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ALC Healthcare - Prima Iberica - Delete

Copy of the Prima Plan

International Healthcare Plan covering essential costs of private medical treatment with option to include evacuation & repatriation

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Full refund
Surgeon / Consultant / Specialist & Anaesthetists fees
Full refund
Physicians fees & diagnostic tests
Full refund
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full refund
Organ transplant
£100,000 : €140,000 : US$200,000
Outside area of cover limit for USA / Canada
For trips up to a maximum of six weeks or 42 days per year, maximum benefit: £30,000 : €42,000 : US$60,000
Prosthetic devices
Not covered
Psychiatric treatment
Limited to 30 days maximum each year

Key Facts - Out-patient Charges

Complementary medicine
Up to £1,000 : €1,400 : US$2,000, within overall out-patient limit
Diagnostic tests (excluding scans)
Up to an overall out-patient limit of £7,500 : €10,500 each year : US$15,000
GP referred consultations
As part of annual out-patient limit of £7,500
Physiotherapy consultant referred
Up to £1,000 per year within out-patient limit
Physiotherapy GP referred
Up to £1,000 per year within out-patient limit
Psychiatric cover
Not covered
Radiotherapy / Chemotherapy
Full cover
Scans - MRI / CT / PET
Full refund within overall out-patient limit of £7,500
Surgical Procedures
Not covered
Vaccinations administered by a medical practitioner
Not covered

Key Facts - Additional Benefits

Cash benefit if the treatment is received completely free of charge
£200 per night (up to maximum of 30 nights pa)
Nursing at home
Up to a maximum of 8 weeks per condition and annual maximum 26 weeks
Parental accommodation
Not covered
Private ambulance
Full refund

Additional Benefits

24 Hour emergency helpline
Included
Accompanying relative travel & accomodation
Included if Repatriation and Evacuation benefit taken
AIDS / HIV treatment
defined as a chronic condition, cover only for Acute condition: Full refund in-patient, Full refund out-patient, within overall out-patient limit of £7,500
Alcohol & drug abuse
Not covered
Annual maximum limit
£750,000
Children covered
21 years of age
Chinese medicine
Not covered
Chiropractors & Osteopaths
Up to £1,000 pa (from out-patient benefit) on recommendation by medical practitioner or Specialist
Chronic conditions & palliative care
Full refund for treatment of acute episodes of chronic conditions
Compassionate home visit
Not covered
Cover for new born children
Not covered
Cremation / burial or repatriation of remains
Limited to £5,000 : €7,000 : US$10,000
Dental treatment
Excluding costs incurred within the first 6 months of purchase date of this benefit other than Accidental Damage caused to sound natural teeth, which is covered immediately.

Routine examination, including check-up and x-rays
£50 : €75 : US$75 each visit, max 2 visits each year
Cleaning and polishing (whether performed by a dentist or hygienist)
£50 : €75 : US$75 each visit max 2 visits each year
Fillings (amalgam or composite material)
£40 : €60 : US$ 60 each tooth
Extractions
£40 : €60 : US$60 each tooth
Wisdom tooth extraction when performed in a dental surgery
£80 : €120 : US$120 each tooth
New porcelain crowns
£150 : €225 : US$225 each tooth
Repair of crown
£100 : €150 : US$150 each tooth
Root canal treatment
£150 : €225 : US$225 each tooth
New bridge
£250 : €375 : US$375 each bridge
Repair of bridge
£150 : €225: US$225 each bridge
New dentures
£100 : €150 : US$150 each set

Emergency dental treatment for the relief of pain, being treatment of an abscess, cracked or broken tooth rebuild or temporary filling £200 : €300, US$300 each year
_

The above procedures are limited to the amounts shown and are subject to an overall max limit of £1,000 : €1,500 : US$1,500
_

Dental Surgery undertaken at a hospital by Oral Maxiillofacial Surgeon or Surgical Dentist, including surgical removal of impacted or buried wisdom teeth and extractions of complicated buried roots ....................... Full refund
Emergency medical evacuation & medical repatriation
Optional Extra (Evacuation & Repatriation Cover)
Extended care facility
Not covered
Health Screening
Not covered
Hormone replacement therapy
Not covered
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Organ Transplants
£100,000 : €140,000 : US$200,000
Overseas cover
Optional Extra (Evacuation & Repatriation cover available. Full refund)
Personal & total disability benefit
Not covered
Policy excess
Standard Policy Excess of £150 : €225 : US$280 each medical condition for in-patient and out-patient treatment only. choice of excess levels between £Nil and £7,500
Pre-existing conditions
No, Moratorium underwriting as standard, CPME and MHD available on request, subject to terms and conditions
Pregnancy complications
Not covered
Presciption drugs, dressings and medicines
Full refund for drugs, medicines and appliances prescribed by Practitioner or Specialist (up to £7,500 pa)
Rehabilitation
Not covered
Routine maternity cover
Not covered
Sight / vision benefit
Not covered
Stabilisation of acute chronic episode
Full cover in-patient, out-patient subject to overall outpatient limit of £7,500
Well Baby Examination
Not covered
 
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