AVANTYS GLOBAL HEALTH...(Extractions, treatment of tooth decay, periodontics, endodontics etc.)...

Live your moment freely.

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SUMMARY OF BENEFITS2019 - 2020

AVANTYS GLOBAL HEALTHInternational Private Medical Insurance

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Who are we?

Avantys Health is a new generation of insurance company specializing in the design and management of international health insurance plans for individuals and businesses. The expertise of our multicultural teams, our leading market partners, and our network of insurance professionals enables us to offer a range of innovative, solid and affordable products adapted to the environment and the needs of our customers who travel, reside or wish to move abroad.

We are on your side to protect your health all around the world.

Avantys Global Health is an international health insurance plan designed to provide you with worldwide comprehensive medical coverage, even in your home country.

Our plan is specifically designed for people of all nationalities who reside or wish to move abroad for a period of 12 months or more for personal or professional reasons.

With its three packages (Silver, Gold and Platinum) as well as optional benefits, Avantys Global Health helps you choose the level of protection that best matches your needs and budget.

For even a greater peace of mind, some destinations also offer the advantage of direct payment of your health expenses.

AVANTYS GLOBAL HEALTHINTERNATIONAL PRIVATE MEDICAL INSURANCE

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SUMMARY OF BENEFITS ANNUAL LIMIT Per insured and per policy year

INPATIENT/OUTPATIENT HOSPITALIZATION AND SURGERY Inpatient/outpatient hospitalization and surgery, other than emergency hospitalization, require pre-authorization.

Benefits SILVER GOLD PLATINUM

$ 1,500,000 $ 2,500,000 $ 5,000,000

Benefits

Emergency Ground Ambulance(Ambulance and paramedic services.Limited to one-way trip)

Hospital Accommodation

One Visitor Bed(According to hospital’s regulationsand for hospitalized children until 16) Pre-Admission Testing (PAT), Doctor, Specialist, Surgeon and Anesthesiologist Fees, Operating Room, Prostheses and Implants Intensive Care Unit Prescription Drugs

Durable Medical Equipment (DME) Reconstructive Facial, Dental and Breast Surgery (Directly related to and following an accident or critical illness covered by us) Home Health Care (Where authorized) Rehabilitation (Directly related to and following inpatient/outpatient hospitalization covered by us) Inpatient Psychiatric(Subject to a 10 month waiting period)

Palliative Care

SILVER

100%

100%standard semi-private room

100%Up to $ 100 per day

100%

100%

100%

100%

100%Up to $ 2,500 per year per insured

Not Covered

100%20-day limit

Not Covered

100%

GOLD

100%

100%standard private room (Including television and internet charges)

100%Up to $ 200 per day

100%

100%

100%

100%

100%

100%

100%30-day limit


100%

PLATINUM

100%

100%standard private room (Including television and internet charges)

100%

100%

100%

100%

100%

100%

100%

100%40-day limit


100%

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ROUTINE HEALTH CARE

CRITICAL ILLNESS CARE Require pre-authorization.

Benefits

Cancer Treatment (Includes: Surgery, radiation therapy, chemotherapy, immunotherapy, hormone therapy, drugs and tests) Kidney Disease(Includes: Dialysis, drugs and tests) Organ Transplant

SILVER

100%

100%

100%

GOLD

100%

100%

100%

PLATINUM

100%

100%

100%

Benefits

Urgent Care Center Emergency Room (ER)

SILVER

100%

100%

GOLD

100%

100%

PLATINUM

100%

100%

MEDICAL EMERGENCY

Benefits

• Primary Care and General Practitioner (GP)• Specialist (Dentist and psychologist not included)• Pediatrician• Ophthalmologist (Emergency only. Vision screening not included)

Psychiatrist and Psychologist(Subject to a 10 month waiting period. Pre-authorization required)

Speech and Orthoptics Therapy Sessions(Subject to a 6 month waiting period. Prescription and pre-authorization required)

SILVER

5 Consultations covered at 100%. From the 6th consultation covered up to $ 100 per consulta-tion (Per year per insured)

Not Covered

Not Covered

GOLD

10 Consultations covered at 100%. From the11thconsultation covered up to $ 200 per consultation (Per year per insured)

100% Up to $ 150 per consultation (Max. 6 visits per year per insured)

100% Up to $ 80per consultation (Max. 20 visits per year per insured)

PLATINUM

15 Consultations covered at 100%. From the 16th consultation covered up to $ 300 per consultation (Per year per insured)



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Benefits

Up to $ 150,000

SILVER

Included

GOLD

Included

PLATINUM

Included

MEDICAL EMERGENCY EVACUATION AND REPATRIATION Require pre-authorization.

