This
policy
provides cover for the following benefits in respect of
treatment
of an
insured person
provided during the
period of
cover
for a
medical condition
. All benefits, including full refunds, are conditional upon charges being reasonable and customary.
Maximum sum insured
Level of Cover
The maximum sum insured is the most
we
will pay for each
insured person
in any
period of cover
. Themaximum sumassured
and any monetary limits to the benefits will be determined by the
currency which
you
have selected for
your policy
.
£2,500,000:
€3,000,000:
US$3,750,000
£1,250,000:
€1,500,000:
US$1,875,000
In-patient & day-patient Treatment
The Cover
Prima Premier
Prima Classic
Accommodation
Hospital
accommodation in a ward, semi-private or private room.
Full Refund
Full Refund
Parent Accommodation
Room charges for one parent or legal guardian to stay with an
insured person
who is under 18 years of age whilst admitted to
a
hospital
bed.
Full Refund
Not Covered
Professional Fees
Specialist
,
physician
and
qualified nurse
fees (including
surgeons’ and anaesthetists’ fees) associated with providing
consultations or administering
treatment
.
Full Refund
Full Refund
Medication
Drugs, medicines, supports and appliances when prescribed by a
specialist
or
medical practitioner
.
Full Refund
Full Refund
Diagnostics
Diagnostic procedures, including x-rays,
pathology
, computerised
tomography and magnetic resonance imaging (brain and body
scans).
Full Refund
Full Refund
Theatre Fees
Operating theatre fees.
Full Refund
Full Refund
Reconstructive Surgery
Reconstructive surgery required following an
accident
or
following surgery for an eligible
medical condition
which
occurred after
your date of entry
and which is performed within
12 months of the
accident
or surgery.
Full Refund
Full Refund
Chronic Conditions
Acute
episodes of a
chronic
condition.
Routine management, maintenance and
palliative treatment
of
a
chronic
condition.
Full Refund
Full Refund
Limited to £15,000: €18,000:
US$22,500
Not Covered
Oncology
Oncologist fees, radiotherapy and chemotherapy.
Full Refund
Full Refund
Organ Transplants
Transplant of any human organ.
£200,000: €240,000: US$300,000
Lifetime Limit
£200,000: €240,000: US$300,000
Lifetime Limit
Prima Premier
Prima Classic
1
(
treatment
received by an
insured person
when admitted to a
hospital
bed for an overnight stay of one or more nights’ or as a
day-patient
)
Complications of pregnancy
Treatment
of
medical conditions
which arise during the antenatal
stages of pregnancy, or which occur during the childbirth/delivery.
Full Refund
Full Refund
1,2,3 5,6,7,8,9,10