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Comparison: Lifeline Classic and Worldwide Health Options ( http://comparativadeseguros.tel/  )

 



 

 

Lifeline Classic - Table of benefits

Note 1: Out-patient treatment

 

 

Worldwide Medical Insurance

 

What is covered?

 

Worldwide Medical Insurance - annual overall limit / /

Overall annual maximum

 

Lifeline Classic

£1,500,000

£ sterling

 

£750,000

$2,550,000

$ US dollars

 

$1,500,000

€1,875,000

€ euros

 

€1,000,000

 

Note 1: Out-patient treatment

 

 

 

Out-patient surgical operations

Note 1a

Paid in full

 

 

 

 

Screening and prevention ( Option -  Worldwide Wellbeing )

Wellness - mammogram, PAP test, prostate cancer screening or colon cancer screening (after one year's membership)

Note 1b 

We pay up to £ sterling 500, US$1,000 or €750 each Membership year

Physiotherapy, osteotherapy and chiropractor treatment ( Option - Worldwide Medical Plus )

Physiotherapy, osteopathy and chiropractor treatment

Note 1c

We pay in full for up to 15 visits each  Membership year

Consultations and treatment with complementary therapists / Speech therapy ( Option - Worldwide Medical Plus )

Costs for treatment  by therapists  and complementary medicine practitioner

Note 1c

We pay in full for up to 5 visits each  Membership year

 

 

 

 

Specialists' consultation and doctors' fees / Psychiatrists' and psychologists' fees  ( Option - Worldwide Medical Plus )

Consultants'  and Psychologists'  fees for psychiatric treatment (after two years' membership)

Note 1d

We pay in full for up to 15 visits each  Membership year

 

 

 

 

Pathology, X-rays and diagnostic tests ( Option - Worldwide Medical Plus )

Pathology, X-rays and diagnostic tests

Note 1d

We pay up to £ sterling 5,000, US$10,000 or €8,000 each Membership year

 

 

 

 

Young child care / Specialists' consultation and doctors' fees ( Option - Worldwide Medical Plus )

Consultants'  fees for consultations

Note 1f 

We pay up to £ sterling 5,000, US$10,000 or €8,000 each Membership year

 

 

 

 

 

Costs for treatment by a family doctor 

Note 1g

Not covered

 

 

 

 

Prescribed medicines and dressings ( Option - Worldwide Medical Plus )

Long-term prescription medicines  ( Option - Worldwide Medical Plus )

Prescribed drugs and dressings

Note 1h

Not covered

 

 

 

 

Emergency dental treatment (Worldwide Medical Insurance)

Accident-related dental treatment ( Option - Worldwide Medical Plus )

Accident-related dental treatment

Note 1i

Not covered

Childbirth at home (Worldwide Medical Insurance)

Durable medical equipment rental ( Option - Worldwide Medical Plus )

Dental ( Option -  Worldwide Wellbeing )

Optical ( Option -  Worldwide Wellbeing )

chronic cover

Prophylactic surgery

repatriation of mortal remains

 

 

 

Note 2: In-patient treatment (  see important note)

 

 

 

 

 

 

Staying in hospital overnight or as a day-case (Worldwide Medical Insurance)

Hospital  accommodation

Note 2a

Paid in full April 2009 updates

 

 

 

 

Surgery, including surgeons', anaesthetists' and assistants' fees (Worldwide Medical Insurance)

Surgical operations including pre- and post-operative care

Note 2b

Paid in full

 

 

 

 

Nursing care (Worldwide Medical Insurance)

Nursing care, drugs and surgical dressings

Note 2c

Paid in full

 

 

 

 

Specialists' consultation fees  (Worldwide Medical Insurance)

Physicians' fees

Note 2d

Paid in full

 

 

 

 

Operating room, medicines and surgical dressings / Intensive care. Intensive therapy, coronary care and high dependency unit (Worldwide Medical Insurance)

Theatre charges and intensive care

Note 2e

Paid in full

 

 

 

 

Pathology. X-rays, diagnostic tests and therapies  (Worldwide Medical Insurance)

Pathology, X-rays, diagnostic tests and physiotherapy

Note 2f

Paid in full April 2009 updates

 

 

 

 

Prosthetic implants and appliances / Prosthetic devices (Worldwide Medical Insurance)

Prosthetic implants, prosthetic devices and appliances (limited to £ sterling 2,000, US$4,000 or €3,000 per prosthetic device )

Note 2g

Paid in full... April 2009 updates

 

 

 

 

Parent accommodation (Worldwide Medical Insurance)

Parent accommodation

Note 2h

Paid in full

 

 

 

 

Psychiatric treatment overnight in hospital, including room, board and treatment costs / Psychiatric treatment as a day-case, including room, board and treatment costs (Worldwide Medical Insurance)

Psychiatric treatment (after two years' membership, lifetime maximum of 90 days)

Note 2i

Paid in full

 

 

 

 

 

Note 3: Further benefits

 

 

 

 

 

 

Cancer treatment (Worldwide Medical Insurance)

Cancer treatment

Note 3a

Paid in full April 2009 updates

 

 

 

 

Childbirth and treatment in hospital (Worldwide Medical Insurance)

Maternity ( Option - Worldwide Medical Plus )

Maternity cover (after 10 months membership)

Note 3b

We pay up to £ sterling 3,000, US$6,000 or €4,500 each Membership year (April 2009 updates )

 

 

 

 

Advanced imaging (Worldwide Medical Insurance)

Advanced imaging

Note 3c

Paid in full

 

 

 

 

Transplant services (Worldwide Medical Insurance)
Transplant services ( Option - Worldwide Medical Plus )

Transplant services

Note 3d

Paid in full

 

 

 

