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Hospital plan

Reimbursements under the Hospital Plan 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 overall annual maximum cover per person per policy year of EUR 1,500,000/GBP 1,200,000/USD 1,800,000.

 

Hospital Services - During Hospitalisation 100%
Semi-private/private room 100%
Intensive care room 100%
Room and board for a parent accompanying an insured child 100%
Surgery 100%
Medical treatment, laboratory tests, X-rays 100%
Medicine while in hospital 100%
Pacemaker 100%
Psychiatric treatment 100%

 

Outpatient Treatment in a Hospital or Clinic
Surgery 100%
Chemotherapy, radiotherapy 100%
Dialysis 100%
Other outpatient treatment is reimbursed under Module 1 Non-Hospitalisation Benefits

 

Childbirth

Hospital Plan

Hospital Plan + Module 1
– Non-Hospitalisation
Benefits

EUR    

GBP

USD

EUR

GBP

USD

Normal delivery, complicated delivery and elective caesarean delivery, incl. pre- and
postnatal treatment
Max. per delivery
100%



5,200
100%



3,575
100%



6,500
100%



8,800
100%



6,050
100%



11,000
Medically prescribed caesarean, incl. pre- and postnatal treatment
Max. per delivery
100%

9,650
100%

6,650
100%

12,000
100%

11,500
100%

7,800
100%

14,000
Delivery/caesarean following fertility treatment
Excluding pre- and postnatal treatment, max.
100%


4,000
100%


2,750
100%


5,000
100%


6,500
100%


4,400
100%


8,000
The above maximum rates for maternity shall be reduced by the deductible chosen

 

Childbirth / Home Delivery

EUR

GBP

USD

Doctor/specialist, midwife 145 100 165
Home nursing in connection with home delivery 435 300 490
Pre- and postnatal examinations are reimbursed under Module 1 Non-Hospitalisation Benefits

 

Organ Transplant

EUR

GBP

USD

Organ transplant 100% 100% 100%
Per diagnosis and course of treatment all included, max.
Only human organs
The procurement of the organ must be pre-approved by the Company
270,000 187,500 300,000

 

Emergency Room Treatment
Emergency room treatment in connection with acute illness or accident 100% 100% 100%

 

Local Transport by Ambulance

EUR

GBP

USD

Medically prescribed transport to and from hospital 100% 100% 100%
Per policy year, max. 1,500 1,000 1,600

 

Rehabilitation

EUR

GBP

USD

Medically prescribed rehabilitation in connection with treatment at an authorised rehabilitation centre 100% 100% 100%
Max. per day for max. 3 months per illness 330 220 355

 

Home Nursing

EUR

GBP

USD

For expenses incurred for medically prescribed assistance in your private home by a certified nurse 100% 100% 100%
Max. per day for max. 40 days per policy year 130 84 135

 

Hospital Cash Benefit

EUR

GBP

USD

If room, board and treatment are received free of charge, per night max. 90 60 100
Max. 60 nights per policy year (must be pre-approved by the Company)

 

Emergency Dental Treatment
Acute emergency dental treatment due to serious accident requiring hospitalisation 100% 100% 100%
In case of doubt, the decision will be left with the Company's dental consultant

 

Online Services
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