Benefits

Up to $ 50,000

SILVER

Included

GOLD

Included

ACCIDENTAL DEATH AND DISMEMBERMENTPLATINUM

Included

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PREVENTIVE FEMININE CARE Specific Benefits for WomenBenefits

Cervical Cancer Screening(PAP Tests)

Breast Cancer Screening (Mammogram) (Women ages 40 and older. Subject to a 6 monthwaiting period. Every year in diagnostic centers)

Bone Density Test(Women ages 45 and older. Subject to a 6 monthwaiting period. Every 2 years. In diagnostic centers)

Contraception(Contraceptive implant/pill/ring, diaphragm, IUD)

SILVER

100%

100%

100%

100%Up to $ 100 per year per insured

GOLD

100%

100%

100%


PLATINUM

100%

100%

100%

100%Up to $ 300per year per insured

Benefits

Prescription Drugs

Psychotropic medication and sleeping pills(Subject to a 6-month waiting period. Pre-authorization required)

Acne treatments(Ages 21 and under. Prescription required)

External Devices and Prostheses(Prescription required. Denture and hearing aids not covered)

Nicotine Replacement(One treatment per policy year. Prescription required)

SILVER

100%

100% up to $ 200 per year per insured


Not Covered

Not Covered

GOLD

100%




100% Up to $ 100 per year per insured

PLATINUM

100%


100% up to $ 800per year per insured



PRESCRIPTION DRUGS, EXTERNAL DEVICES AND PROSTHESES

Colonoscopy, Endoscopy and Advanced Diagnostic Imaging: CT Scan, MRA, MRI, Nuclear Cardiology Scan and PET Scan(Prescription and pre-authorization required)




Physiotherapy (Prescription and pre-authorization required)

Psychomotor Therapy, Chiropractic & Osteopathy(Prescription and pre-authorization required after the 2nd consultation)

Allergy testing and treatment(Subject to a 3 month waiting period)

Basic Diagnostic Services: Electrocardiogram, Laboratory Tests, X-Rays and Ultrasounds

100% Up to $ 2,000 per year per insured


Not covered

100%




100%




100%

WELLNESS SCREENING Subject to a 10 month waiting period. Prescription required. In diagnostic centers.Benefits

Blood Test and Urinalysis Test (Once per policy period)

Prostate Cancer Screening(Men over 50 or over 40 with risk factors)

Colon Cancer Screening (Over 50 - Every 5 years)

Skin Cancer Screening(Over 45 - Every 5 years)

HIV Screening

Hepatitis B Screening

SILVER


GOLD


PLATINUM


Benefits

Preventive Vaccination for Adults (Adults ages 21 and older. Prescription required)

Preventive Vaccination and Mandatory Vaccination for Children (Under 21. Prescription required)

Compulsory Travel Vaccination(Prescription required)

SILVER

Up to $ 200 per year and per policy



GOLD




PREVENTIVE HEALTH CAREPLATINUM




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Benefits

Consultations with Homeopaths, Acupuncturists, Phytotherapists and Naturopaths

SILVER

Not Covered

GOLD


ALTERNATIVE MEDICINEPLATINUM


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VISION (OPTIONAL) Subject to a 6 month waiting periodBenefits

Routine Vision ExamFrames, Lenses and Contact Lenses(Limited to 1 pair every 2 years. Prescription required)

Laser Treatment for Vision Correction(Astigmatism, hyperopia, keratoconus and myopia)

SILVER


Not Covered

GOLD



PLATINUM



Benefits

Preventive Dental Care (Exams and cleaning)

Routine Dental Care(Extractions, treatment of tooth decay, periodontics, endodontics etc.)

Major Reconstructive Dental Treatment(Crowns, dentures, root canals and implants)

Orthodontics Treatments

SILVER


SILVER

Not Covered

GOLD

100%Up to $ 2,000 per year per insured ($ 3,000 after the second year)

GOLD


DENTAL (OPTIONAL) Subject to a 3 month waiting period for preventive and routine dental treatment. A 6 month waiting period for major dental reconstruction. A 10 month waiting period for orthodontics.

PLATINUM

100%Up to $ 4,000 per year per insured ($ 5,000 after the third year)

PLATINUM


Orthodontics (Up to age 18)

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Benefits

Maternity Package Includes: Hospital, Obstetrician, Prenatal Care, Childbirth Preparation Classes, Diagnosis of Chromosomal Abnormalities, Anesthesiologists, Postnatal Care (Received by the mother and immediate care of newborns)

Childbirth Complication and Cesarean Section Surgery (In case of emergency only or if instructed by the obstetrician as a medical necessity)

SILVER

Not Covered

Not Covered

GOLD

100%Up to $ 7,000

100%Up to $ 14,000

PLATINUM

100%Up to $ 15,000

100%Up to $ 20,000

MATERNITY (OPTIONAL) Subject to a 8 month waiting period

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This summary of benefits is provided for informational purposes only and is subject to change. The information contained in this summary of benefits does and will not affect, modify or supersede in any way the policy terms and conditions.

AVANTYS HEALTH LLC1000 N West Street, Suite 1200, Wilmington, DE 19801 - U.S.A.

[email protected] - www.avantys-health.com

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THANK YOU FOR YOUR INTEREST.

AVANTYS GLOBAL HEALTH...(Extractions, treatment of tooth decay, periodontics, endodontics etc.)...

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Transcript of AVANTYS GLOBAL HEALTH...(Extractions, treatment of tooth decay, periodontics, endodontics etc.)...