COMPREHENSIVE COVERAGE AND VIP SERVICE
Best Doctors Medical Elite provides extensive international coverage, VIP service, preventive benefits, and free choice of providers around the world.
ITEM/SERVICE | COVERAGE |
---|---|
Maximum Annual Benefit | USD $10 million |
Eligibility | Up to age 74 |
Hospital Network | Free Choice Best Doctors Maternity Network |
Hospitalization | 100% |
Room | Private and Semi-Private 100% |
Intensive Care | 100% |
Accommodation for Accompanying Minor | USD $500 per night, up to 20 nights |
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) | $35,000 per Insured per Lifetime |
Bariatric Surgery, Gastric by-pass, and any surgical procedure intended for eight loss, its complications, treatments | $15,000 per Insured per Lifetime |
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 | 100% |
Prescribed Medications | 100% |
Preventive Care (Available in deductibles $500/$1000 and $1000/$2000) | No deductible, no waiting period applies. Colon cancer screening (50 years or older): $1,200 per insured every ten years. Mammogram (from 40 years or older): $400 maximum per insured policy year. Pap Smear (Papanicolaou) (21 to 65 years’ old): up to a maximum of $150 per insured every three (3) years. Prostate cancer screening (50 years or older): up to a maximum of $300 per insured per policy year |
Outpatient Physical Therapy, Rehabilitation and Home Health Care (private nurse) | 100% |
Illness or injury in Private Aircraft | 100% |
Surgical Implants or Prosthesis (excluded dental) | 100% |
Durable Medical Equipment, Special devices (External Prosthesis, Orthotic devices) | 100% |
Maternity*** | Normal delivery 100% within Best Doctors Maternity Network. Outside of Best Doctors Maternity Network, USD $7,000. (Available in deductibles $500/$1,000, $1,000/$2,000 and 2,000/$3,000). For Elective or Selected Cesarean delivery USD $10,000 in any hospital. No deductible applies |
Stem Cells*** | USD $2,000 per covered pregnancy for extraction and preservation of stem cells. (Available in deductibles $500/$1,000, $1,000/$2,000 and $2,000/$3,000) |
Maternity Complications and Birth Complications*** | USD $1 million lifetime per Policy (Available in deductibles $500/$1,000, $1,000/$2,000 and $2,000/$3,000) |
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 | In case of dependent daughters, who have been insured more than ten (10) months under their parents Policy, the ten (10) month waiting period to receive Maternity Benefits (including Maternity Complications and Stem cells preservation) will be waived, at the time of issuing their own coverage. |
Congenital and Hereditary Disorders (<18 years old) | 100% |
Congenital and Hereditary Disorders (≥18 years old) | 100% |
Organ and Tissue Transplants | USD $3 million per organ/ tissue per Insured per lifetime and USD $50,000 for medical expenses for the Living Donor |
Specialized Treatments | USD $5,000 for treatments related to occupational therapy, psychiatry, sleep apnea and any other sleep disorders, per Insured per Policy Year |
Autism | 100% Dependents born from a Covered Maternity. USD $10,000 after Deductible Dependents not born from a Covered Maternity |
Routine Health Checkup | USD $500 per Insured, per Policy Year (age 18 and over) No deductible applies |
Routine Health Checkups for Minor Children | Up to USD $300 per visit (before 12 months of age) Up to USD $100 per visit (from 12 months and until 18 years of age) No deductible applies |
Palliative / Hospice Care | 100% per Insured |
HIV/AIDS | USD $1,000.000 Per lifetime Waiting period of 24 months applies |
Coverage for Accidents while Practicing Professional Sports | Included |
Emergency Transportation | |
Air Ambulance | 100% to the closest hospital of qualified treatment. No deductible applies |
Ground Ambulance | 100% No deductible applies |
Repatriation of Mortal Remains | 100% |
Additional Benefits | In the event of death of the Primary Insured, his/her Insured Dependents will have free coverage for two (2) years after the last paid period |
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 | |
The Insurer will reimburse up to a maximum of USD $2,000 for the cost of a ticket in economy class to travel from the country of residence to one of the providers included in the Centers of Excellence Network in Latin America, previously approved by the Insurer | |
Coverage for accidents that occurred during the practice of professional sports | 100% |
Coverage for accidents that occurred during the practice of high risk activities | 100% |
Temporary Emergency coverage while application is evaluated | $30,000 |
Coverage for Alzheimer disease | 100% |
Unique Services | InterConsultation™ Best Doctors Concierge™ Elite Navigator™ |
Optional Coverage Available | + Critical Select |