| What is covered * |
Limit of cover - per policyholder and year |
| 1. Out patient |
|
| Outpatient specialist expenses incurred to
determine the policyholder's state of health |
| In Spain up to 36,000 euros (2006) |
| Outside Spain up to 36,000 euros (2006) |
|
| Outpatient expenses prescribed by the
specialist attending the policyholder to determine or evaluate the state of
health of the policyholder eg pathological anatomy, X rays and diagnostic
tests |
| In Spain up to 36,000 euros (2006) |
| Outside Spain up to 36,000 euros (2006) |
|
| Outpatient GP expenses |
| In Spain up to 36,000 euros (2006) |
| Outside Spain up to 36,000 euros (2006) |
|
| Outpatient opthalmic consultation expenses
prescribed by another doctor (includes an opthalmic check for each
policyholder every 2 years) |
| In Spain up to 36,000 euros (2006) |
| Outside Spain up to 36,000 euros (2006) |
|
| Outpatient psychiatric expenses (after 2 years'
membership as a policyholder) |
| In Spain up to 36,000 euros (2006) |
| Outside Spain up to 36,000 euros (2006) |
|
| Outpatient specialist and hospital expenses for
surgical operations carried out by a specialist |
No sub-limit |
| MR and TC images |
No sub-limit |
| Tests to detect cancer, medication and the cost
of specialist oncology expenses |
No sub-limit |
| 2. In patient |
|
| Room and hospital living expenses |
No sub-limit |
| Nursing expenses, medication and surgical
bandages |
No sub-limit |
| Cost of surgeons, anaesthetists and doctors |
No sub-limit |
| Cost of operating theatre and intensive care |
No sub-limit |
| Diagnostic tests and rehabilitation |
No sub-limit |
| Prosthesis (cardiac valves, aorta, artery,
pacemaker, cornea, breast reconstruction and drainage of excess cephalo
liquid, sphincterian control, ligaments and osteoarticulars) |
No sub-limit |
| Tests to detect cancer, medication and the cost
of specialist oncology expenses |
No sub-limit |
| Bed for person accompanying patient (for parents
of children under the age of
18) |
No sub-limit |
| Psychiatric cover (after 2 years' membership as
a policyholder) |
50 days per policyholder during the life of the
policy |
| OTHER COVER |
|
| 3. Transfer of patients by road ambulance
related to treatment in a Hospital or Day Hospital |
No sub-limit |
| 4. Maternity cover including medical cost of
pregnancy and birth arising from prenatal assistance, hospital costs, obstetrics
and midwife and for prenatal help needed immediately after a normal birth.
Also including caesarian birth as long as this is considered necessary for
medical reasons by the specialist attending the patient. Maternity cover is
subject to a waiting period of 9 months from the time the policyholder was
included. |
11.500 euros |
| 5. Congenital conditions of new born babies are
covered as long as they are included on the policy |
No sub-limit for the first 28 days |
| 6. Emergency dental treatment carried out by a
dentist exclusively in the first emergency dental visit |
600 euros |
| OPTIONAL COVER |
|
|
Evacuación (includes Healthline) |
No sub-limit |
|
Repatriación (includes
evacuation and Healthline) |
No sub-limit |
Some examples of what a 36 year old employee would pay in
the following areas...
* rough translation. The current Spanish text detailing
what is covered is definitive...