 |
15 |
20 |
| Eye and ear specialists/other specialists, per consultation |
110 |
85 |
115 |
| Psychiatrists, per consultation |
125 |
80 |
130 |
| Expenses are reimbursed for a max. of 15 consultations within a 30-day period |
| Therapists |
Dietetic guidance, speech therapy per consultation
Max. 4 consultations per policy year |
50 |
40 |
50 |
| Physiotherapy, ergotherapy per consultation |
75 |
55 |
75 |
| Max. per policy year |
1,050 |
700 |
1,200 |
| Chiropractor/osteopath all inclusive, per consultation |
65 |
50 |
65 |
| Max. per policy year |
1,050 |
700 |
1,200 |
| Medical Check-Up all inclusive, per year |
275 |
250 |
300 |
| Examinations and other Medical Assistance |
| Laboratory test, analysis 450 305 500 |
450 |
305 |
500 |
| X-ray |
450 |
305 |
500 |
| ECG |
450 |
305 |
500 |
| Scan and endoscopic examinations, per examination |
675 |
450 |
750 |
| Injection and vaccination |
55 |
40 |
60 |
Acupuncture and homeopathic treatment, performed by a physician
Acupuncture and homeopathic treatment shall only be covered when performed by a physician/doctor authorised in the country of practise |
55 |
35 |
60 |
| Special assistance |
290 |
200 |
325 |