Table of Benefits
GlobalPass Healthcare Plans for Latin America
Individual healthcare plans
Valid from 1st May 2024
Table of Benefits
GlobalPass Healthcare Plans for Latin America
Individual healthcare plans
Valid from 1st May 2024
Table of Benefits
GlobalPass Healthcare Plans for Latin America
Individual healthcare plans
Valid from 1st May 2024
We believe in providing you with the best cover suited to your needs.
This Table of Benefits provides an overview of the treatments and medical services you are covered for, as listed under each plan below. Your cover will also include the following member services, available to you anytime, anywhere! These are included in the cost of your plan.
4.5/5
Independent Service Rating based on verified reviews
Flexible solutions for every stage of your life
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Support services Available to you 24/7 (day and night, weekends and holidays included) to offer you support, guidance and reassurance when you need it:
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MyHealth digital services From submitting claims to managing your policy or finding a provider – all in the palm of your hand (paper and admin free!) |
TeleHealth Hub A portal to access medical consultations from the comfort of your home or office.. |
Second medical opinion Offering you an independent medical professional/expert advice on your diagnosis and treatment options. |
Olive, our health and wellbeing program Useful tools to motivate and guide you towards a healthier lifestyle. |
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We're here to help you and your family, providing expert advice, information and assistance, wherever you are in the world. For further information, videos and brochures visit our member resources page: |
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Cover highlights |
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Oncology cover Offering you one of the most comprehensive covers in the market, from the cover of most treatments and procedures required for cancer cases, to personal oncology case management services. Available 24/7 to support you from the point of diagnosis and throughout the treatment. |
We believe in providing you with the best cover suited to your needs.
This Table of Benefits provides an overview of the treatments and medical services you are covered for, as listed under each plan below. Your cover will also include the following member services, available to you anytime, anywhere! These are included in the cost of your plan.
4.5/5
Independent Service Rating based on verified reviews
Flexible solutions for every stage of your life
|
Cover highlights |
|
Oncology cover Offering you one of the most comprehensive covers in the market, from the cover of most treatments and procedures required for cancer cases, to personal oncology case management services. Available 24/7 to support you from the point of diagnosis and throughout the treatment. |
|
Support services Available to you 24/7 (day and night, weekends and holidays included) to offer you support, guidance and reassurance when you need it:
|
MyHealth digital services From submitting claims to managing your policy or finding a provider – all in the palm of your hand (paper and admin free!) |
TeleHealth Hub A portal to access medical consultations from the comfort of your home or office.. |
Second medical opinion
Offering you an independent medical professional/expert advice on your diagnosis and treatment options. |
Olive, our health and wellbeing program Useful tools to motivate and guide you towards a healthier lifestyle. |
||||
|
We're here to help you and your family, providing expert advice, information and assistance, wherever you are in the world. For further information, videos and brochures visit our member resources page: |
||||||||
We believe in providing you with the best cover suited to your needs.
This Table of Benefits provides an overview of the treatments and medical services you are covered for, as listed under each plan below. Your cover will also include the following member services, available to you anytime, anywhere! These are included in the cost of your plan.
4.5/5
Independent Service Rating based on verified reviews
Flexible solutions for every stage of your life
|
Cover highlights |
|
Oncology cover Offering you one of the most comprehensive covers in the market, from the cover of most treatments and procedures required for cancer cases, to personal oncology case management services. Available 24/7 to support you from the point of diagnosis and throughout the treatment. |
|
Support services Available to you 24/7 (day and night, weekends and holidays included) to offer you support, guidance and reassurance when you need it:
|
MyHealth digital services From submitting claims to managing your policy or finding a provider – all in the palm of your hand (paper and admin free!) |
TeleHealth Hub A portal to access medical consultations from the comfort of your home or office.. |
Second medical opinion Offering you an independent medical professional/expert advice on your diagnosis and treatment options. |
Olive, our health and wellbeing program Useful tools to motivate and guide you towards a healthier lifestyle. |
||||
|
We're here to help you and your family, providing expert advice, information and assistance, wherever you are in the world. For further information, videos and brochures visit our member resources page: |
||||||||
|
Benefits and deductible options |
GlobalPass Individual Choice 2 only offers a Core Plan. It cannot be purchased with any Out-patient or Dental Plan. |
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GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
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Maximum plan limit |
US$ 9,000,000 |
US$ 7,000,000 |
US$ 3,000,000 |
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Deductible options per person per Membership Year |
US$ 500/US$ 1,000/US$ 2,000/US$ 5,000/US$ 10,000/US$ 20,000 |
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Deductible options per family per Membership Year |
US$ 750/US$ 1,500/US$ 3,000/US$ 6,000/US$ 9,000/US$ 15,000 |
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Core Plans |
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GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
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Hospital accommodation (private room) |
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Intensive care |
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Prescription drugs and materials In-patient and day-care treatment only. Prescription drugs are those which legally can only be purchased when you have a doctor’s prescription. |
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Policy terms and conditions
This Table of Benefits was designed for promotional purpose and offers an overview of the cover we provide under each plan. All limits are per member, per Insurance Year, unless otherwise stated. Cover is subject to product availability and to our policy terms and conditions, as detailed in our Benefit Guide, which is available on our website:
www.allianzcare.com
Please note that these plans are only available if you are a resident in any country of Latin America and Caribbean (excluding Brazil).
