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IHI International Swiss Medical Plan
(2007) (
Castellano )
List of reimbursements ( valid from January 2007)
The List of Reimbursements forms part of the
Policy
Conditions. It is therefore recommended to read both the List of
Reimbursements and the
Policy
Conditions carefully.
Complete Plan
and
Hospital Plan
Reimbursements of inpatient benefits are 100% of the
expenses, unless otherwise stated. You will be reimbursed as soon as qualified
expenses exceed the amount of the deductible.
| Maximum cover Annual maximum cover per person per
policy year |
Hospital Plan
| USD |
EUR |
CHF |
| 1 million |
1 million |
1.5 million |
|
Complete Plan
| USD |
EUR |
CHF |
| 1 million |
1 million |
1.5 million |
|
| Hospitalisation |
Hospital Plan
|
Complete Plan |
| Semi-private / private room |
100% |
100% |
| Intensive care room |
100% |
100% |
| Room and board for a parent accompanying an insured child |
100% |
100% |
| Surgery |
100% |
100% |
| Pacemaker, maximum |
| USD |
EUR |
CHF |
| 25,000 |
25,000 |
37,000 |
|
| USD |
EUR |
CHF |
| 25,000 |
25,000 |
37,000 |
|
| Medical treatment, laboratory tests, X-rays |
100% |
100% |
| Medicine while in hospital |
100% |
100% |
| Chemotherapy and radiotherapy |
100% |
100% |
| Emergency room treatment in connection with acute illness or
accident |
100% |
100% |
| Outpatient surgery |
100% |
100% |
| Outpatient and day case treatment in connection with
hospitalisation |
100% |
100% |
| Acute emergency dental treatment due to serious accident
requiring hospitalisation In case of doubt, the decision will be left with
the Company's dental consultant |
100% |
100% |
| Organ transplant |
Hospital Plan |
Complete Plan |
| Organ transplant |
100% |
100% |
| Per diagnosis and course of treatment, all included, maximum
Only human organs.
The procurement of the organ must be pre-approved by the company |
| USD |
EUR |
CHF |
| 345,000 |
345,000 |
520,000 |
|
| USD |
EUR |
CHF |
| 345,000 |
345,000 |
520,000 |
|
| Rehabilitation |
Hospital Plan |
Complete Plan |
| Medically prescribed rehabilitation in connection with
treatment at an authorised rehabilitation centre Maximum 3 months per
policy year |
100% |
100% |
| Per day, maximum |
|
|
| Local transport by ambulance |
Hospital Plan |
Complete Plan |
| Medically prescribed transport to and from hospital Per
policy year, maximum |
| USD |
EUR |
CHF |
| 3,350 |
3,350 |
5,000 |
|
| USD |
EUR |
CHF |
| 3,350 |
3,350 |
5,000 |
|
| Home nursing |
Hospital Plan |
Complete Plan |
| Expenses incurred for medically prescribed
assistance in your private home, by a certified nurse |
|
|
| Per day, maximum |
|
|
| Per policy year, maximum |
| USD |
EUR |
CHF |
| 2,000 |
2,000 |
3,000 |
|
| USD |
EUR |
CHF |
| 2,000 |
2,000 |
3,000 |
|
| Childbirth |
Hospital Plan |
Complete Plan |
| Hospital delivery |
100% |
100% |
| Physician / specialist, midwife, home nursing in connection
with home delivery per birth, maximum |
| USD |
EUR |
CHF |
| 2,700 |
2,700 |
4,000 |
|
| USD |
EUR |
CHF |
| 2,700 |
2,700 |
4,000 |
|
| Elective caesarean operation will be reimbursed up to a
maximum of the customary charges for normal delivery |
|
|
| Pre- and postnatal examinations are reimbursed under the
Complete Plan
as consultations, see
the next
page |
|
|
| Delivery following fertility treatment will be reimbursed to
a maximum of the customary charges for normal delivery |
|
|
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