Page 8 - ALC Health

Prima Premier Prima Classic
Innocent Bystander Included Included
AIDS (HIV) Included Included
Hazardous Activities (excluding Evacuation or Repatriation) Included Included
24/7 Medical Helpline Included Included
Access to ALC World online service Included Included
Blood Care Foundation Providing screened blood and sterile
equipment in emergency situations anywhere in the world where
necessary supplies are not readily available.
Included Included
5
Other Benefits
(excluding costs incurred within the first 11 months of purchase date of this benefit or your date of entry, whichever is the latter)
Routine Pregnancy & Childbirth (OPTIONAL BENEFIT)
(excluding costs incurred within the first 6 months of purchase date of this benefit or your date of entry, whichever is the latter other
than Accidental Damage caused to sound natural teeth, which is covered immediately)
The procedures below are limited to the amounts shown and are subject to an overall maximum limit of £1,000: €1,200: US$1,500
each year for routine dental treatment. Prima Premier Prima Classic
Routine examination, including check-up and x-rays. £70: €84: US$105 each visit
maximum 2 visits each year
£70: €84: US$105 each visit
maximum 2 visits each year
Cleaning and polishing (whether performed by a dental
practitioner or hygienist).
£70: €84: US$105 each visit
maximum 2 visits each year
£70: €84: US$105 each visit
maximum 2 visits each year
Fillings (amalgam or composite material). £70: €84: US$105 each tooth £70: €84: US$105 each tooth
Extractions. £70: €84: US$105 each tooth £70: €84: US$105 each tooth
Wisdom tooth extraction when performed in a dental surgery. Full refund within overall
dental limit of £1,000: €1,200:
US$1,500 each year
Full refund within overall
dental limit of £1,000: €1,200:
US$1,500 each year
New porcelain crown/inlay. £300: €360: US$450 each tooth £300: €360: US$450 each tooth
Dental Treatment (OPTIONAL BENEFIT)
Prima Premier Prima Classic
Routine pregnancy and childbirth costs, including pre and
postnatal check-ups, scans and delivery costs for a natural birth.
Optional pregnancy limits
(for each pregnancy)
n £3,000: €3,600: US$4,500
n £5,000: €6,000: US$7,500
n £7,500: €9,000: US$11,250
n £10,000: €12,000: US$15,000
Optional pregnancy limits
(for each pregnancy)
n £3,000: €3,600: US$4,500
n £5,000: €6,000: US$7,500
Well Baby Examination
Paediatrician costs for the first examination or check-up of
a newborn baby, provided the examination is made within
24 hours of delivery.
Full Refund Full Refund
Newborn Accommodation
Cot and nursing charges for newborn baby/babies (up to
6 months of age) to stay with a mother who is admitted to
hospital as an in-patient.
Full Refund Full Refund
Cash Benefit
Where hospital accommodation and all pregnancy and childcare
costs are provided in a State or Charitable Hospital and no claim is
submitted under this section of the policy for any reimbursement
of any costs.
Limited to £100: €120:
US$150 each night up to a
maximum of 30 nights
Limited to £50: €60: US$75
each night up to a maximum
of 20 nights
Repair of crown/inlay. £125: €150: US$190 each tooth £125: €150: US$190 each tooth