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Key to Table of Benefits |
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Covered in full, up to the maximum plan limit. |
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Not available. |
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Treatments/costs require pre-authorisation through submission of a Pre-authorisation Form. Details of our Pre-authorisation process can also be found in our Benefit Guide. |
|||
Policy terms and conditions
This Table of Benefits was designed for promotional purpose and offers an overview of the cover we provide under each plan. All limits are per member, per Insurance Year, unless otherwise stated. Cover is subject to product availability and to our policy terms and conditions, as detailed in our Benefit Guide, which is available on our website:
www.allianzcare.com
Please note that these plans are only available if you are a resident in any country of Latin America and Caribbean (excluding Brazil).
|
Key to Table of Benefits |
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Covered in full, up to the maximum plan limit. |
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|
Not available. |
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|
|
Treatments/costs require pre-authorisation through submission of a Pre-authorisation Form. Details of our Pre-authorisation process can also be found in our Benefit Guide. |
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|
Benefits and deductible options |
GlobalPass Individual Choice 2 only offers a Core Plan. It cannot be purchased with any Out-patient or Dental Plan. |
||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Maximum plan limit |
US$ 9,000,000 |
US$ 7,000,000 |
US$ 3,000,000 |
||||
|
Deductible options per person per Membership Year |
US$ 500/US$ 1,000/US$ 2,000/US$ 5,000/US$ 10,000/US$ 20,000 |
||||||
|
Deductible options per family per Membership Year |
US$ 750/US$ 1,500/US$ 3,000/US$ 6,000/US$ 9,000/US$ 15,000 |
||||||
|
Core Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Hospital accommodation (private room) |
|
|
|
|
|||
|
Intensive care |
|
|
|
|
|||
|
Prescription drugs and materials In-patient and day-care treatment only. Prescription drugs are those which legally can only be purchased when you have a doctor’s prescription. |
|
|
|
|
|||
|
Benefits and deductible options |
GlobalPass Individual Choice 2 only offers a Core Plan. It cannot be purchased with any Out-patient or Dental Plan. |
||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Maximum plan limit |
US$ 9,000,000 |
US$ 7,000,000 |
US$ 3,000,000 |
||||
|
Deductible options per person per Membership Year |
US$ 500/US$ 1,000/US$ 2,000/US$ 5,000/US$ 10,000/US$ 20,000 |
||||||
|
Deductible options per family per Membership Year |
US$ 750/US$ 1,500/US$ 3,000/US$ 6,000/US$ 9,000/US$ 15,000 |
||||||
|
Core Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Hospital accommodation (private room) |
|
|
|
|
|||
|
Intensive care |
|
|
|
|
|||
|
Prescription drugs and materials In-patient and day-care treatment only. Prescription drugs are those which legally can only be purchased when you have a doctor’s prescription. |
|
|
|
|
|||
Policy terms and conditions
This Table of Benefits was designed for promotional purpose and offers an overview of the cover we provide under each plan. All limits are per member, per Insurance Year, unless otherwise stated. Cover is subject to product availability and to our policy terms and conditions, as detailed in our Benefit Guide, which is available on our website:
www.allianzcare.com
Please note that these plans are only available if you are a resident in any country of Latin America and Caribbean (excluding Brazil).
|
Key to Table of Benefits |
||||
|
|
Covered in full, up to the maximum plan limit. |
|||
|
|
Not available. |
|||
|
|
Treatments/costs require pre-authorisation through submission of a Pre-authorisation Form. Details of our Pre-authorisation process can also be found in our Benefit Guide. |
|||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
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Surgical fees, including anesthesia and theatre charges |
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Physician and therapist fees In-patient and day-care treatment only. |
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|
|
|
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Surgical appliances and materials |
|
|
|
|
|||
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Diagnostic tests In-patient and day-care treatment only. |
|
|
|
|
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Organ transplant |
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US$ 2,000,000 per organ, per lifetime |
US$ 2,000,000 per organ, per lifetime |
US$ 500,000 |
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Living donor medical costs |
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US$ 50,000 |
US$ 50,000 |
US$ 50,000 |
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Bariatric surgery In-patient and out-patient treatment. 24 month waiting period applies. |
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US$ 15,000 per lifetime |
|
|
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Psychiatry and psychotherapy In-patient and day-care treatment only. |
|
US$ 25,000 |
US$ 12,500 |
|
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Accommodation costs for one parent staying in hospital with a member aged under 18 |
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|
US$ 350 per night, up to 30 nights |
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Emergency in-patient dental treatment We won’t apply a deductible for this benefit. |
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Day-care treatment |
