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. |
Copies of the general conditions ...
BUPA Latin America and the Caribbean - countries
boat and golf insurance in Spain
Commercial Premises insurance - Spain
Community Insurance 'Comunidad' - Spain
dental and medical insurance plans
English insurance agent in Spain
health insurance Czech Republic
international health, medical and travel insurance cover
international travel insurance
Maritime plan - international health cover (crew only)
Oil and Gas Industry - health insurance
Teachers - international health cover
traducciones juradas (sworn translations)