|
MEDICAL INSURANCE
|
BENEFIT
Subject to deductible and coinsurance |
|
Coverage Area |
Worldwide |
| Policy Maximum Per Individual |
US$1,000,000 lifetime (may be increased to US$5,000,000) |
| Hospital Room & Board |
Payable up to the average semi-private room rate,
including nursing service
|
| Hospital Pre-Admission Testing |
Subject to deductible
|
| Intensive Care Unit |
Up to 3 times the average semi-private room rate
|
| Second Surgical Opinion |
Subject to deductible & coinsurance unless requested
by the Company (payable at 100% if requested by the Company)
|
| Eligible Medical Expenses |
Usual, reasonable, & customary
|
|
Transplant Benefits Subject to special transplan pre-certification requirements, and only when expense treatment is provided within the Managed Transplant System Network. Covered transplants are: heart, heart/lung, lung, kidney, kidney/pancreas, liver, and allogeneic and autologous bone marrow. |
US$500,000 lifetime maximum for covered transplants |
| Maternity and Newborn Care | Subject to special maternity pre-certification requirements, same as any other illness |
|
Mental/Nervous Disorders Inpatient treatment Limited to 15 days per calendar year per insured person Outpatient treatment Maximum of 40 visits per calendar year per insured person |
Same as any other illness 50% reimbursement |
|
Wellness Benefit For you and your spouse for a physical examination, including immunizations and mammograms every 24 months. To qualify, you must have been covered under the Mission+Plus International plan for at least 24 months and must be at least age 35 if female, or at least age 40 if male. |
Up to US$250 coverage (not subject to deductible or coinsurance) |
| Physical Therapy | Up to US$50 maximum per charge per visit |
| Chiropractic Care | US$500 maximum per year, reimbursable at 50% |
| Home Health Care | Limited to 30 days per occurrence of illness |
| Extended Care Facility | Limited to 100 days per occurrence of illness |
| Hospice Benefit | US$7,000 lifetime per insured person |
|
Additional Benefits Life Insurance Dental Insurance Emergency medical evacuation insurance |
Required Optional Optional |
This is a summary of benefits only, and is subject to the specific terms and conditions of the plan concerning eligible benefits, limitations, eligibility and exclusions thereunder. Please refer to the policy wording for a complete description, available upon request.