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Kidney dialysis In-patient, day-care and out-patient treatment. |
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|
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Out-patient surgery |
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|
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|
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Laser eye treatment |
US$ 1,350 |
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Nursing at home or in a convalescent home Immediately after or instead of hospitalisation. |
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US$ 200 per day, max. 30 days |
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US$ 100 per day, max. 30 days |
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Rehabilitation treatment In-patient, day-care and out-patient treatment. Must commence within 14 days of discharge after the acute medical and/or surgical treatment ceases. |
US$ 20,000 |
US$ 12,000 |
US$ 12,000 |
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Pre-hospitalisation tests Covered when they are needed 72 hours before in-patient or day-care treatment. |
|
|
|
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Surgical fees, including anesthesia and theatre charges |
|
|
|
|
|||
|
Physician and therapist fees In-patient and day-care treatment only. |
|
|
|
|
|||
|
Surgical appliances and materials |
|
|
|
|
|||
|
Diagnostic tests In-patient and day-care treatment only. |
|
|
|
|
|||
|
Organ transplant |
|
US$ 2,000,000 per organ,per lifetime |
US$ 2,000,000 per organ, per lifetime |
US$ 500,000 |
|||
|
Living donor medical costs |
|
US$ 50,000 |
US$ 50,000 |
US$ 50,000 |
|||
|
Bariatric surgery In-patient and out-patient treatment. 24 month waiting period applies. |
|
US$ 15,000 per lifetime |
|
|
|||
|
Psychiatry and psychotherapy In-patient and day-care treatment only. |
|
US$ 25,000 |
US$ 12,500 |
|
|||
|
Accommodation costs for one parent staying in hospital with a member aged under 18 |
|
|
|
US$ 350 per night, up to 30 nights |
|||
|
Emergency in-patient dental treatment We won’t apply a deductible for this benefit. |
|
|
|
||||
|
Day-care treatment |
|
|
|
|
|||
|
Kidney dialysis In-patient, day-care and out-patient treatment. |
|
|
|
|
|||
|
Out-patient surgery |
|
|
|
|
|||
|
Laser eye treatment |
US$ 1,350 |
|
|
||||
|
Nursing at home or in a convalescent home Immediately after or instead of hospitalisation. |
|
US$ 200 per day, max. 30 days |
|
US$ 100 per day, max. 30 days |
|||
|
Rehabilitation treatment In-patient, day-care and out-patient treatment. Must commence within 14 days of discharge after the acute medical and/or surgical treatment ceases. |
US$ 20,000 |
US$ 12,000 |
US$ 12,000 |
||||
|
Pre-hospitalisation tests Covered when they are needed 72 hours before in-patient or day-care treatment. |
|
|
|
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Surgical fees, including anesthesia and theatre charges |
|
|
|
|
|||
|
Physician and therapist fees In-patient and day-care treatment only. |
|
|
|
|
|||
|
Surgical appliances and materials |
|
|
|
|
|||
|
Diagnostic tests In-patient and day-care treatment only. |
|
|
|
|
|||
|
Organ transplant |
|
US$ 2,000,000 per organ, per lifetime |
US$ 2,000,000 per organ, per lifetime |
US$ 500,000 |
|||
|
Living donor medical costs |
|
US$ 50,000 |
US$ 50,000 |
US$ 50,000 |
|||
|
Bariatric surgery In-patient and out-patient treatment. 24 month waiting period applies. |
|
US$ 15,000 per lifetime |
|
|
|||
|
Psychiatry and psychotherapy In-patient and day-care treatment only. |
|
US$ 25,000 |
US$ 12,500 |
|
|||
|
Accommodation costs for one parent staying in hospital with a member aged under 18 |
|
|
|
US$ 350 per night, up to 30 nights |
|||
|
Emergency in-patient dental treatment We won’t apply a deductible for this benefit. |
|
|
|
||||
|
Day-care treatment |
|
|
|
|
|||
|
Kidney dialysis In-patient, day-care and out-patient treatment. |
|
|
|
|
|||
|
Out-patient surgery |
|
|
|
|
|||
|
Laser eye treatment |
US$ 1,350 |
|
|
||||
|
Nursing at home or in a convalescent home Immediately after or instead of hospitalisation. |
|
US$ 200 per day, max. 30 days |
|
US$ 100 per day, max. 30 days |
|||
|
Rehabilitation treatment In-patient, day-care and out-patient treatment. Must commence within 14 days of discharge after the acute medical and/or surgical treatment ceases. |
US$ 20,000 |
US$ 12,000 |
US$ 12,000 |
||||
|
Pre-hospitalisation tests Covered when they are needed 72 hours before in-patient or day-care treatment. |
|
|
|
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Post-hospitalisation treatment Covered when it is needed in the 90 days following discharge from in-patient or day-care treatment for the same acute medical condition. |
|
|
|
||||
|
Local ambulance We won’t apply a deductible for this benefit. |
US$ 3,000 |
US$ 3,000 |
US$ 3,000 |
||||
|
Medical treatment needed as a result of an accident We won’t apply a deductible for the first admission to hospital, if it lasts more than 24h. However, we will apply the deductible for any subsequent treatments you may need after being discharged from hospital. |
|
|
|
||||
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Emergency treatment outside area of cover For trips of a maximum period of six weeks. Members with ‘Worldwide’ cover are also covered for emergency treatment. We won’t apply a deductible for this benefit. |
Max. 42 days |
Max. 42 days |
Max. 42 days |
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Medical evacuation We won’t apply a deductible for this benefit. |
|
|
|
US$ 100,000 |
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Where necessary treatment is not available locally, we will evacuate the insured person to the nearest appropriate medical centre. |
|
