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Critical Care

Table of benefits - comparison of Bupa Latin America health plans

Table of benefits

Coverage in the Bupa Critical Provider Network only (except as specified under the Emergency Medical Treatment Provision)

$1 million max coverage per Insured per policy year

This policy only pays benefits for the following medical conditions and treatments;

$150,000 Neurological illnesses, including cerebral vascular accidents
$150,000 cardiac surgery and angioplasty
$200,000 cancer treatment, including chemotherapy, radiotherapy and reconstructive surgery
$150,000 severe trauma (polytrauma) including rehabilitation
$100,000 chronic renal insufficiency (dialysis)
$300,000 severe burns, including reconstructive surgery
$150,000 septicemia (severe infectious disorder)
Organ transplant (per insured, per lifetime):
Heart $300,000 ... Heart / lung $300,000 ... lung $250,000 ... Pancreas $250,000 ... Pancreas / kidney $300,000 ... Kidney $200,000 ... Liver $200,000 ... Bone marrow $ 250,000

In-patient benefits

100% Hospital room and board (semi-private)

100% intensive care unit

100% surgeon and anesthetists fees

100% diagnostic services (pathology, X rays, MRI CT/PET scan, ultrasound and endoscopies)

100% drugs prescribed while in-patient

Out-patient benefits

100% Physicians and specialists visits

100% (for a maximum of 6 months) prescribed drugs (following hospitalisation or out-patient surgery)

100% physical therapy/ rehabilitation (must be pre-approved)

100% diagnostic services (pathology: X rays, MRI / CT / PET scan, ultrasound and endoscopies)

100% ... Home health care (must be pre-approved)

Other benefits

$25,000 air ambulance (must be pre-approved)

100% ground ambulance

100% emergency dental coverage

100% Hospice terminal care

Notes on benefits

All in-patient and day-patient treatment must take place in a Bupa Critical Network hospital

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.