(
treatment
received but without admission to a
hospital
bed)
Prima Premier
Prima Classic
Overall Limit
Limited to the overall
policy
limit of £2,500,000: €3,000,000:
US$3,750,000
Out-patient
limit of £10,000:
€12,000: US$15,000 within
overall
policy
limit of £1,250,000:
€1,500,000: US$1,875,000
Professional Fees
Medical practitioner
,
specialist
and
qualified nurse
fees
incurred for consultations and examinations.
Full Refund
Full Refund within overall
out-patient
limit
Diagnostics
Diagnostic procedures, including x-rays,
pathology
, computerised
tomography and magnetic resonance imaging (brain and body
scans).
Full Refund
Full Refund within overall
out-patient
limit
Surgical Treatment
Minor surgical procedures when carried out by a
medical
practitioner
or
specialist
.
Full Refund
Full Refund within overall
out-patient
limit
Medication
Drugs and medicines when prescribed by a
specialist
or
medical
practitioner
.
Full Refund
Full Refund within overall
out-patient
limit
Chronic Conditions
Acute
episodes of a
chronic
condition.
Routine management, maintenance and
palliative treatment
of
a
chronic
condition.
Full Refund
Limited to £2,000 :€2,400:
US$3,000
each year
Full Refund within overall
out-patient
limit
Not Covered
Oncology
Oncologist fees, radiotherapy and chemotherapy. Includes road
ambulance costs for transportation to and from the
out-patient
unit of a
hospital
for the administering of this specific
treatment
.
Full Refund
Full Refund within overall
policy
limit of £1,250,000:
€1,500,000: US$1,875,000
Physiotherapy
Physiotherapy on recommendation by a
medical practitioner
or
specialist
. A referral from
your medical practitioner
or
specialist
is valid for six months only, after which time a new referral letter
would be required. If during this six month period
you
require
physiotherapy for a different
medical condition
, then a new
referral will be required.
Limited to £3,000: €3,600:
US$4,500
each year
Limited to £1,500: €1,800:
US$2,250
each year
within
overall
out-patient
limit
Chiropody
Treatment
by a
Chiropodist
without referral to a
medical
practitioner
.
Limited to £250: €300:
US$375
each year
Limited to £250: €300:
US$375
each year
within
overall
out-patient
limit
Complementary Treatment
Treatment
administered by chiropractors, osteopaths,
homeopaths, acupuncturists.
Dietician (limited to 1 visit per year).
Podiatrist (limited to 2 visits per year).
Recommendation by a
medical practitioner
or
specialist
is
required for all
complementary treatments
. A referral from
your
medical practitioner
or
specialist
is valid for six months only, after
which time a new referral letter would be required. If during this
six month period
you
require
complementary
treatment
for a
different
medical condition
, then a new referral will be required.
Limited to £3,000: €3,600:
US$4,500
each year
Limited to £1,500: €1,800:
US$2,250
each year
within
overall
out-patient
limit
3
Out-patient Treatment (OPTIONAL BENEFIT for
Prima Premier
)