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|
Where ongoing treatment is required, we will cover hotel accommodation costs. |
|
||||||
|
Evacuation in the event of unavailability of adequately screened blood. |
|
||||||
|
If medical necessity prevents an immediate return trip following discharge from an in-patient episode of care, we will cover hotel accommodation costs. |
|
Max. 7 days |
Max. 7 days |
Max. 7 days |
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Expenses for one person accompanying an evacuated person We won’t apply a deductible for this benefit. |
|
US$ 3,750 |
US$ 3,750 |
US$ 3,000 |
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Travel costs of insured family members in the event of an evacuation We won’t apply a deductible for this benefit. |
|
US$ 2,800 per event |
US$ 2,800 per event |
US$ 2,000 per event |
|||
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Repatriation of mortal remains We won’t apply a deductible for this benefit. |
|
|
|
US$ 20,000 |
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Travel costs of insured family members in the event of the repatriation of mortal remains We won’t apply a deductible for this benefit. |
|
US$ 2,800 per event |
US$ 2,800 per event |
US$ 2,000 per event |
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|
CT and MRI scans In-patient and out-patient treatment. |
|
|
|
||||
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PET and CT-PET scans In-patient and out-patient treatment. |
|
|
|
|
|||
|
Oncology In-patient, day-care and out-patient treatment. |
|
|
|
|
|||
|
Purchase of a wig, prosthetic bra or other external prosthetic device for cosmetic purposes. |
US$ 270 |
US$ 270 |
US$ 270 |
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Post-hospitalisation treatment Covered when it is needed in the 90 days following discharge from in-patient or day-care treatment for the same acute medical condition. |
|
|
|
||||
|
Local ambulance We won’t apply a deductible for this benefit. |
US$ 3,000 |
US$ 3,000 |
US$ 3,000 |
||||
|
Medical treatment needed as a result of an accident We won’t apply a deductible for the first admission to hospital, if it lasts more than 24h. However, we will apply the deductible for any subsequent treatments you may need after being discharged from hospital. |
|
|
|
||||
|
Emergency treatment outside area of cover For trips of a maximum period of six weeks. Members with ‘Worldwide’ cover are also covered for emergency treatment. We won’t apply a deductible for this benefit. |
Max. 42 days |
Max. 42 days |
Max. 42 days |
||||
|
Medical evacuation We won’t apply a deductible for this benefit. |
|
|
|
US$ 100,000 |
|||
|
Where necessary treatment is not available locally, we will evacuate the insured person to the nearest appropriate medical centre. |
|
||||||
|
Where ongoing treatment is required, we will cover hotel accommodation costs. |
|
||||||
|
Evacuation in the event of unavailability of adequately screened blood. |
|
||||||
|
If medical necessity prevents an immediate return trip following discharge from an in-patient episode of care, we will cover hotel accommodation costs. |
|
Max. 7 days |
Max. 7 days |
Max. 7 days |
|||
|
Expenses for one person accompanying an evacuated person We won’t apply a deductible for this benefit. |
|
US$ 3,750 |
US$ 3,750 |
US$ 3,000 |
|||
|
Travel costs of insured family members in the event of an evacuation We won’t apply a deductible for this benefit. |
|
US$ 2,800 per event |
US$ 2,800 per event |
US$ 2,000 per event |
|||
|
Repatriation of mortal remains We won’t apply a deductible for this benefit. |
|
|
|
US$ 20,000 |
|||
|
Travel costs of insured family members in the event of the repatriation of mortal remains We won’t apply a deductible for this benefit. |
|
US$ 2,800 per event |
US$ 2,800 per event |
US$ 2,000 per event |
|||
|
CT and MRI scans In-patient and out-patient treatment. |
|
|
|
||||
|
PET and CT-PET scans In-patient and out-patient treatment. |
|
|
|
|
|||
|
Oncology In-patient, day-care and out-patient treatment. |
|
|
|
|
|||
|
Purchase of a wig, prosthetic bra or other external prosthetic device for cosmetic purposes. |
US$ 270 |
US$ 270 |
US$ 270 |
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Post-hospitalisation treatment Covered when it is needed in the 90 days following discharge from in-patient or day-care treatment for the same acute medical condition. |
|
|
|
||||
|
Local ambulance We won’t apply a deductible for this benefit. |
US$ 3,000 |
US$ 3,000 |
US$ 3,000 |
||||
|
Medical treatment needed as a result of an accident We won’t apply a deductible for the first admission to hospital, if it lasts more than 24h. However, we will apply the deductible for any subsequent treatments you may need after being discharged from hospital. |
|
|
|
||||
|
Emergency treatment outside area of cover For trips of a maximum period of six weeks. Members with ‘Worldwide’ cover are also covered for emergency treatment. We won’t apply a deductible for this benefit. |
Max. 42 days |
Max. 42 days |
Max. 42 days |
||||
|
Medical evacuation We won’t apply a deductible for this benefit. |
|
|
|
US$ 100,000 |
|||
|
Where necessary treatment is not available locally, we will evacuate the insured person to the nearest appropriate medical centre. |
|
||||||
|
Where ongoing treatment is required, we will cover hotel accommodation costs. |
|
||||||
|
Evacuation in the event of unavailability of adequately screened blood. |
|
||||||
|
If medical necessity prevents an immediate return trip following discharge from an in-patient episode of care, we will cover hotel accommodation costs. |
|
Max. 7 days |
Max. 7 days |
Max. 7 days |
|||
|
Expenses for one person accompanying an evacuated person We won’t apply a deductible for this benefit. |
|
US$ 3,750 |
US$ 3,750 |
