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Diamond Care

( Diamond 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% Hospital services
100% in a Bupa Hospital Network... Hospital room and board (semi-private)
$2000 per day in other hospitals
100% in a Bupa Hospital Network ... intensive care unit
$4000 per day in other hospitals
Guest meals $50 per day
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 
$400 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), $3000 per year thereafter Following hospitalisation or out-patient surgery
... $700 outpatient or non-hospitalisation
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
100% ... air ambulance (must be pre-approved)
100% ground ambulance
$8500 (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
100% ... Complications of maternity and newborn
... 10 month waiting period
Well baby care ... 5 visits (within 6 months of delivery)
$50,000 (for a maximum of 90 days after delivery) Provisional coverage for newborn children
100% ... Congenital and hereditary disorders
100% ... Congenital and hereditary disorders
$750,000 (per diagnosis). Transplant procedures (per lifetime)
$50,000 (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 80 visits / sessions
$600 ... Health checkup (all inclusive) No deductible applies
4 visits ... Prescribed dietician guidance
 
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 Critical Care / Bupa Complete Care / Bupa Advantage Care

 


 

 

 

Copies of the general conditions ...

 

BUPA Latin America and the Caribbean - countries

 

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