SENIOR VIP
Our most innovative and
comprehensive plan for all
your health needs
DEDUCTIBLE OPTIONS*
| Option I | Option II | Option III |
|---|---|---|
| Outside USA: US$3,000 | US$10,000 | US$20,000 |
| Inside USA: US$5,000 | US$10,000 | US$20,000 |
*Only one Deductible per person, per Policy Year applies. For family Policies, a maximum of two Deductibles accumulated per Policy, per Policy Year will be applied. For more information, please refer to the Conditions of Coverage of the policy.
TABLE OF BENEFITS
| Description | Coverage |
|---|---|
| Maximum lifetime coverage per person | US$3,000,000 |
| Maximum charges incurred per policy year, per insured | US$500,000 |
| Age range to apply for coverage | 60 - 90 years old |
| Waiting period | 30 days |
| Geographical coverage | Worldwide without restrictions of hospitals and doctors |
| Description | Coverage |
|---|---|
| Standard room and hospitalization services (includes medication, laboratory exams, imaging studies, diagnostic procedures, specialized nurses and medical/surgical material, among others) | Up to US$2,500 per day for the first 120 days; US$750 per day for additional days |
| Use of intensive care unit (includes medication, laboratory exams, imaging studies, diagnostic procedures, specialized nurses and medical/surgical material, among others) | Up to US$3,250 per day for the first 30 days; US$1,000 per day for additional days |
| Surgeon, assistant surgeon and anesthesiologist fees | Up to US$25,000 per surgery, max. of 2 surgeries per policy year |
| Additional inpatient benefits (operating room and surgical implants) | Up to US$30,000 per surgery, max. of 2 surgeries per policy year |
| Companion accommodation expenses of a hospitalized insured | US$100 per night, max. of 20 nights |
| Description | Coverage |
|---|---|
| Emergency room care | US$10,000 per visit, max. of 2 visits per policy year |
| Outpatient surgery (everything included) | Up to US$25,000 per surgery, max. of 2 surgeries per policy year |
| Nurse or therapist care at home | Up to US$100 per day, max. of 30 days per policy year |
| Physician and specialist visits (including home visits where available) | Up to US$100 per consultation, max. of 12 consultations per policy year |
| Diagnostic study services (pathology, X-rays, MRI/CT/PET scans, echocardiogram, stress tests, etc.) | Up to US$500 per exam, per insured |
| Endoscopic procedures | Up to US$750 per exam, per insured |
| Outpatient prescription medication | Up to US$1,000 per insured, per policy year |
| Durable medical equipment | Up to US$2,000 per insured, per policy year |
| Preventive health check-up, no deductible applies (all options) | US$150 per insured (after a 10-month waiting period) |
| Hearing aids | Up to US$1,000 per insured, per lifetime |
| Allergy treatment | 100% UCR |
| Description | Coverage |
|---|---|
| Oncology: cancer treatment (chemotherapy and/or radiotherapy), inpatient or outpatient | Up to US$150,000 per insured, per policy year |
| Physical therapy and rehabilitation (inpatient or outpatient) | Up to US$100 per visit, max. of 30 visits per policy year |
| Emergency transportation by ground ambulance | 100% UCR, no deductible applies |
| Emergency transportation by air ambulance | US$30,000, no deductible applies |
| Emergency dental coverage | Up to US$25,000 per insured, per lifetime, within the first 90 days of the covered accident |
| Organ / tissue transplant | US$175,000 per diagnostic, per lifetime |
| Reconstructive surgery after an accident or illness (covered by this plan) | Up to the benefit limit |
| Repatriation or cremation of mortal remains | Up to US$7,500 per insured |
| Palliative care | Up to US$750 per day, max. of 120 days |
| Temporary coverage for accident while application is being underwritten | US$30,000 |
| Second Medical Opinion VIP® | Access to a second medical opinion of renowned experts from around the world, no deductible applies |
| Description | Coverage |
|---|---|
| Organ/tissue transplant | Additional US$325,000 |
| Travel VIP Light | Up to US$5,000 for emergency medical treatment while traveling abroad |
All benefits with 100% coverage are up to the policy limit. Benefits with established coverage will be up to the limits stated in each of them.