US$ 3,000 |
|||
|
Travel costs of insured family members in the event of an evacuation We won’t apply a deductible for this benefit. |
|
US$ 2,800 per event |
US$ 2,800 per event |
US$ 2,000 per event |
|||
|
Repatriation of mortal remains We won’t apply a deductible for this benefit. |
|
|
|
US$ 20,000 |
|||
|
Travel costs of insured family members in the event of the repatriation of mortal remains We won’t apply a deductible for this benefit. |
|
US$ 2,800 per event |
US$ 2,800 per event |
US$ 2,000 per event |
|||
|
CT and MRI scans In-patient and out-patient treatment. |
|
|
|
||||
|
PET and CT-PET scans In-patient and out-patient treatment. |
|
|
|
|
|||
|
Oncology In-patient, day-care and out-patient treatment. |
|
|
|
|
|||
|
Purchase of a wig, prosthetic bra or other external prosthetic device for cosmetic purposes. |
US$ 270 |
US$ 270 |
US$ 270 |
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
||||||
|
Preventative surgery In patient and out-patient treatment. |
|
US$ 25,000 |
US$ 15,000 |
US$ 15,000 |
||||
|
Palliative care |
|
|
US$ 27,000 |
US$ 25,000 |
||||
|
Long term care |
|
Max. 90 days per lifetime |
Max. 90 days per lifetime |
|
||||
|
Routine maternity In-patient and out-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 8,500 |
US$ 4,000 |
US$ 4,000 |
||||
|
Stem cell storage In-patient treatment. Cost covers extraction and one year stem cell preservation. |
|
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
||||
|
Complications of pregnancy In-patient and out-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 1,000,000 |
US$ 1,000,000 |
US$ 500,000 |
||||
|
Complications of childbirth In-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 12,500 |
US$ 12,500 |
US$ 10,000 |
||||
|
Emergency out-patient dental treatment We won’t apply a deductible for this benefit. |
US$ 650 |
|
US$ 400 |
|||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
||||||
|
Preventative surgery In patient and out-patient treatment. |
|
US$ 25,000 |
US$ 15,000 |
US$ 15,000 |
||||
|
Palliative care |
|
|
US$ 27,000 |
US$ 25,000 |
||||
|
Long term care |
|
Max. 90 days per lifetime |
Max. 90 days per lifetime |
|
||||
|
Routine maternity In-patient and out-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 8,500 |
US$ 4,000 |
US$ 4,000 |
||||
|
Stem cell storage In-patient treatment. Cost covers extraction and one year stem cell preservation. |
|
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
||||
|
Complications of pregnancy In-patient and out-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 1,000,000 |
US$ 1,000,000 |
US$ 500,000 |
||||
|
Complications of childbirth In-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 12,500 |
US$ 12,500 |
US$ 10,000 |
||||
|
Emergency out-patient dental treatment We won’t apply a deductible for this benefit. |
US$ 650 |
|
US$ 400 |
|||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
||||||
|
Preventative surgery In patient and out-patient treatment. |
|
US$ 25,000 |
US$ 15,000 |
US$ 15,000 |
||||
|
Palliative care |
|
|
US$ 27,000 |
US$ 25,000 |
||||
|
Long term care |
|
Max. 90 days per lifetime |
Max. 90 days per lifetime |
|
||||
|
Routine maternity In-patient and out-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 8,500 |
US$ 4,000 |
US$ 4,000 |
||||
|
Stem cell storage In-patient treatment. Cost covers extraction and one year stem cell preservation. |
|
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
US$ 2,000 per covered pregnancy (included within ‘Routine maternity’ benefit) |
||||
|
Complications of pregnancy In-patient and out-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 1,000,000 |
US$ 1,000,000 |
US$ 500,000 |
||||
|
Complications of childbirth In-patient treatment. The following waiting period applies:
We won’t apply a deductible for this benefit, where the deductible selected is below or equal to:
|
|
US$ 12,500 |
US$ 12,500 |
US$ 10,000 |
||||
|
Emergency out-patient dental treatment We won’t apply a deductible for this benefit. |
US$ 650 |
|
US$ 400 |
|||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Congenital and/or hereditary disorder: |
|
||||||
|
- Condition diagnosed before age 18 |
US$ 750,000 per lifetime |
US$ 750,000 per lifetime |
US$ 500,000 per lifetime |
||||
|
- Condition diagnosed after age 18 |
Up to plan limit |
Up to plan limit |
Up to plan limit |
||||
|
HIV/AIDS treatment 24 months waiting period applies. |
US$ 200,000 |
US$ 125,000 |
US$ 50,000 |
||||
|
Additional Core Plan services |
|||||||
|
Expat Assistance Programme** Offers access to a range of 24/7 multilingual support services as follows:
|
|
|
|
||||
|
Travel Security Services** Offers 24/7 access to personal security information and advice for all your travel safety queries. This includes:
|
|
|
|
||||
|
Olive** Our Health & Wellness support program includes, for example:
|
|
|
|
||||
|
MyHealth digital services
|
|
|
|
||||
|
Second Medical Opinion Service** Offers access to expert help on the best treatment options available, if you have been diagnosed with a serious illness or had surgery recommended. |
|
|
|
||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Congenital and/or hereditary disorder: |
|
||||||
|
- Condition diagnosed before age 18 |
US$ 750,000 per lifetime |
US$ 750,000 per lifetime |
US$ 500,000 per lifetime |
||||
|
- Condition diagnosed after age 18 |
Up to plan limit |
Up to plan limit |
Up to plan limit |
||||
|
HIV/AIDS treatment 24 months waiting period applies. |
US$ 200,000 |
US$ 125,000 |
US$ 50,000 |
||||
|
Additional Core Plan services |
|||||||
|
Expat Assistance Programme** Offers access to a range of 24/7 multilingual support services as follows:
|
|
|
|
||||
|
Travel Security Services** Offers 24/7 access to personal security information and advice for all your travel safety queries. This includes:
|
|
|
|
||||
|
Olive** Our Health & Wellness support program includes, for example:
|
|
|
|
||||
|
MyHealth digital services
|
|
|
|
||||
|
Second Medical Opinion Service** Offers access to expert help on the best treatment options available, if you have been diagnosed with a serious illness or had surgery recommended. |
|
|
|
||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Congenital and/or hereditary disorder: |
|
||||||
|
- Condition diagnosed before age 18 |
US$ 750,000 per lifetime |
US$ 750,000 per lifetime |
US$ 500,000 per lifetime |
||||
|
- Condition diagnosed after age 18 |
Up to plan limit |
Up to plan limit |
Up to plan limit |
||||
|
HIV/AIDS treatment 24 months waiting period applies. |
US$ 200,000 |
US$ 125,000 |
US$ 50,000 |
||||
|
Additional Core Plan services |
|||||||
|
Expat Assistance Programme** Offers access to a range of 24/7 multilingual support services as follows:
|
|
|
|
||||
|
Travel Security Services** Offers 24/7 access to personal security information and advice for all your travel safety queries. This includes:
|
|
|
|
||||
|
Olive** Our Health & Wellness support program includes, for example:
|
|
|
|
||||
|
MyHealth digital services
|
|
|
|
||||
|
Second Medical Opinion Service** Offers access to expert help on the best treatment options available, if you have been diagnosed with a serious illness or had surgery recommended. |
|
|
|
||||
|
Out-patient Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Video consultation services** |
|
|
|
||||
|
Medical practitioner fees |
Max. 25 visits |
|
Max. 25 visits |
||||
|
Specialist fees |
|
||||||
|
Second medical opinion consultation |
|
|
|
||||
|
Prescription drugs Prescription drugs are those which legally can only be purchased when you have a doctor’s prescription. |
|
|
|
||||
|
Specialised out-patient drugs 10 month waiting period applies. |
|
|
|
US$ 20,000 |
|||
|
Diagnostic tests |
|
|
|
||||
|
Prescribed physiotherapy Initially limited to 12 sessions per condition; limit also applies to prescribed and non-prescribed physiotherapy sessions, where combined. |
Max. 60 visits |
|
US$ 10,000 |
||||
|
Non-prescribed physiotherapy - 5 visits |
|||||||
|
Chiropractic treatment, osteopathy, homeopathy, Chinese herbal medicine, acupuncture and podiatry Max. 12 sessions per condition for chiropractic treatment and max. 12 sessions per condition for osteopathic treatment, subject to the benefit limit. |
|||||||
|
Prescribed speech therapy and occupational therapy |
|
||||||
|
Dietician fees |
Max. 6 visits |
|
|
||||
|
Psychiatry and psychotherapy 10 month waiting period applies. Referral from doctor required for psychotherapy, and initially limited to 10 sessions. |
Max. 25 visits |
|
Max. 15 visits |
||||
|
Health and wellbeing checks including screening for the early detection of illness or disease Checks are limited to:
|
US$ 650 We won’t apply a deductible for this benefit 15 visits |
|
US$ 400 We won’t apply a deductible for this benefit 15 visits |
||||
|
Out-patient Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Video consultation services** |
|
|
|
||||
|
Medical practitioner fees |
Max. 25 visits |
|
Max. 25 visits |
||||
|
Specialist fees |
|
||||||
|
Second medical opinion consultation |
|
|
|
||||
|
Prescription drugs Prescription drugs are those which legally can only be purchased when you have a doctor’s prescription. |
|
|
|
||||
|
Specialised out-patient drugs 10 month waiting period applies. |
|
|
|
US$ 20,000 |
|||
|
Diagnostic tests |
|
|
|
||||
|
Prescribed physiotherapy Initially limited to 12 sessions per condition; limit also applies to prescribed and non-prescribed physiotherapy sessions, where combined. |
Max. 60 visits |
|
US$ 10,000 |
||||
|
Non-prescribed physiotherapy - 5 visits |
|||||||
|
Chiropractic treatment, osteopathy, homeopathy, Chinese herbal medicine, acupuncture and podiatry Max. 12 sessions per condition for chiropractic treatment and max. 12 sessions per condition for osteopathic treatment, subject to the benefit limit. |
|||||||
|
Prescribed speech therapy and occupational therapy |
|
||||||
|
Dietician fees |
Max. 6 visits |
|
|
||||
|
Psychiatry and psychotherapy 10 month waiting period applies. Referral from doctor required for psychotherapy, and initially limited to 10 sessions. |
Max. 25 visits |
|
Max. 15 visits |
||||
|
Health and wellbeing checks including screening for the early detection of illness or disease Checks are limited to:
|
US$ 650 We won’t apply a deductible for this benefit 15 visits |
|
US$ 400 We won’t apply a deductible for this benefit 15 visits |
||||
|
Out-patient Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Video consultation services** |
|
|
|
||||
|
Medical practitioner fees |
Max. 25 visits |
|
Max. 25 visits |
||||
|
Specialist fees |
|
||||||
|
Second medical opinion consultation |
|
|
|
||||
|
Prescription drugs Prescription drugs are those which legally can only be purchased when you have a doctor’s prescription. |
|
|
|
||||
|
Specialised out-patient drugs 10 month waiting period applies. |
|
|
|
US$ 20,000 |
|||
|
Diagnostic tests |
|
|
|
||||
|
Prescribed physiotherapy Initially limited to 12 sessions per condition; limit also applies to prescribed and non-prescribed physiotherapy sessions, where combined. |
Max. 60 visits |
|
US$ 10,000 |
||||
|
Non-prescribed physiotherapy - 5 visits |
|||||||
|
Chiropractic treatment, osteopathy, homeopathy, Chinese herbal medicine, acupuncture and podiatry Max. 12 sessions per condition for chiropractic treatment and max. 12 sessions per condition for osteopathic treatment, subject to the benefit limit. |
|||||||
|
Prescribed speech therapy and occupational therapy |
|
||||||
|
Dietician fees |
Max. 6 visits |
|
|
||||
|
Psychiatry and psychotherapy 10 month waiting period applies. Referral from doctor required for psychotherapy, and initially limited to 10 sessions. |
