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Now Health International - Worldcare Advance

WorldCare covers reasonable and customary charges for medically necessary treatment of disease, illness or injury. This is a summary of the WorldCare benefit schedule, which briefly outlines the cover available under each plan, per period of cover. For the full schedule, see the WorldCare Members’

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
i) Hospital charges for in-patient and day-patient treatment: Full refund
ii) Related ancillary charges: USD 1,500 : EUR 1,200 : GBP 930 per medical condition
Surgeon / Consultant / Specialist & Anaesthetists fees
Full refund
Physicians fees & diagnostic tests
Full refund
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full refund
Organ transplant
i) Treatment: Full refund
ii) Donor medical costs: Up to USD 50,000 : EUR 40,000 : GBP 31,250

Renal Failure and Renal Dialysis as Day-Patient or Out-Patient: Up to USD $10,000 : EUR 8,000 : GBP 6250
Outside area of cover limit for USA / Canada
Optional cover:
Up to USD 1.5m : EUR 1.2m : GBP 937,500
Prosthetic devices
Not covered
Psychiatric treatment
Full refund for up to 30 days

Key Facts - Out-patient Charges

Complementary medicine
Full refund up to maximum of 30 visits per period of cover
Diagnostic tests (excluding scans)
Full refund
GP referred consultations
i) Medical practitioner fees: Full refund
ii) Physiotherapy: Full refund up to 20 sessions
Physiotherapy consultant referred
Full refund up to maximum of 30 visits per period of cover
Physiotherapy GP referred
Full refund up to maximum of 30 visits per period of cover
Psychiatric cover
Up to USD 2,500 : EUR 2,000 : GBP 1,550
Radiotherapy / Chemotherapy
Full refund
Scans - MRI / CT / PET
Full refund when received as an in-patient, day-patient or out-patient
Surgical Procedures
Full refund
Vaccinations administered by a medical practitioner
Not covered

Key Facts - Additional Benefits

Cash benefit if the treatment is received completely free of charge
Up to 30 nights, USD 175 : EUR 140 : GBP 105 per night
Nursing at home
i) Care given by a qualified nurse: Full refund up to 45 days
ii) Emergency out-of-hours medical practitioner (GP) home visits: Not covered
Parental accommodation
Full cover for the cost of one parent staying in hospital overnight with an insured child
Private ambulance
Full refund

Additional Benefits

24 Hour emergency helpline
24/7 helpline provided
Accompanying relative travel & accomodation
Evacuation
i) Transportation costs: Full refund
ii) Reasonable local travel costs to and from medical appointments: Full refund
iii) Reasonable travel costs for a locallyaccompanying person: Full refund
iv) Non-hospital accommodation costs: Up to USD 200 : EUR 160 : GBP 125 per day, up to USD 7,500 : EUR 6,000 : GBP 4,600 per person, per evacuation
Repatriation to country of residence following treatment : Full refund
AIDS / HIV treatment
As result of proven occupational accident or blood transfusion. Cover only available after three years of continuous membership: Up to USD 25,000 : EUR 20,000 : GBP 15,625
Alcohol & drug abuse
Not covered
Annual maximum limit
USD 3.5m : EUR 2.8m : GBP 2.2m
Children covered
Up to the age of 18, unless the child is in full time education and then we can cover up to the age of 28
Chinese medicine
USD 50 : EUR 40 : GBP 30 per visit up to an overall maximum for complementray treatment of 15 visits
Chiropractors & Osteopaths
USD 50 : EUR 40 : GBP 30 per visit up to an overall maximum for complementray treatment of 15 visits
Chronic conditions & palliative care
Maintenance of Chronic Medical Conditions : Up to USD 15,000 : EUR 12,000 : GBP 9,375
Terminal Illness – Palliative and Hospice Care: Up to USD 50,000 : EUR 40,000 : GBP 31,250 lifetime limit
Compassionate home visit
Not covered
Cover for new born children
Up to USD 100,000 : EUR 80,000 : GBP 62,500
Cremation / burial or repatriation of remains
i) Transportation of body or ashes of insured person to country of residence or country of nationality: Full refund
ii) Burial or cremation costs at the place of death: Up to USD 10,000 : EUR 8,000 : GBP 6,250
Dental treatment
In-Patient Emergency Dental Treatment: Full refund

i) Routine dental treatment: Not covered
ii) Complex dental treatment: Not covered
Emergency medical evacuation & medical repatriation
Evacuation
i) Transportation costs: Full refund
ii) Reasonable local travel costs to and from medical appointments: Full refund
iii) Reasonable travel costs for a locallyaccompanying person: Full refund
iv) Non-hospital accommodation costs: Up to USD 200 : EUR 160 : GBP 125 per day, up to USD 7,500 : EUR 6,000 : GBP 4,600 per person, per evacuation
Repatriation to country of residence following treatment : Full refund
Extended care facility
Not covered
Health Screening
Not covered
Hormone replacement therapy
Not covered
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Overseas cover
Not covered
Personal & total disability benefit
Not covered
Policy excess
Standard Excess: USD 100 : EUR 80 : GBP 60
Optional Excess:
Nil
USD 50 : EUR 40 : GBP 30
USD 250 : EUR 200 : GBP 155
USD 500 : EUR 400 : GBP 310
USD 1,000 : EUR 800 : GBP 625
USD 2,500 : EUR 2,000 : GBP 1,550

Out-patient per visit excess USD 25 : EUR 20 : GBP 15
Pre-existing conditions
Not covered
Pregnancy complications
Full refund
Presciption drugs, dressings and medicines
Full refund
Rehabilitation
Full refund for up to 180 days per medical condition
Routine maternity cover
Not covered
Sight / vision benefit
Not covered
Stabilisation of acute chronic episode
Full refund
 
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