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Complete Care

( Complete Care - Español   )

 

 

Table of benefits - comparison of Bupa Latin America health plans

 

Table of benefits
   
Insureds are not required to obtain treatment from the Bupa Provider Network
 
Maximum coverage per Insured per policy year ... No limit  
   
   
In-patient benefits  
   
... 100% (in a Bupa Hospital Network) Hospital room and board (private, semi-private)
... $1000 per day in other hospitals
 
100% in a Bupa Hospital Network ... intensive care unit
$3000 per day in other hospitals
 
100% surgeon and anesthetists fees  
   
100% diagnostic services (pathology, X rays, MRI CT/PET scan, ultrasound and endoscopies)  
100% drugs prescribed while in-patient
100% cancer treatment (chemotherapy, radiotherapy)
100% prostheses and applicances implanted during surgery   
$300 per day (maximum of $1000 per admission). Accommodation for companion of a hospitalised child  
   
Out-patient benefits  
100% Physicians and specialists visits  
   
Prescribed drugs:
... 100% (for a maximum of 6 months), $2000 per year thereafter Following hospitalisation or out-patient surgery
 
100% Cancer treatment (chemotherapy / radiotherapy)  
100% Physical therapy / rehabilitation (must be pre-approved)  
100% diagnostic services (pathology: X rays, MRI / CT / PET scan, ultrasound and endoscopies)
100% dialysis  
100% ... Home health care (must be pre-approved)  
   
Other benefits  
$125,000 air ambulance (must be pre-approved)  
100% ground ambulance  
$6000 (per pregnancy) Maternity (includes normal maternity, cesarean delivery, and all pre- and post-natal treatment)
... 10 month waiting period
... no deductible applies
... Plans 1, 2 and 3 only
 
$1,000,000 (per lifetime, per policy) ... Complications of maternity and newborn
... 10 month waiting period
 
   
   
$1,000,000 (per lifetime) Congenital and hereditary disorders diagnosed before the age of 18  
100% congenital and hereditary disorders diagnosed on or after the age of 18  
$600,000 (per diagnosis). Transplant procedures (per lifetime)  
$30,000 (for a maximum of 90 days after delivery) Provisional coverage for newborn children  
100% emergency dental coverage  
100% ... repatriation of mortal remains  
100% Hospice terminal care  
100% ... Complementary therapist (maximum of 20 visits / sessions  
$300 ... Health checkup (all inclusive) No deductible applies  
   
   
Notes on benefits  
   
Full details of the policy terms and conditions are in the Policy Provisions, Administration, and Exclusions and Limitations sections of  this Membership Guide. The Table of benefits is only a summary of coverage.  
All costs are subject to the usual, customary and reasonable fees for the procedure and territory  
Members are required to notify USA Medical Services  prior to beginning any treatment  
All benefits are subject to any applicable deductible, unless otherwise stated.  
   


BUPA Secure Care / Bupa Essential Care / Bupa Diamond Care  / Bupa Critical Care / Bupa Advantage Care

 

 

 

 

Copies of the general conditions of the plans ...

 

BUPA Latin America and the Caribbean - countries

 

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