| Insurer & Benefits | Find a broker | |||
|---|---|---|---|---|
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’
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 up to: USD 2,500 : EUR 2,000 : GBP 1,550 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 $75,000 : EUR 60,000 : GBP 46,875 |
|
| 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 | |
| Diagnostic tests (excluding scans) | |
| Full refund | |
| GP referred consultations | |
i) Medical practitioner / Specialist fees: Full refund ii) Physiotherapy: Full refund |
|
| Physiotherapy consultant referred | |
| Full refund | |
| Physiotherapy GP referred | |
| Full refund | |
| Psychiatric cover | |
| Up to USD 7,500 : EUR 6,000 : GBP 4,600 | |
| 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 | |
| Wellness, Optical and Vaccinations: Combined limit USD 500 : EUR 400 : GBP 300 | |
Key Facts - Additional Benefits | |
| Cash benefit if the treatment is received completely free of charge | |
| Up to 30 nights, USD 275 : EUR 220 : GBP 165 per night | |
| Nursing at home | |
i) Care given by a qualified nurse: Full refund up to 120 days ii) Emergency out-of-hours medical practitioner (GP) home visits: Up to 5 visits |
|
| 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 300 : EUR 240 : GBP 185 per day, up to USD 10,000 : EUR 8,000 : GBP 6,250 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 50,000 : EUR 40,000 : GBP 31,250 | |
| Alcohol & drug abuse | |
| Not covered | |
| Annual maximum limit | |
| USD 4.5m : EUR 3.6m : GBP 2.8m | |
| 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 150 : EUR 120 : GBP 90 per visit up to an overall maximum for complementray treatment of 15 visits | |
| Chiropractors & Osteopaths | |
| USD 150 : EUR 120 : GBP 90 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 35,000 : EUR 28,000 : GBP 21,875 Terminal Illness – Palliative and Hospice Care: Up to USD 100,000 : EUR 80,000 : GBP 62,500 lifetime limit |
|
| Compassionate home visit | |
| Not covered | |
| Cover for new born children | |
| Up to USD 150,000 : EUR 120,000 : GBP 93,750 | |
| 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 20,000 : EUR 16,000 : GBP 12,500 |
|
| Dental treatment | |
In-Patient Emergency Dental Treatment: Full refund i) Routine dental treatment: Up to USD 1,500 : EUR 1,200 : GBP 930 ii) Complex dental treatment: Up to USD 3,000 : EUR 2,400 : GBP 1,875 Costs incurred within nine months of plan start date are excluded. A co-insurance of 20% applies. |
|
| 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 300 : EUR 240 : GBP 185 per day, up to USD 10,000 : EUR 8,000 : GBP 6,250 per person, per evacuation Repatriation to country of residence following treatment : Full refund |
|
| Extended care facility | |
| Not covered | |
| Health Screening | |
| Wellness, Optical and Vaccinations: Combined limit USD 500 : EUR 400 : GBP 300 | |
| Hormone replacement therapy | |
| Not covered | |
| Infertility investigations | |
| Not covered | |
| Maternity cash benefit | |
| Not covered | |
| Organ Transplants | |
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 $75,000 : EUR 60,000 : GBP 46,875 |
|
| 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 | |
| Routine maternity cover | |
| Up to USD 15,000 : EUR 12,000 : GBP 9,375, Costs incurred within 12 months of plan start date are excluded | |
| Sight / vision benefit | |
| Wellness, Optical and Vaccinations: Combined limit USD 500 : EUR 400 : GBP 300 | |
| Stabilisation of acute chronic episode | |
| Full refund | |
| Well Baby Examination | |
| Not covered | |
| Insurer & Benefits: | Insurers, Featured Insurers |
|---|---|
| Find a broker: | Find a Broker |