Max. 25 visits |
|
Max. 15 visits |
||||
|
Health and wellbeing checks including screening for the early detection of illness or disease Checks are limited to:
|
US$ 650 We won’t apply a deductible for this benefit 15 visits |
|
US$ 400 We won’t apply a deductible for this benefit 15 visits |
||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Cancer screening Checks are limited to:
|
We won’t apply a deductible for this benefit |
|
We won’t apply a deductible for this benefit |
||||
|
Prescribed medical aids |
|
|
US$ 7,000 |
||||
|
Prescribed glasses and contact lenses including eye examination |
US$ 250 |
|
|
||||
|
Dental Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Overall maximum dental limit |
US$ 1,500 |
Not applicable |
US$ 750 |
||||
|
Reimbursement |
|||||||
|
Dental treatment |
50% refund |
|
50% refund |
||||
|
Dental surgery |
50% refund |
|
50% refund |
||||
|
Periodontics |
50% refund |
|
50% refund |
||||
|
Orthodontic treatment 10 month waiting period applies. |
50% refund |
|
50% refund |
||||
|
Dental prostheses 10 month waiting period applies. |
50% refund |
|
50% refund |
||||
|
Please note that we offer the choice of purchasing GlobalPass Individual Choice 1 and GlobalPass Individual Connect without the Dental Plan. In this case, a 5% discount on your premium will apply. |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Cancer screening Checks are limited to:
|
We won’t apply a deductible for this benefit |
|
We won’t apply a deductible for this benefit |
||||
|
Prescribed medical aids |
|
|
US$ 7,000 |
||||
|
Prescribed glasses and contact lenses including eye examination |
US$ 250 |
|
|
||||
|
Dental Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Overall maximum dental limit |
US$ 1,500 |
Not applicable |
US$ 750 |
||||
|
Reimbursement |
|||||||
|
Dental treatment |
50% refund |
|
50% refund |
||||
|
Dental surgery |
50% refund |
|
50% refund |
||||
|
Periodontics |
50% refund |
|
50% refund |
||||
|
Orthodontic treatment 10 month waiting period applies. |
50% refund |
|
50% refund |
||||
|
Dental prostheses 10 month waiting period applies. |
50% refund |
|
50% refund |
||||
|
Please note that we offer the choice of purchasing GlobalPass Individual Choice 1 and GlobalPass Individual Connect without the Dental Plan. In this case, a 5% discount on your premium will apply. |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Cancer screening Checks are limited to:
|
We won’t apply a deductible for this benefit |
|
We won’t apply a deductible for this benefit |
||||
|
Prescribed medical aids |
|
|
US$ 7,000 |
||||
|
Prescribed glasses and contact lenses including eye examination |
US$ 250 |
|
|
||||
|
Dental Plans |
|||||||
|
GlobalPass Individual Choice 1 |
GlobalPass Individual Choice 2 |
GlobalPass Individual Connect |
|||||
|
Overall maximum dental limit |
US$ 1,500 |
Not applicable |
US$ 750 |
||||
|
Reimbursement |
|||||||
|
Dental treatment |
50% refund |
|
50% refund |
||||
|
Dental surgery |
50% refund |
|
50% refund |
||||
|
Periodontics |
50% refund |
|
50% refund |
||||
|
Orthodontic treatment 10 month waiting period applies. |
50% refund |
|
50% refund |
||||
|
Dental prostheses 10 month waiting period applies. |
50% refund |
|
50% refund |
||||
|
Please note that we offer the choice of purchasing GlobalPass Individual Choice 1 and GlobalPass Individual Connect without the Dental Plan. In this case, a 5% discount on your premium will apply. |
|||||||
|
** Certain services that may be included in your plan are provided by third party providers outside the Allianz group, such as the Expat Assistance Programme, Travel Security services, HealthSteps app, Second Medical Opinion and tele-medicine services. If included in your plan, these services will show in your Table of Benefits. These services are made available to you subject to your acceptance of the terms and conditions of your policy and the terms and conditions of the third parties. These services may be subject to geographical restrictions. The HealthSteps app does not provide medical or health advice and the wellness resources contained within Olive are for informational purposes only. The HealthSteps app and the wellness resources contained within Olive shouldn’t be regarded as a substitute for professional advice (medical, physical or psychological). They are also not a substitute for the diagnosis, treatment, assessment or care that you may need from your own doctor. You understand and agree that AWP Health & Life SA (Irish Branch) and AWP Health & Life Services Limited are not responsible or liable for any claim, loss or damage, directly or indirectly resulting from your use of any of these third party services. |
||||
|
Additional information |
||||
|
Congenital and hereditary conditions The pre-existing conditions clause is applicable for congenital and hereditary conditions. Treatment in the USA You have access to an exclusive network of medical facilities and healthcare providers in the USA on a direct billing basis (in-patient and day-care treatment only). You are not restricted to using this network. However, if you have a GlobalPass Connect plan and choose a provider outside of the network, we will only reimburse 60% of the medical expenses. A full list of providers in this network is available online: allianzglobalpass.com If you have ‘Worldwide’ cover and wish to locate a medical provider in the USA, simply contact us on our USA number: (+1) 800 541 1983 (toll-free from the USA). Alternatively, you can request a call back from us: simply click on ‘Contact me’ at allianzglobalpass.com and follow the instructions on screen. Area of cover We offer a choice of three different geographical areas of cover (cover is not provided in sanctioned countries).
