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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 |
| Eligibility to Apply for Coverage | •From 18 to 74 years old |
| Renewal | • Lifetime guarantee, as long as Policy conditions are met |
| Coverage | • Worldwide • Free choice of hospitals and doctors |
| Private and Semi-Private Room | •100% |
| Intensive Care Unit | •100% |
| Surgery (Including Outpatient Surgery) | •100% |
| Emergency Room | •100% |
| Surgeon and Anesthetist Fees | •100% |
| Major Diagnostic Services | •100% |
| Cancer Treatment | •100% |
| Dialysis | •100% |
| Congenital and Hereditary Disorders | • $100.000 per Insured per lifetime (When the condition is diagnosed before age 18) • 100% (When the condition is diagnosed at age 18 or after) |
| Organ and Tissue Transplants | • $300.000 per Organ or Tissue, lifetime per Insured, including US$20.000 for living donor |
| Outpatient Physical Therapy, Rehabilitation and Home Health Care (Private nurse) | • $4.000 per Insured per Policy Year |
| Surgical treatment for symptomatic disorders of the feet | •100% |
| Emergency Dental Coverage | • 100% |
| Physician and Specialist Visits | • 100% |
| Reconstructive Surgery in Case of Illness or Accident | •100% |
| Durable Medical Equipment Special Devices, External prosthesis, Orthotic devices | • $6.500 per Insured per Policy Year |
| Surgical Treatment of Symptomatic Foot Disorders | •100% |
| Surgical Implants or prosthesis (Excluding dental) | •100% |
| Prescribed Medications | • $10,000 per Insured per Policy Year (outside hospitalization) • 100% during hospitalization |
| Prophylactic surgery for reduction of cancer risk | • $10.000 per Insured per lifetime • 12-month Waiting Period |
| Emergency Transport •Air ambulance to the nearest hospital for proper treatment •Ground ambulance to the nearest hospital for proper treatment No deductible applies | • $30.000 per Insured per Policy year to the closest Hospital of qualified treatment • No deductible applies • 100% to the closest Hospital of qualified treatment • No deductible applies |
| Repatriation of Mortal Remains or Cremation Services | • $5.000 per Insured per Policy Year, in the event of death resulting from a covered Accident or condition |
| Coverage for accidents that occurred during the practice of high risk activities | •100% |
| Temporary Emergency coverage while application is evaluated | • $25.000 |
| Alzheimer Disease | •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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