Best Doctors Advanced Care Plus (exclusivo para Chile)

Type of plan
Advanced Care Plus (exclusive for Chile)
Maximum coverage per insured
• US$1.500.000 por año póliza, hasta 74 años de edad
• US$750.000 por año póliza, desde 75 años de edad en adelante
Age limit to apply
70
Waiting period
30 días
Coverage outside USA
100% con libre elección de médicos y hospitales a nivel mundial
Coverage inside USA
• 100% a través de la red Advanced Care Plus
• Fuera de la red Advanced Care Plus, la cobertura será de 60% con una tarifa máxima diaria de US$600 para una habitación estándar y US$1.200 para habitación de cuidados intensivos
• El tratamiento médico de emergencia estará cubierto al 100% hasta los límites de la póliza
Inpatient Benefits
Standard private hospital room
100% hasta los límites de la cobertura
Special benefit for suite
N/A
Intensive care unit
100% hasta los límites de la cobertura
Adult companion accommodation during a hospitalization
N/A
Prescribed medications while hospitalized
• 100% si tiene cobertura ISAPRE
• 35% si no tiene cobertura ISAPRE
Psychiatric treatments
N/A
Outpatient Benefits
Emergency room
100%
Physician and specialist visits
100%
Physician and specialist home visits
N/A
Prescribed medications
• 100% si tiene cobertura ISAPRE
• 35% si no tiene cobertura ISAPRE
Complementary therapy
N/A
Nurse care at home
100%
Preventive health checkup
N/A
Hearing aids
N/A
Alzheimer’s disease
100%
Autism
N/A
Outpatient surgery
100%
Hormone replacement therapy to relieve the symptoms of menopause
N/A
General Benefits
Surgeon and anesthesiologist fees
100%
Diagnostic study services
Exámenes de laboratorio, patologías, rayos-X, resonancias magnéticas, tomografías
• 100%
Oncology: cancer tests, treatment (chemotherapy and/or radiotherapy) and medication
100%
Dialysis
100%
Prophylactic surgery to reduce the risk of cancer
N/A
Prostheses and medical appliances implanted during surgery
100%
Organ and tissue transplant
Por órgano/tejido
Hasta los 74 años de edad
• US$1.000.000 vitalicio
A partir de los 75 años de edad
• US$750.000 vitalicio
Benefits for live donors
US$20.000 vitalicio, incluido en el beneficio de trasplante de órganos y tejidos
Durable medical equipment
100%
Allergy treatments
100% después de un período de espera de 12 meses
Physical therapy and rehabilitation
100%
Specialized treatments
N/A
Congenital conditions diagnosed before age 18
US$250.000 vitalicio
Congenital conditions diagnosed after age 18
100%
HIV-AIDS
US$250.000 vitalicio, después de un período de espera de 24 meses
Surgical treatment of symptomatic foot disorders
100%
Bariatric surgery
N/A
Psychology
N/A
Mental health prescription medication
N/A
Maternity Benefits
Maternity
N/A
Maternity and birth complications
Sin deducible, después de un período de espera de 10 meses
• US$500.000 por embarazo cubierto (anexo opcional con un costo de US$300 anuales)
Inclusion of the newborn
Sin evaluación de riesgo solo si contrató el anexo opcional de complicaciones de maternidad y del recién nacido
Extraction and storage of umbilical cord blood stem cells
N/A
Fertility treatment
N/A
Neonatal Intensive Care Unit (NICU)
Incluido en el beneficio de complicaciones de la maternidad y del recién nacido hasta US$500.000 (anexo opcional)
Pre-natal and post-natal care
N/A
Medical Evacuation Benefits
Emergency transportation by ground ambulance
100% sin deducible
Emergency transportation by air ambulance
US$50.000 sin deducible
Insured’s and companion’s return ticket after an evacuation by air ambulance
N/A
Repatriation of mortal remains
US$5.000
Other Benefits
Injuries during the training or practice of hazardous hobbies and sports (non-professional)
100%
Injuries during the training or practice of professional sports
N/A
Emergency dental coverage
100%
Reconstructive surgery after an accident or illness
100% si es médicamente necesario y como resultado de una condición médica cubierta por la póliza
Refractive eye surgery
N/A
Palliative care for terminal cases
N/A
Temporary coverage for accidents while application is being underwritten
US$25.000
Free extended coverage for eligible dependents after policyholder’s death
2 años si se produce por un evento cubierto
Free coverage for dependents
N/A
Elimination/reduction of deductible for no claims made or not having met the deductible
N/A
Deductible elimination
N/A
Second medical opinion
Incluida
Prosthetic limbs
Incluido en el beneficio de equipo médico durable al 100%
Routine and major dental treatment
N/A
Travel reimbursement for treatment in centers of excellence Latam network
N/A
War and terrorism
N/A
Term life insurance
N/A
Declared pre-existing conditions
Cubierto cuando se detalla en la solicitud, sujeto a evaluación
Catastrophic and chronic illnesses that survive the contracting of the service
N/A
Catastrophic and unusual conditions
N/A
Medical emergency
100%
Illness or injury in private aircraft
N/A
Contraceptive treatments
N/A
Patient concierge services
Consultoría Best Doctors
Travel assistance
N/A
Hospital cash benefit
N/A
Optional additional benefits
Evacuation to country of choice, country of residence or home country
N/A
Non-emergency evacuation
N/A
Pre-existing conditions waiting period waiver
N/A