BENEFITS
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COVER
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COVER
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COVER
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TDC is “Tarif de Convention” (the official price list set up by
the French National Healthcare System CPAM)
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HOSPITAL CHARGES
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PLATINE
HOSPITAL
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PLATINE
FRANCE
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PLATINE
GLOBAL
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1. Hospital Charges including :
i) Medical Practitioner or Specialist fees as an
In-Patient or Day Patient
ii) Diagnostic and surgical procedures as an
In-Patient or Day Patient including scans, pathology, X rays, oncology.
iii) Surgeons and Anaesthetist fees
including “Depassement”
iv) Theatre fees and nursing by a Qualified Nurse
v) Daily food charge and bottled water
vi) Prescribed Drugs and Dressings
vii) Private Room
(max 30 days
per Medical Condition)
viii) Physiotherapy
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Up to 300%
of TDC
Full
refund
Up to 300%
of TDC
Full
refund
Full
refund
Full
refund
Up to €50
Per day
Full
Refund
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Up to300%
of TDC
Full
refund
Up to
300%
of TDC
Full
refund
Full
refund
Full
refund
Up to €50
Per day
Full
refund
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Full
refund
Full
refund
Full
refund
Full
refund
Full
refund
Full
refund
Up to €100
Per day
Full
Refund
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2.
Parent Accommodation.
Standard private Hospital accommodation in respect
of a parent or legal guardian staying with an Insured Person who is under
12 years of age and is admitted as an In-Patient in a Hospital
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Full
refund
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Full
refund
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Full
refund
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3. Transportation. The cost of emergency transport necessarily incurred to and from
Hospitals for Medical Conditions covered by this Policy
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Full
refund
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Full
refund
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Full
refund
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4. Home Nursing. Nursing care given outside a Hospital which is
immediately received subsequent to Treatment
as an In-Patient or Day Patient. This must be
provided by a Qualified Nurse
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Up to €120 per day
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Up to €120
per day
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Up to €120
Per day
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5. Reconstructive Surgery. Reconstructive surgery following an Accident or
following surgery for an event covered by this Policy
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Full
refund
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Full
refund
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Full
refund
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OUTPATIENT
CHARGES
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PLATINE
HOSPITAL
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PLATINE
FRANCE
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PLATINE
GLOBAL
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6.
Out-Patient charges including:
i) Medical Practitioner or Specialist fees as an Out-Patient
including home visits
ii) Diagnostic and surgical procedures as an Out-Patient
including scans, pathology, Xrays, oncology.
iii) Prescribed Drugs and Dressings
iv) Physiotherapy
Home Nursing
where referred by a specialist
Max 30 days per medical
condition
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x
x
x
Prior to
admission
to Hospital
max 90 days
after discharge
up to
€1.600
x
x
x
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Up to 300%
of TDC
Full
refund
Full
refund
Full
refund
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Full
refund
Full
refund
Full
refund
Full
refund
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7. Alternative Medicines
Limited to Acupuncture,
Homeopathy, Chiropractic and Osteopathy on referral of a specialist
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Not
covered
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Up to €400
per period
of cover
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Up to €400
per period
of cover
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8. Cash Benefit
Where Hospital accommodation and all Treatment
costs are provided in a State or charitable institution and no claim is
submitted under this Policy, providing that the condition suffered would be
eligible for Benefit
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€120 per day
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€120 per day
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€120 per day
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9. Routine Pregnancy and
Childbirth
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Not covered
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Not covered
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Up to €1.600
Per period of
cover after
24 months cover
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10. Complications of Pregnancy and Childbirth
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Not covered
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Not covered
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Up to €50.000
Per period of
cover after
24 months cover
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11.
Evacuation/Repatriation.
Reasonable travel, accomodation
and repatriation expenses of the Insured Person (including one other person
necessarily having to travel and/or remain with and /or escort the Insured
Person) in the event of Treatment being necessarily undertaken in the
Country of Nationality or nearest country with suitable facilities on the
certified
instructions of a Medical Practitioner or
Specialist and with the prior
approval of The Insurers
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Not covered
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Not covered
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Full
refund
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12. Mortal Remains Cover
The cost of preparation and transportation of the
remains of the Insured Person from the place of death to the Country of
Residence,
or the preparation and local burial/cremation of
the mortal remains of the Insured Person when death occurs outside the
Country of
Residence.
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Not covered
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Not covered
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Up to €4.000
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DENTAL BENEFITS
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PLATINE
HOSPITAL
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PLATINE
FRANCE
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PLATINE
GLOBAL
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9. Dental
charges including:
i) Accidental Damage to Teeth -
Treatment received in an Emergency room in a
Hospital within 7 days of incurring Accidental damage caused to sound,
natural teeth when given by a Medical or Dental Practitioner
ii) Routine Dental Treatment.
The fees of a Dental Surgeon in respect of routine
dental Treatment received at a dental surgery
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Full
refund
Not covered
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Full
refund
Not covered
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Full
refund
Up to €800
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ADDITIONAL
BENEFITS
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PLATINE
HOSPITAL
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PLATINE
FRANCE
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PLATINE
GLOBAL
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Personal Accident
Refer to Policy Wording for
full details
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Not covered
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Not covered
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Up to €80.000
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TERITORIAL LIMITS
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Restricted
to
France
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Restricted
to
France
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Europe plus
90 days World Wide
Excluding
USA and Canada
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MAKSIMUM SUMS INSURED
Per insured person per Policy Year
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€80.000
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€80.000
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€400.000
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