| 2
levels
of cover |
INTERMEDIO |
EXTENSO |
|
Reimbursement
up to
|
250,000
Euros / year /
person |
500,000
Euros / year /
person
|
| Hospitalisation |
|
Hospitalisation
for
surgery
due to
illness
or
accident
|
100%
of
expenses
|
100%
of
expenses
|
|
Non-surgical
hospitalisation
|
100%
of
expenses
|
100%
of
expenses
|
|
Second
opinion
before
surgery
|
-
|
medical
advisory
service
|
|
Ambulance
(if
hospital
costs
covered
by us)
|
100%
of
expenses
|
100%
of
expenses
|
|
Hospital
costs
covered
with no
up-front
payment
|
yes,
if prior
agreement
obtained
|
yes,
if prior
agreement
obtained
|
|
Daily
hospital
charge
|
100%
of
expenses
|
100%
of
expenses
|
|
Private
room
|
up
to 60
Euros
per day
|
up
to 80
Euros
per day
|
|
Staying
with
your
child in
hospital
|
up
to 45
Euros per day
for
children
under 12
|
up
to 60
Euros per day
for
children
under 16
|
| Medical
expenses |
|
Consultations
et
visits
:
general
practitioners
|
90%
of
expenses
up
to 100
Eur per
procedure
|
100%
of
expenses
up
to 130
Eur per
procedure
|
|
Consultations
et
visits
:
specialist
practitioners
(including
acupuncturists
and
dieticians
if
referred
by a
general
practitioner)
|
90%
of
expenses
up
to 130
Eur per
procedure
A
upper
limit of
200
Euros
per year
per
person
applies
to
consultations
with
dieticians
|
100%
of expenses
up
to 150
Eur per
procedure
A
upper
limit of
200
Euros
per year
per
person
applies
to
consultations
with
dieticians
|
|
Examinations
and
treatment
of not
more
than 24
hours
carried
out of
hospital
**
|
90%
of
expenses
up to 400
Euros
per day
|
100%
of
expenses
up to 600
Euros
per day
|
|
Medical
auxiliairies
and specialist
care
|
90%
of
expenses
|
100%
of
expenses
|
|
Diagnostic
tests/x-rays
|
90%
of
expenses
|
100%
of
expenses
|
| Drugs |
|
All
prescription
drugs
including
homeopathy
|
90%
of
expenses
|
100%
of
expenses
|
| Prevention
and
screening |
|
Vaccination
|
up
to 60
Euros /
year /
person
|
up
to 100
Euros /
year /
person
|
|
Osteodensitometric
examination
(osteoporosis
screening)
|
up
to 90
Euros /
year /
person
|
up
to 90
Euros /
year /
person
|
|
Screening
for
colorectal,
breast
or
testicular
cancer
|
up
to 60
Euros /
year /
person
|
up
to
60
Euros /
year /
person
|
| Counselling |
|
Helps
you
release
tension
and cope
better
in
difficult
circumstances.
So
available
for 6
months
following
your
return
home. |
dialogue
by phone
or email
with a
team of
clinical
psychologists
available
24 hours
a day 7
days a
week |
dialogue
by phone
or email
with a
team of
clinical
psychologists
available
24 hours
a day 7
days a
week |
| Maternity
:
waiting
period 9
months |
|
Consultations,
drugs
and pre
or post-
natal
care
|
100%
of
expenses
|
100%
of
expenses
|
|
Delivery
|
up
to 5,000
Eur in A
zone, up
to 3,000 Eur in B
and C zone
In
the
event of
surgical
delivery
the
upper
limit is
multiplied
by 1,5
|
up
to 8,000 Eur in A
zone, up
to 5,000 Eur in B
and C
zone
In
the
event of
surgical
delivery
the
upper
limit is
multiplied
by 2
Adoption
:
Lump sum
of 50
%
of the
upper
limt per
zone
|
|
Post-natal
physiotherapy
up to 10
sessions
|
|
Pre-natal
classes
(held by
a doctor
or
midwife)
|
|
HIV
screening
as part
of
pre-natal
tests
only
|
|
Screening
for
chromosomal
abnormalities
(prioragreement
must ne
obtained)
|
|
Medically
assisted
procreation
|
up
to 300
Euros
/
year
included
in the
overall
limit
per zone
indicated
above
|
Jusqu'à
500
Euros
/ year
included
in the
overall
limit
per zone
indicated
above
|
| Dental
care |
|
Treatment
:
waiting
period :
6 months***
|
90%
of
expenses
up to 380
Euros /
tooth up
to
800
Euros
/
year
/
person
and up
to 2,000
Euros
from the
third
year
|
100%
of
expenses
up to 500
Euros
/
tooth up
to 2,000
Euros
/
year
/
person
and up
to 2,500 Euros
from the
third
year
|
|
Parodontology
:
waiting
period :
6 months***
(treatment
of
receding
gums and
gum
didease)
|
|
Dentures
:
waiting
period :
9 months***
|
|
Orthodontics
until 16s
:
waiting
period :
9 months***
|
90%
of
expenses
up to 800
Euros /
year /
person
for a
maximum
of 2
years
|
100%
of
expenses
up to 1200
Euros
/ year
/
person
for a
maximum
of 3
years
|
| Eye
care |
|
Cost
of
frames
and
lenses :
waiting
period :
9
months***
|
90%
of
expenses
up to 350
Euros
/ year
|
100%
of
expenses
up to 650
Euros /
year
|
|
Laser
correction
of
myopia
|
not
covered
|
covered
within
the
limits
described
above
|
|
Contact
lenses
including
disposable
lenses :
waiting
period :
9
months***
|
90%
of
expenses
up to 180
Euros /
year
|
100%
of
expenses
up to 250
Euros /
year
|
| Equipment
and prostheses |
|
Without
hospitalisation
|
90%
of
expenses
up to 300
Eur /
prosthesis
|
100%
of
expenses
up to 600
Eur
/
prosthesis
|
|
If
hospitalisation
is
covered
by us
|
up
to 3000
Euros
per
hospitalization
|
|
up
to
4000
Euros
per
hospitalization |
|
| Physiotherapy
not
linked
to
maternity |
|
waiting
period :
6 months
unless
following
surgery
covered
by us
|
|
90%
of
expenses
up
to
35
Eur
/
session
up
to
15
sessions
/ year /
person.
(Following
sugery
:
up
to
40
sessions) |
|
100%
of
expenses
up to 50
Eur
/
session
up
to 30 sessions
/ year /
person.
(Following
sugery :
up to 60
sessions)
|
| Thermal
cure and
thalassotherapy :
waiting
period 12
months |
|
Valid
for 3
months
following
a
hospital
stay of
more
than 10
days or
childbith
covered
by us
|
-
|
up
to
500 Eur
/ year /
person
including
thalassotherapy
up to
300 Eur /
year /
person
|
| Health
check |
| One
check-up
every 2
years |
- |
up
to 350 Euros |
Medical
expenses (option)