1
If Treatment Guarantee is not obtained for the benefits listed with a
1
, we reserve the right to decline a claim. If the respective treatment is subsequently proven to be
medically necessary, we will pay only
80%
of the eligible benefits.
2
If Treatment Guarantee is not obtained for the benefits listed with a
2
, we reserve the right to decline a claim. If the respective treatment is subsequently proven to be
medically necessary, we will pay only
50%
of the eligible benefits.
To reduce your Out-patient Plan premium, simply select an optional deductible from the list below and read across to find the relevant premium
discount. Please note that either an Out-patient Plan deductible OR a Core Plan deductible can be chosen. Where a deductible is selected it is
payable per person, per Insurance Year. Also, our premiums are expressed in whole numbers (i.e. without any cents or pence etc.), therefore,
percentages may be slightly higher or lower than those stated below.
Out-patient Plan Deductibles
Optional Out-patient Plan Deductibles Discount
No deductible 0% premium discount
£83/€100/$135/CHF130 deductible 10% premium discount
£165/€200/$270/CHF260 deductible 20% premium discount
The
Premier Maternity Plan
can only be purchased with the
Premier Individual Core Plan
. The
Club Maternity Plan
can only be purchased
with the
Club Individual Core Plan
. Please note that an
Out-patient Plan must be selected
in conjunction with a Maternity Plan. Maternity
Plans are available to couples and families i.e.
a spouse/partner must also be insured under the policy
.
Maternity Plan Benefits Premier Maternity Club Maternity
Routine maternity
2
£6,225/€7,500/$10,125/CHF9,750, £4,150/€5,000/$6,750/CHF6,500,
(in-patient and out-patient treatment)
per pregnancy per pregnancy
(10 month waiting period applies)
Complications of childbirth
2
£12,450/€15,000/$20,250/CHF19,500, £8,300/€10,000/$13,500/CHF13,000,
(in-patient treatment)
per pregnancy per pregnancy
(10 month waiting period applies)
Maternity Plans
Out-patient Plan Benefits (continued) Gold Silver Bronze Crystal
Individual Individual Individual Individual
Infertility treatment £9,960/€12,000/ £9,960/€12,000/ N/A N/A
(18 month waiting period applies)
$16,200/CHF15,600, $16,200/CHF15,600,
per lifetime per lifetime
Psychiatry and psychotherapy 30 visits 20 visits N/A N/A
(18 month waiting period applies)
Prescribed medical aids Full refund £2,075/€2,500/ N/A N/A
$3,375/CHF3,250
Prescribed glasses and contact lenses including eye examination £165/€200/ £149/€180/ N/A N/A
$270/CHF260 $245/CHF234
Dietician fees 4 visits N/A N/A N/A
Prescribed drugs £42/€50/ N/A N/A N/A
(must be prescribed by a physician, although a prescription is not legally required for purchase)
$70/CHF 65
