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ALC Healthcare - Prima Iberica

Designed for individuals living in Gibraltar, Portugal or Spain, the Prima Ibérica plan offers the same benefits as Prima Classic.

This international health insurance plan has the advantage of the premiums reflecting the lower cost of treatment within the region, while also providing the option for you to have treatment anywhere in Europe.

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
Psychiatric treatment
Limited to 30 days each year

Key Facts - Out-patient Charges

Complementary medicine
Limited to £1,500: €1,800: US$2,250 each year within overall out-patient limit
Diagnostic tests (excluding scans)
As part of out-patient limit of £10,000
GP referred consultations
As part of out-patient limit of £10,000
Physiotherapy consultant referred
Limited to £1,500: €1,800: US$2,250 each year within overall out-patient limit
Physiotherapy GP referred
Limited to £1,500: €1,800: US$2,250 each year within overall out-patient limit
Psychiatric cover
Not covered
Radiotherapy / Chemotherapy
Oncology - Full refund up to policy limits
Scans - MRI / CT / PET
No annual maximum within policy benefit limit
Surgical Procedures
No annual maximum within policy benefit limit
Vaccinations administered by a medical practitioner
Not covered

Key Facts - Additional Benefits

Cash benefit if the treatment is received completely free of charge
£200 : $300 : €240 per night (up to maximum of 42 nights pa)
Nursing at home
Full refund on Specialist recommendation (limited to 26 weeks pa)
Parental accommodation
Not covered
Primary care
Not covered
Private ambulance
Full refund

Additional Benefits

24 Hour emergency helpline
Included
Accompanying relative travel & accomodation
Full refund (where Evacuation Benefit chosen)
AIDS / HIV treatment
Full refund
Alcohol & drug abuse
Not covered
Annual maximum limit
£1,250,000 : $1,875,000 : €1,500,000
Children covered
24 years
Chinese medicine
£500 : $750 : €600 pa
Chiropractors & Osteopaths
Up to £1,500 : $2,250 : €1,800 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
Premature Births : £10,000 : $15,000 : €12,000 first 30 days
Congenital Illness : £100,000 : $150,000 : €120,000
Cremation / burial or repatriation of remains
Up to £5,000 : US$9,000 : €7,500
Provided the evacuation option has been taken
Dental treatment
Optional extra. Routine dentistry covered up to sectional limits. Accidental damage, if treatment received within 5 days. Specified Dental procedures / treatments up to sectional limits. Dental surgery full refund
Emergency medical evacuation & medical repatriation
Full refund optional extra when taken
Extended care facility
Not covered
GP minor surgery
Full Refund within overall out-patient limit Minor surgical procedures when carried out by a medical practitioner or specialist.
GP Referred Chiropody, Podiatry or Homeopathy
Limited to £1,500: €1,800: US$2,250 each year within overall out-patient limit
Health Screening
Not covered
Hormone replacement therapy
Not covered
Hospice care cash benefit
Not covered
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional Cash Benefits
Not covered
Organ Transplants
Major Organs £200,000 : $300,000 : €240,000
Overseas cover
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
Not covered
Pregnancy complications
Full refund
Presciption drugs, dressings and medicines
Full Refund with overall out-patient benefit limit of £10,000 : $15,000 : €12,000
Rehabilitation
Not covered
Routine maternity cover
Choice of TWO routine pregnancy & Childbirth options
1. £3,000 : $4,500 : €3,600
2. £5,000 : $7,500 : €6,000
Sight / vision benefit
£130 : $195 : €156 pa
Stabilisation of acute chronic episode
Full cover
Stress counselling helpline
Not covered
Well Baby Examination
Full refund - for paediatrician costs for the first examination or check-up of a newborn baby, provided the examination is made within 24 hours of delivery (Opional cover)
Other benefits
FREE membership of the Blood Care Foundation - providing screened blood worldwide for emergency blood transfusions
Innocent Bystander Cover : Full Refund
Hazadous Activities Cover
ALC World : member restricted comprehensive online database covering information on doctors, hospitals and medical facilities in over 180 countries worldwide
Online policy and claims management service
 
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