BENEFITS
|
Cover
|
Cover
|
|
TDC is “Tarif de Convention” (the official price list set up by
the French National Healthcare System CPAM)
|
|
|
HOSPITAL CHARGES
|
ARGENT
100
|
ARGENT
150
|
|
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
|
Up to 100%
of TDC
Up to 100%
of TDC
Up to 100%
of TDC
Up to 100%
of TDC
Full
refund
Up to 100%
of TDC
Not covered
Up to 100%
of TDC
|
Up to 150%
of TDC
Up to 150%
of TDC
Up to 150%
of TDC
Up to 150%
of TDC
Full
refund
Up to 150%
of TDC
Up to €25
Per day
Up to 150%
of TDC
|
|
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
|
Up to €25
per day
|
Up to €25
per day
|
|
3.
Routine Pregnancy and Childbirth.
(Incl. Private Room limited
to maximum of 5 days). Maximum payable in any one policy period for all
benefits in this section is
€600
|
Full
difference
Private room
Not covered
|
Full
difference
Private room
€25 per day
|
|
4. Transportation. The cost of emergency transport necessarily incurred to and from
Hospitals for Medical Conditions covered by this Policy
|
Up to 100%
of TDC
|
Up to 150%
of TDC
|
|
5. 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
|
Up to 100%
of TDC
|
Up to 150%
of TDC
|
|
6. Reconstructive Surgery. Reconstructive surgery following an Accident or
following surgery for an event covered by this Policy
|
Up to 100%
of TDC
|
Up to 150%
of TDC
|
|
7. Registered Convalescent Home where prescribed
by and under the control of a Specialist
(maximum 30 days per Medical Condition)
|
Up to 100%
of TDC
|
Up to 150%
of TDC
|
OUTPATIENT
CHARGES
|
ARGENT
100
|
ARGENT
150
|
|
8.
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
Thermal cures
(where reimbursed by the Social Security
Tiers Payant Card.
|
Up to 100%
of TDC
Up to 100%
of TDC
Full
difference
Up to 100%
of TDC
Up to 100%
of TDC
Yes
|
Up to 150%
of TDC
Up to 150%
of TDC
Full
difference
Up to 150%
of TDC
Up to 100%
of TDC
Yes
|
DENTAL
CHARGES
|
ARGENT
100
|
ARGENT
150
|
|
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
iii) Reimbursable Dental Prostheses
Maximum
payable for all dental benefits in any one period up to:
In respect of Benefits 9i), 9ii) and
9iii) there is a
waiting period of 180 days for new
clients before
Benefits are payable.
If you already have an corresponding
insurance in
an other company and you transfer your insurance to us, no waiting
period will apply.
|
Up to 100%
of TDC
Up to 100%
of TDC
Up to 100%
of TDC
€150
|
Up to 150%
of TDC
Up to 150 %
of TDC
Up to 150%
of TDC
€250
|
|
TDC is ”Tarif de Convention” (the official price list set up by
the French National Healthcare System CPAM)
|
|
|