AETNA PIONEER 5000 IPID EU DAC 2021

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Insurance Product Information Document – IPID

Έγγραφο Πληροφοριών Προϊόντος – IPID

01/2021

 

What is insured? 

Reasonable costs for claims for medically necessary treatments/ services that are benefits as summarised below.

Inpatient and daycare treatment

 

Medical costs, kidney dialysis, diagnostic tests and procedures, reconstructive surgery, and speech, language and occupational therapy – in full

Treatment for acute medical conditions that begin before the member is 8 days old, if the member was conceived by natural conception – up to a lifetime limit

Hospital accommodation for parents/legal guardians – in full

 

Outpatient post-hospitalisation treatment – in full for 90 days after discharge from inpatient/daycare treatment

Rehabilitation – in full for up to 120 days after discharge

Cancer Care – in full

Outpatient treatment – Surgical procedures, outpatient pre-operative tests up to 72 hours before inpatient/daycare treatment, medical practitioners’ and specialists’ fees, prescribed drugs and dressings, MRI scans, X-rays, pathology, diagnostic tests and procedures, kidney dialysis, PET and CT scans – in full

Physiotherapy and complementary medicine

 

Physiotherapy as part of inpatient/daycare treatment, outpatient physiotherapy for 90 days after inpatient/daycare admission, outpatient physiotherapy – in full

Outpatient podiatry, osteopathic and chiropractic treatment – up to 4,000 USD/ 2,500 GBP/ 3,200 EUR

Outpatient traditional Chinese medicine, acupuncture, homeopathic treatment, and ayurvedic medicine including ayurvedic herbal preparations and therapies – up to 1,500 USD/ 1,000 GBP/ 1,200 EUR

Mental health treatment

 

Up to 30 days inpatient psychiatric treatment and psychotherapy 

– in full

Outpatient psychiatric treatment and psychotherapy – up to 10,000 

USD/ 6,000 GBP/ 8,000 EUR

Durable medical equipment – up to 2,000 USD/ 1,250 GBP/ 1,600 EUR

Treatment for congenital abnormalities – up to a lifetime limit

Treatment for diagnosed HIV/ AIDS and related medical conditions– up to 15,000 USD/ 10,000 GBP/ 12,000 EUR

 

Organ transplants – kidney, pancreas, liver, heart or lung transplants – in full

 

Palliative treatment/care for terminal medical conditions – in full

 

Medical evacuation

 

Emergency medical evacuation and repatriation within your area of cover – in full

Optional (with added premium): non-emergency medical evacuation and repatriation within your area of cover up to 2,000 USD/ 1,250 GBP/ 1,600 EUR

 

One compassionate emergency visit – in full

 

Outpatient dental treatment – treatment for accidental damage to 

natural teeth:

– within 90 days following inpatient treatment related to the 

accident – in full

– not following inpatient treatment – up to 1,500 USD/ 1,000 GBP/ 

1,200 EUR.

Optional (with added premium): routine outpatient and major 

restorative dental treatment – up to 1,500 USD/ 1,000 GBP/ 1,200 EUR

 

Optical care – up to 250 USD/ 150 GBP/ 200 EUR

Wellness

 

Vaccinations – up to 250 USD/ 150 GBP/ 200 EUR

Routine health checks for non-communicable diseases – up to 

1,000 USD/ 625 GBP/ 800 EUR

Outpatient tests and diagnostic procedures for communicable diseases 

– up to 500 USD/ 325 GBP/ 400 EUR (Limit applies for each antibody 

test)

One sight and one hearing examination – up to 250 USD/ 150 GBP/ 

200 EUR

One sight and one hearing examination – up to 250 USD/ 150 GBP/ 200 EUR

 

Hormone replacement therapy for menopause symptoms – up to 500 USD/ 325 GBP/ 400 EUR

 

Ambulance to the nearest local hospital – in full

Mortal remains – transportation of your mortal remains 

if you die outside your home country or burial/ cremation at the place 

of your death – in full

 

Emergency treatment outside area of cover

 

Inpatient/daycare – up to 50,000 USD/ 30,000 GBP/ 40,000 EUR

Outpatient – up to 500 USD/ 325 GBP/ 400 EUR

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