The cost of your cover will vary depending on which region of cover you choose. The areas of cover are subject to our terms and conditions. |
||||
|
** Certain services that may be included in your plan are provided by third party providers outside the Allianz group, such as the Expat Assistance Programme, Travel Security services, HealthSteps app, Second Medical Opinion and tele-medicine services. If included in your plan, these services will show in your Table of Benefits. These services are made available to you subject to your acceptance of the terms and conditions of your policy and the terms and conditions of the third parties. These services may be subject to geographical restrictions. The HealthSteps app does not provide medical or health advice and the wellness resources contained within Olive are for informational purposes only. The HealthSteps app and the wellness resources contained within Olive shouldn’t be regarded as a substitute for professional advice (medical, physical or psychological). They are also not a substitute for the diagnosis, treatment, assessment or care that you may need from your own doctor. You understand and agree that AWP Health & Life SA (Irish Branch) and AWP Health & Life Services Limited are not responsible or liable for any claim, loss or damage, directly or indirectly resulting from your use of any of these third party services. |
|
Additional information |
|
Congenital and hereditary conditions The pre-existing conditions clause is applicable for congenital and hereditary conditions. Treatment in the USA You have access to an exclusive network of medical facilities and healthcare providers in the USA on a direct billing basis (in-patient and day-care treatment only). You are not restricted to using this network. However, if you have a GlobalPass Connect plan and choose a provider outside of the network, we will only reimburse 60% of the medical expenses. A full list of providers in this network is available online: allianzglobalpass.com If you have ‘Worldwide’ cover and wish to locate a medical provider in the USA, simply contact us on our USA number: (+1) 800 541 1983 (toll-free from the USA). Alternatively, you can request a call back from us: simply click on ‘Contact me’ at allianzglobalpass.com and follow the instructions on screen. Area of cover We offer a choice of three different geographical areas of cover (cover is not provided in sanctioned countries).
The cost of your cover will vary depending on which region of cover you choose. The areas of cover are subject to our terms and conditions. |
|
** Certain services that may be included in your plan are provided by third party providers outside the Allianz group, such as the Expat Assistance Programme, Travel Security services, HealthSteps app, Second Medical Opinion and tele-medicine services. If included in your plan, these services will show in your Table of Benefits. These services are made available to you subject to your acceptance of the terms and conditions of your policy and the terms and conditions of the third parties. These services may be subject to geographical restrictions. The HealthSteps app does not provide medical or health advice and the wellness resources contained within Olive are for informational purposes only. The HealthSteps app and the wellness resources contained within Olive shouldn’t be regarded as a substitute for professional advice (medical, physical or psychological). They are also not a substitute for the diagnosis, treatment, assessment or care that you may need from your own doctor. You understand and agree that AWP Health & Life SA (Irish Branch) and AWP Health & Life Services Limited are not responsible or liable for any claim, loss or damage, directly or indirectly resulting from your use of any of these third party services. |
||
|
Additional information |
||
|
Congenital and hereditary conditions The pre-existing conditions clause is applicable for congenital and hereditary conditions. Treatment in the USA You have access to an exclusive network of medical facilities and healthcare providers in the USA on a direct billing basis (in-patient and day-care treatment only). You are not restricted to using this network. However, if you have a GlobalPass Connect plan and choose a provider outside of the network, we will only reimburse 60% of the medical expenses. A full list of providers in this network is available online: allianzglobalpass.com If you have ‘Worldwide’ cover and wish to locate a medical provider in the USA, simply contact us on our USA number: (+1) 800 541 1983 (toll-free from the USA). Alternatively, you can request a call back from us: simply click on ‘Contact me’ at allianzglobalpass.com and follow the instructions on screen. Area of cover We offer a choice of three different geographical areas of cover (cover is not provided in sanctioned countries).
The cost of your cover will vary depending on which region of cover you choose. The areas of cover are subject to our terms and conditions. |
||
Talk to us, we love to help!
If you have any queries, please get in touch.
AWP Health & Life SA, acting through its Irish Branch, is a limited company governed by the French Insurance Code. Registered in France: No. 401 154 679 RCS Bobigny. Irish Branch registered in the Irish Companies Registration Office, registered No.: 907619, address: 15 Joyce Way, Park West Business Campus, Nangor Road, Dublin 12, Ireland. Allianz Care and Allianz Partners are registered business names of AWP Health & Life SA.
|
Or contact us on: |
|
|
To talk to our sales experts: |
|
|
Email: |
|
|
24/7 Helpline |
|
|
English: |
|
|
German: |
|
|
French: |
|
|
Spanish: |
|
|
Italian: |
|
|
Portuguese: |
|
Talk to us, we love to help!
If you have any queries, please get in touch.
AWP Health & Life SA, acting through its Irish Branch, is a limited company governed by the French Insurance Code. Registered in France: No. 401 154 679 RCS Bobigny. Irish Branch registered in the Irish Companies Registration Office, registered No.: 907619, address: 15 Joyce Way, Park West Business Campus, Nangor Road, Dublin 12, Ireland. Allianz Care and Allianz Partners are registered business names of AWP Health & Life SA.
|
Or contact us on: |
|
|
To talk to our sales experts: |
|
|
Email: |
|
|
24/7 Helpline |
|
|
English: |
|
|
German: |
|
|
French: |
|
|
Spanish: |
|
|
Italian: |
|
|
Portuguese: |
|
Talk to us, we love to help!
If you have any queries, please get in touch.
AWP Health & Life SA, acting through its Irish Branch, is a limited company governed by the French Insurance Code. Registered in France: No. 401 154 679 RCS Bobigny. Irish Branch registered in the Irish Companies Registration Office, registered No.: 907619, address: 15 Joyce Way, Park West Business Campus, Nangor Road, Dublin 12, Ireland. Allianz Care and Allianz Partners are registered business names of AWP Health & Life SA.
|
Or contact us on: |
|
|
To talk to our sales experts: |
|
|
Email: |
|
|
24/7 Helpline |
|
|
English: |
|
|
German: |
|
|
French: |
|
|
Spanish: |
|
|
Italian: |
|
|
Portuguese: |
|