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PRIME SELECT
ACCESS TO THE BEST HOSPITALS IN THE U.S.A.
This plan provides members with great solutions for major impact illnesses.
| BENEFIT | COVERAGE |
|---|---|
| Maximum Benefit | •US$1,000,000 |
| Deductible per Insured, per Policy Year •Certificate of Coverage will show the selected option | Options: •US$1,000/US$1,000 •US$2,000/US$2,000 •US$5,000/US$5,000 •US$10,000/US$10,000 •US$20,000/US$20,000 |
| Eligibility to Apply for Coverage | •From 18 to 74 years old |
| Geographical Coverage | •Worldwide |
| Provider Network | •Free choice of hospitals and doctors |
| Private and Semi-Private Hospital Room | •100% |
| Intensive Care | •100% |
| Emergency Room | •100% |
| Surgery •Inpatient or outpatient | •100% |
| Surgeons and Anesthetists Fees | •100% |
| Reconstructive Surgery in Case of Illness or Accident | •100% |
| Prophylactic Surgery to Reduce Cancer Risk •Maximum lifetime, per insured •12-month waiting period | •US$10,000 |
| Organ and Tissue Transplants •Maximum lifetime per organ or tissue, per insured | •US$300,000 •Includes up to US$20,000 for living donor |
| Surgical Treatment of Symptomatic Foot Disorders | •100% |
| Prescription Medications •Inpatient •Outpatient, including allergy treatment | •100% •US$6,500 |
| Visits to Doctors and Specialists | •100% |
| Diagnostic Tests | •100% |
| Congenital and/or Hereditary Conditions •Diagnosed before 18 years old (maximum lifetime, per insured) •Diagnosed at or after 18 years old | •US$100,000 100% |
| Emergency Transport •Air ambulance to the nearest hospital for proper treatment •Ground ambulance to the nearest hospital for proper treatment No deductible applies | •US$30,000 •100% |
| Cancer Treatment | •100% |
| Dialysis | •100% |
| Alzheimer Disease | •100% |
| Physical Therapy, Outpatient Rehabilitation and Home Health Care | •US$4,000 |
| Implants and Surgical Prostheses Excluding dental | •100% |
| Diagnostic TestsDurable Medical Equipment or Special Devices •Includes external prostheses, orthotic devices | •US$6,500 |
| Illness or Injury in Private Aircraft | •100% |
| Dental Coverage Due to Accident | •100% |
| Repatriation of Mortal Remains or Cremation Services •In case of death as a result of a covered accident or illness | •US$5,000 |
| Accidents that Occur During the Practice of High-Risk Activities | •100% |
| Additional Benefits | •Deductible will be waived up to US$5,000 in case of accident or emergency while insured is traveling outside his/her country of residence. |
| •In the event of a serious accident, as defined in the Policy, the deductible will be waived during the first medically necessary hospitalization immediately following said serious accident. | |
| EXCLUSIVE SERVICES | InterConsultation™ Confirmation of diagnosis and recommendation of the best treatment and specialists. Immediate access to this benefit available regardless of any exclusion applicable under this Policy. Best Doctors Concierge™ Coordination of medical appointments, hospital admission, travel arrangements, accommodation and transportation when services are rendered outside of the Insured’s Country of Residence. Directed Care A program to coordinate, supervise and manage complex cases of long duration. |
| REMINDERS | |
| •Unless otherwise indicated, all benefits are per Insured, per Policy Year with the application of the selected deductible. | |
| •All amounts are shown in US Dollars (US$). | |
| •The deductible is cumulative per insured, per policy year, with a maximum equivalent to two deductibles per policy year. | |
| •Covered medical expenses subject to usual, customary, and reasonable (UCR). | |
At Best Doctors Insurance, we are proud to help our members enjoy better and healthier lives.
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