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Plan Amedex Select ( Español )
AMEDEX INSURANCE COMPANY (hereinafter referred to as the "Insurer") agrees to pay you (hereinafter referred to as the "Policyholder") the benefits provided by this policy. All benefits are subject to the terms and conditions of this policy.
TEN (10) DAY RIGHT TO EXAMINE THE POLICY: This policy may be returned within ten (10) days of receipt for a refund of all premiums paid, less an administrative fee of seventy-five dollars ($75). The policy may be returned to the Insurer or to the Policyholder's agent. If returned, the policy is void as though no policy had been issued.
IMPORTANT NOTICE ABOUT THE APPLICATION: This policy is issued based on the application and payment of the premium. If any information shown on the application is incorrect or incomplete, or any information has been omitted, the policy may be rescinded, cancelled, or coverage may be modified, at the sole discretion of the Insurer.
ELIGIBILITY: This policy can only be issued to residents of Latin America or the Caribbean who are a minimum of eighteen (18) years of age (except for eligible dependents) through a maximum of seventy-four (74) years of age. There is no maximum age for coverage under the same terms and conditions of this policy for those Insurers renewing a policy.
Eligible dependents include the Policyholder's spouse or concubine, natural born children, legally adopted children, stepchildren, or children to who the Policyholder has been appointed legal guardian by a court of competent jurisdiction, who have been identified on the application and for whom coverage is provided for under the policy.
Dependent coverage is available for the Policyholder's dependent children up to their nineteenth (19th) birthday, if single, or up to their twenty-fourth (24th) birthday, if single and full-time (minimum twelve (12) credits per semester) students of an accredited college or university at the time that the policy is issued and renewed. Coverage for such dependents continues through the next anniversary date of the policy following the attainment of nineteen (19) years of age, if single, or twenty-four (24) years of age, if single and a full-time student.
If a dependent child marries, discontinues being a full-time student after the nineteenth (19th) birthday, moves to another country, or if a dependent spouse ceases to be married to the Policyholder by reason of divorce or annulment, coverage for such dependent will terminate on the next anniversary date of the policy.
Dependents that were covered under a prior policy with the Insurer, and who are otherwise eligible for coverage under their own separate policy, will be approved without underwriting for the same or higher deductible plan and with the same conditions and restrictions in existence under the prior policy which afforded them coverage with the Insurer. The application of the former dependent much be received before the end of the grace period of the policy which previously afforded the dependent coverage.
COMMENCEMENT AND ENDING OF COVERAGE
Coverage begins at 00:01 hours Easter Standard Time (USA) on the policy's effective date and terminates at 24:00 hours Eastern Standard Time (USA):
a) On the expiration date of the policy; or
b) Upon non-payment of the premium; or
c) Upon written request from the Policyholder to terminate the Policyholder's coverage; or
d) Upon written request from the Policyholder to terminate a dependent's coverage; or
e) Upon written notification from the Insurer, as allowed by the conditions of this policy.
REQUIREMENT TO NOTIFY THE INSURER
The insured must contact Amedex Insurance Company's claims administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment.
If the insured fails to contact USA Medical Services as stated herein, the insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan's deductible and coinsurance (if applicable)
USA Medical Services can be contacted 24 hours a day, 365 days a year...
| Schedule of Benefits | Definitions | |
| Policy Provisions | Administration | Exclusions and Limitations |
| Health insurance | seguros de salud |
| Plan Amedex Worldwide (English) | Plan Amedex Worldwide (Español) |
| Plan Amedex Select (English) | Plan Amedex Select (Español) |
| Life Insurance | seguros de vida |
| Amedex Universal Advantage Plus (English) | Amedex Universal Advantage Plus (Español) |
| Amedex Term Advantage (English) | Amedex Term Advantage (Español) |
| Para pedir una cotización o una aclaración / For a quote or details: | |
| saniprof@mail.ddnet.es ( If you don't receive an answer in 24 hours / Si no le contesto dentro de 24 horas ) | |
| Fax: | (+ 34) 91 8032484 |
| Teléfono / 'phone: | (+ 34) 609 522 300 |
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