| Aggregate limit on healthcare coverage |
500,000 / $625,000 |
$1,000,000 / $1,250,000 |
1,600,000 / $2,000,000 |
3,000,000 / $3,750,000 |
|
Hospitalization
|
|
|
|
|
| Hospital room covered |
Private room up to 100/$125 per day |
hospitalization_relais_first_zone_monde_pearl_first_title |
Private room up to 250/$310 per day |
Private room up to 100% of actual charges |
| Outpatient hospitalization, emergency hospitalization, intensive care, surgical procedures, consultations with general practitioners and specialists |
100% |
100% |
100% |
100% |
| Laboratory tests, MRI, x-rays, scans and tomography |
100% |
100% |
100% |
100% |
| Treatment of cancer, treatment of AIDS |
100% |
100% |
100% |
100% |
| Psychiatric treatment and care (waiting period: 12 months) |
Not covered |
100% up to 3,500 / $4,400 (max.10 days) |
100% up to 7,000 / $8,750 (max.20 days) |
100% (max.30 days) |
| Organ transplant |
100% |
100% |
100% |
100% |
|
Routine healthcare
|
|
|
|
|
| AGGREGATE LIMIT ON ROUTINE HEALTHCARE |
15,000 / $19,000 |
30,000 / $38,000 |
50,000 / $62,000 |
Aucun plafond |
| Consultations with general practitioners and specialists |
100% up to 80 / $100 per consultation |
100% up to $130 / $160 per consultation |
100% up to 180 / $225 per consultation |
100% |
| Physical therapy, osteopathy on prescription |
100% up to 1,000 / $1,250 per year & 12 sessions |
100% up to $2,000 / $2,500 per year & 17 |
100% up to 3,500 / $4,400 per year & 22 sessions |
100% up to 32 sessions per year |
| Laboratory tests, MRI, x-rays, scans, tomography |
100% up to $2,000 / $2,500 per year |
100% up to 3,500 / $4,400 per year |
100% up to 7.500 / $9,400 per year |
100% |
| Prescription drugs |
100% up to 3,000 / $3,800 per year |
100% up to 9,000 / $11,200 per year |
100% up to 15,000 / $18,800 per year |
100% |
| Prescription drugs for chronic diseases |
100% up to 10,000 / $12,600 per year, with a lifetime limit of 50,000 / $63,000 |
100% up to 15,000 / 18,800 per year, with a lifetime limit of 75,000 / $94,000 |
100% up to 10,000 / 12.500 per year, with a lifetime limit of 75,000 / $94,000 |
100% |
| Vaccinations and preventive treatments prescribed for adults |
100% up to 200 / $250 per year |
100% up to 350 / $440 per year |
100% up to 500 / $625 per year |
100% |
| Vaccinations and preventive treatments prescribed for children |
100% |
100% |
100% |
100% |
| Health check-ups |
Not covered |
100% up to 150 / $190 every 3 years |
100% up to 500 / $625 every 3 years |
100% up to 1,000 / $1,250 every 3 years |
| Preventive Package covering procedures listed in the plan |
Not covered |
100% up to 500 / $625 |
100% up to 800 / $1,000 |
100% |
|
Medical evacuation
|
|
|
|
|
| Local transfer by ambulance or air ambulance to the nearest hospital |
Provided by Europ Assistance |
Provided by Europ Assistance |
Provided by Europ Assistance |
Provided by Europ Assistance |
| Medical assistance |
Provided by Europ Assistance |
Provided by Europ Assistance |
Provided by Europ Assistance |
Provided by Europ Assistance |
|
Third party liability
|
|
|
|
|
| Bodily injury |
3,000,000/$3,000,000 per claim and per insurance year with a deductible of 300/$300 per claim |
3,000,000/$3,000,000 per claim and per insurance year with a deductible of 300/$300 per claim |
3,000,000/$3,000,000 per claim and per insurance year with a deductible of 300/$300 per claim |
3,000,000/$3,000,000 per claim and per insurance year with a deductible of 300/$300 per claim |
| Material damage |
Up to 1,500,000/$1,500,000 per claim and per insurance year with a deductible of 300/$300 per claim |
Up to 1,500,000/$1,500,000 per claim and per insurance year with a deductible of 300/$300 per claim |
Up to 1,500,000/$1,500,000 per claim and per insurance year with a deductible of 300/$300 per claim |
Up to 1,500,000/$1,500,000 per claim and per insurance year with a deductible of 300/$300 per claim |
| Consequential financial loss |
3,000,000/$3,000,000 per claim and per insurance year with a deductible of 300/$300 per claim |
Up to 300,000/$300,000 per claim and per insurance year with a deductible of 300/$300 per claim |
Up to 300,000/$300,000 per claim and per insurance year with a deductible of 300/$300 per claim |
Up to 300,000/$300,000 per claim and per insurance year with a deductible of 300/$300 per claim |
|
Legal Assistance
|
|
|
|
|
| Legal tax and information |
Yes |
Yes |
Yes |
Yes |
| Intervention in case of a dispute with a third party or public body |
Yes |
Yes |
Yes |
Yes |
| Assistance in case of loss or theft of means of payment |
Yes |
Yes |
Yes |
Yes |
| Advance of bail bond up to 16,000/$20,000 |
Yes |
Yes |
Yes |
Yes |
| Assistance and advance of funds in case of overbooking |
Yes |
Yes |
Yes |
Yes |
