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International Health and Hospital Plan(Español)

 

Module 4A and 4B - Dental & Optical

 

Module 4B
Routine dental treatment (80%)
Examinations, maximum
EUR GBP USD
40 30 40
Tooth cleaning, maximum
EUR GBP USD
60 35 60
Fillings per tooth, maximum
EUR GBP USD
110 65 110
Root treatment per tooth, maximum
EUR GBP USD
140 96 140
Tooth extractions per tooth, maximum
EUR GBP USD
100 60 100
Surgery, maximum
EUR GBP USD
174 120 195
X-ray, maximum
EUR GBP USD
50 35 50
Anesthesia, maximum
EUR GBP USD
20 15 20
Special assistance, maximum
EUR GBP USD
80 52 80

 

 

Module 4B: Special dental treatment ( 50% )
Bridgework
EUR GBP USD
50% 50% 50%
Crowns
EUR GBP USD
50% 50% 50%
Periodontitis
EUR GBP USD
50% 50% 50%
Orthodontics (tooth adjustment)
EUR GBP USD
50% 50% 50%
Dentures
EUR GBP USD
50% 50% 50%
Special dental treatment per policy year, maximum
EUR GBP USD
3,000 2,250 3,000

 

 

Module 4B: Glasses and contact lenses (80%)
One pair of glasses (excluding frames) per policy year, maximum
EUR GBP USD
220 150 220
Contact lenses, per policy year, maximum
EUR GBP USD
130 80 130
Frames and sunglasses are not covered

 

 

Supplementary options

 

Glossary

 

Contact ...

 

 

Module 1 - Non-hospitalisation benefits  Module 2 - Medicine & appliances Module 3 - Medical evacuation & repatriation