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MEDICAL
CARE™
All Health Plans
MEDICAL CARE™
ACCESS TO PRESTIGIOUS DOCTORS AND HOSPITALS
Best Doctors Medical Care offers a complete set of benefits, ample provider network in the U.S., and free Choice of providers in the rest of the world.
| ITEM/SERVICE | COVERAGE |
|---|---|
| Maximum Annual Benefit | USD $2 million |
| Eligibility | Up to age 74 |
| Hospital Network | Worldwide Coverage 100% - Outside U.S. 100% - Inside U.S. through the MEDICALCARE™ Network Latin America Coverage 100% in Latin America excluding Brazil |
| Hospitalization | Worldwide Coverage 100% - Outside U.S. 100% - Inside U.S. through the MEDICALCARE™ Network Latin America Coverage 100% in Latin America excluding Brazil |
| Room | Worldwide Coverage 100% - Outside U.S. 100% - Inside U.S. through the MEDICALCARE™ Network Latin America Coverage 100% in Latin America excluding Brazil |
| Intensive Care | Worldwide Coverage 100% - Outside U.S. 100% - Inside U.S. through the MEDICALCARE™ Network Latin America Coverage 100% in Latin America excluding Brazil |
| Accommodation for Accompanying Minor | Not Applicable |
| Reconstructive surgery in case of Illness or accident | 100% |
| Surgery (including Outpatient Surgery) | 100% |
| Emergency Room | 100% |
| Major Diagnostic Services | 100% |
| Surgical Treatment for symptomatic disorders of the feet | 100% |
| Cancer risk reduction surgery (Prophylactic surgery) | $10,000 per Insured per Lifetime |
| Bariatric Surgery, Gastric by-pass, and any surgical procedure intended for eight loss, its complications, treatments | Not Applicable |
| Cancer Treatment | 100% |
| Dialysis | 100% |
| Emergency Dental Coverage | Only covered within the first 180 days of the accident |
| Physicians and Specialists Visits | 100% |
| Surgeon and Anesthesiologist Fees | Worldwide Coverage 100% - Outside U.S. 100% - Inside U.S. through the MEDICALCARE™ Network Latin America Coverage 100% in Latin America excluding Brazil |
| Prescribed Medications | USD $6,500 per Insured per Policy Year after the Deductible (outside of a hospitalization) |
| Preventive Care (Available in deductibles $500/$1000 and $1000/$2000) | Not Applicable |
| Outpatient Physical Therapy, Rehabilitation and Home Health Care (private nurse) | USD $4,000 per Insured per Policy Year, after deductible |
| Illness or injury in Private Aircraft | 100% |
| Surgical Implants or Prosthesis (excluded dental) | 100% |
| Durable Medical Equipment, Special devices (External Prosthesis, Orthotic devices) | USD $6,500 per Insured per Policy Year, after deductible |
| Maternity*** | USD $2,000 (Deductible options USD $1,000 & $2,000) per event, no Deductible applies |
| Stem Cells*** | Not Applicable |
| Maternity Complications and Birth Complications*** | USD $75,000 lifetime per Policy. A 10 month Waiting Period applies. Rider USD $300 annual cost for additional USD $500,000 lifetime coverage. (Available in deductibles $1,000 and $2,000) |
| Inclusion of Newborn | Automatically included without underwriting if born from a covered maternity and if not born of a pregnancy that is a result of any type of fertility treatment |
| Additional Benefit for dependents | Not Applicable |
| Congenital and Hereditary Disorders (<18 years old) | USD $100,000 lifetime per Insured |
| Congenital and Hereditary Disorders (≥18 years old) | 100% per Insured per lifetime, subject to the Maximum Benefit of the Policy |
| Organ and Tissue Transplants | USD $300,000 per organ/ tissue per Insured per lifetime and USD $20,000 for medical expenses for the Living Donor |
| Specialized Treatments | Not Applicable |
| Autism | Not Applicable |
| Routine Health Checkup | Not Applicable |
| Routine Health Checkups for Minor Children | Not Applicable |
| Palliative / Hospice Care | Not Applicable |
| HIV/AIDS | Not Applicable |
| Coverage for Accidents while Practicing Professional Sports | Not Applicable |
| Emergency Transportation | |
| Air Ambulance | USD $30,000 per Insured per Policy Year to the closest hospital of qualified treatment. No deductible applies |
| Ground Ambulance | 100% No deductible applies |
| Repatriation of Mortal Remains | USD $5,000 |
| Additional Benefits | Not Applicable |
| In case of serious accident, as defined in this Policy, no deductible will apply for the first Medically Necessary Hospitalization, following the Serious Accident. Any subsequent treatment will incur the Deductible | |
| Deductible will be waived up to a $5,000 maximum in case of an Accident or Emergency that occurs while the Insured is travelling outside of his/her country of residence | |
| Not Applicable | |
| Coverage for accidents that occurred during the practice of professional sports | Not Applicable |
| Coverage for accidents that occurred during the practice of high risk activities | 100% |
| Temporary Emergency coverage while application is evaluated | $25,000 |
| Coverage for Alzheimer disease | 100% |
| Unique Services | InterConsultation™ Best Doctors Concierge™ |
| Optional Coverage Available | + Critical Select |