 

Local road ambulance (Worldwide Medical Insurance)

Local road ambulance

Note 3e

Paid in full

 

 

 

 

Local air ambulance (Worldwide Medical Insurance)

Local air ambulance

Note 3f

We pay up to £ sterling 5,000, US$10,000 or €7,300 each Membership year

 

 

 

 

Home nursing (Worldwide Medical Insurance)

Home nursing after in-patient treatment

Note 3g

We pay up to £ sterling 100, US$200 or €150 each day up to a maximum of 20 days each Membership year

 

 

 

 

Hospitalisation cash benefit (Worldwide Medical Insurance)

In-patient cash benefit

Note 3h

We pay up to £ sterling 75, US$150 or €110 each night up to a maximum of 20 nights each Membership year

 

 

 

 

 

HIV/AIDS drug therapy including ART (after 5 years' membership)

Note 3i

We pay up to £ sterling 10,000, US$20,000 or €15,000 each Membership year

 

 

 

 

Hospice and palliative care (Worldwide Medical Insurance)

Hospice and palliative care

Note 3j

We pay up to £ sterling 20,000, US$40,000 or €30,000 maximum benefit for the whole of your membership

 

 

 

 

Rehabilitation (Worldwide Medical Insurance)

In-patient, rehabilitation

Note 3k

We pay in full for up to 30 nights each Membership year

 

 

 

 

Treatment of congenital and hereditary conditions / Newborn care  (Worldwide Medical Insurance)

Newborn care

Note 3l

We pay £ sterling 75,000, US$150,000 or €110,000 maximum benefit for all treatment received during the first 90 days following birth

 

 

 

 

 

Healthline services

Note 3m

Included

 

 

 

 

 

Note 4: Optional benefits (if purchased)

 

 

 

 

 

 

How your plan works

 

 

If you chose to include USA Cover, we have special arrangements in place if you need to be hospitalised while you are there. These include access to a select network of quality hospitals and other medical treatment providers with direct settlement of all covered expenses when you receive treatment in a network hospital. To access these benefits, and avoid penalties, all treatment in hospital must be pre-authorised using the same simple process as before.

 

By getting prior approval for your treatment you're also helping us to manage the ever increasing costs of medical care. This is good news for you, as it also helps us to manage your subscriptions and keep any increases to a minimum. But what is even better is that you get the benefit from both. When you get prior approval for your  treatment and you go to a network hospital, all covered expenses are paid in full - direct to the providers of your treatment.

 

This cover still gives you the freemdom to choose to have your treatment at any hospital. However, if you decide to have your treatment at a hospital which is not included in the network, you will be required to share the cost and pay 20 percent of your covered expenses.

 

There may be occasions when it is not possible for you to be treated at a network hospital. These include:

 

· there is no network hospital within 30 miles / 50 kilometres of your address

 

· the treatment you need is not available in the network hospital.

 

In these cases,  we won't ask you to share the cost of your treatment .

 

If you choose not to get prior approval for your treatment in hospital, you will be required to pay 50 percent of your covered expenses. Without prior approval, the special arrangements and network pricing we have put in place for you cannot be accessed.

 

Of course we understand that there will are times when you cannot get prior approval, such as in an emergency. If you are taken to hospital in an emergency, it is important that you arrange for the hospital to contact us within 48 hours of your admission.  We can then make sure you are getting the right care, in the right place. If you have been taken to a hospital which is not part of the network, and if it is the best thing for you, we will arrange for you to be moved to a network hospital to continue your treatment once you are stable.

 

If we have been notified within 48 hours of an emergency admission to hospital, we will not ask you to share the cost of your treatment.

 

USA cover

Note 4a

100% of costs in network 80% of costs out of network. Treatment must be pre-authorised

 

 

 

 

Option -  Worldwide evacuation

 

What is covered?

 

Worldwide Evacuation

 

These benefits are only available if you have chosen this option and it is listed on your membership certificate.

 

Benefit:

 

Medical evacuation

 

Medical repatriation

 

Travel cost for an accompanying person

 

Travel cost for the transfer of minor children

 

Living allowance

 

Repatriation of mortal remains

 

Compassionate visit and return

 

Compassionate visit living allowance

 

 

 

Assistance cover (Evacuation and Repatriation )

 

See Section 4 for details of the optional Assistance cover. Your Membership Certificate will show if you have purchased this cover. The overall annual maximum benefit limit does not apply

 

 

 

 

2.4 Notes to the table of benefits

Each benefit described in this section is payable according to the limits set out in the table of benefits ( section 2.4 and back cover of Membership Guide)

 

Option - Worldwide Medical Plus

What is covered?

Worldwide Medical Plus - annual overall limit £25,000 / €31,250 / $42,500 (excluding transplant benefits)

These benefits are only available if you have chosen this option and it is listed on your membership certificate.

 

Option - Worldwide medicines and equipment

What is covered?

Worldwide Medicines and Equipment

These benefits are only available if you have chosen this option and it is listed on your membership certificate.

 

Option -  Worldwide Wellbeing

What is covered?

Worldwide Wellbeing - annual overall limit £5,000 / €6,250 / $8,500

These benefits are only available if you have chosen this option and it is listed on your membership certificate.
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Comparison - Lifeline Gold and Worldwide Health Options

Mainly health plans SL (AJ0052) http://agenciavinculadadeseguros.tel/
http://mainlyhealthplans.tel Linked insurance agency

 

English insurance agent offering international health, dental, medical and travel insurance cover. Also ...business, life, house and contents, car, motorbikes, mopeds, boat, golf, accident, and other kinds of insurance for expatriates (and non-expats) in Spain. Civil liability insurance for potentially dangerous dogs (required under Spanish legislation)