Core Plan Benefits (continued) Premier Club Classic Essential
Individual Individual Individual Individual
Out-patient surgery
2
Full refund Full refund Full refund Full refund
Nursing at home or in a convalescent home
2
£3,525/€4,250/ £2,350/€2,830/ £2,075/€2,500/ £2,075/€2,500/
(immediately after or instead of hospitalisation)
$5,740/CHF5,525 $3,820/CHF3,680 $3,375/CHF3,250 $3,375/CHF3,250
Rehabilitation treatment
2
£3,670/€4,420/ £2,490/€3,000/ £2,075/€2,500/ £1,660/€2,000/
(in-patient, day-care and out-patient treatment; must commence within 14 days of
$5,970/CHF5,750 $4,050/CHF3,900 $3,375/CHF3,250 $2,700/CHF2,600
discharge after the acute medical and/or surgical treatment ceases)
Local ambulance Full refund Full refund Full refund £415/€500/
$675/CHF650
Emergency treatment outside area of cover
Full refund, Full refund, Full refund, Up to £8,300/€10,000/
(for trips of a maximum period of six weeks)
max. 42 days max. 42 days max. 42 days $13,500/CHF13,000,
max. 42 days
Medical evacuation
2
• Where necessary treatment is not available locally, we will evacuate the insured person to
Full refund Full refund Full refund Full refund
the nearest appropriate medical centre²
• Where ongoing treatment is required, we will cover hotel accommodation costs²
Full refund Full refund Full refund Full refund
• Evacuation in the event of unavailability of adequately screened blood²
Full refund Full refund Full refund Full refund
• If medical necessity prevents an immediate return trip following discharge from an
Full refund, Full refund, Full refund, Full refund,
in-patient episode of care, we will cover hotel accommodation costs²
max.7 days max.7 days max.7 days max.7 days
Expenses for one person accompanying an evacuated person
2
£2,490/€3,000/ £2,490/€3,000/ £2,490/€3,000/ £2,490/€3,000/
$4,050/CHF3,900 $4,050/CHF3,900 $4,050/CHF3,900 $4,050/CHF3,900
Travel costs of insured family members in the event of an evacuation
2
£1,660/€2,000/ £1,660/€2,000/ £1,660/€2,000/ £1,660/€2,000/
$2,700/CHF2,600, $2,700/CHF2,600, $2,700/CHF2,600, $2,700/CHF2,600,
per event per event per event per event
Repatriation of mortal remains
2
£8,300/€10,000/ £8,300/€10,000/ £8,300/€10,000/ £8,300/€10,000/
$13,500/CHF13,000 $13,500/CHF13,000 $13,500/CHF13,000 $13,500/CHF13,000
Travel costs of insured family members in the event of the repatriation of mortal £1,660/€2,000/ £1,660/€2,000/ £1,660/€2,000/ £1,660/€2,000/
remains
2
$2,700/CHF2,600, $2,700/CHF2,600, $2,700/CHF2,600, $2,700/CHF2,600,
per event per event per event per event
CT and MRI scans Full refund Full refund Full refund Full refund
(in-patient and out-patient treatment)
PET
2
and CT-PET
2
scans Full refund Full refund Full refund Full refund
(in-patient and out-patient treatment)
Oncology
2
Full refund Full refund Full refund Full refund
(in-patient, day-care and out-patient treatment)
Complications of pregnancy
2
Full refund Full refund Full refund N/A
(in-patient and out-patient treatment)
(10 month waiting period applies)
Laser eye treatment £830/€1,000/ £415/€500/ N/A N/A
(limited to one treatment per lifetime)
$1,350/CHF1,300, $675/CHF650,
per lifetime per lifetime
In-patient cash benefit
(per night)
£125/€150/ £125/€150/ £125/€150/ £125/€150/
(where treatment has been received free of charge)
$205/ CHF195, $205/ CHF195, $205/ CHF195, $205/ CHF195,
max. 25 nights max. 25 nights max. 25 nights max. 25 nights
Emergency out-patient treatment £625/€750/ £625/€750/ £625/€750/ N/A
(where these benefit amounts are reached, any additional costs may be reimbursed within
$1,015/CHF975 $1,015/CHF975 $1,015/CHF975
the terms of any separate Out-patient Plan)
Emergency out-patient dental treatment £625/€750/ £415/€500/ N/A N/A
(where these benefit amounts are reached, any additional costs may be reimbursed within
$1,015/CHF975 $675/CHF650
the terms of any separate Dental Plan)
Palliative care
2
Full refund Full refund Full refund Full refund
Long term care
2
Full refund, Full refund, Full refund, Full refund,
max. 90 days max. 90 days max. 90 days max. 90 days
per lifetime per lifetime per lifetime per lifetime
Accidental death £8,300/€10,000/ N/A N/A N/A
(insured members aged 18 to 70)
$13,500/CHF13,000
