Download - Sanitas POTENCIACIONES Presentacion Global Care Ingles v2 · Índice 1 Global Care, a product without borders 2 The best value proposal 2.1. Access to any doctor in the world. 2.2.

GLOBAL CARE

Your employeeshave no borders; now with bluanor do their usual doctors

Índice

1 Global Care, a product without borders

2 The best value proposal

2.1. Access to any doctor in the world.2.2. The best cover available to you.2.3. Additional benefits.

1.1. Choose the most suitable cover.1.2. Choose your area of cover.1.3. Connect with blua, wherever you are.

Global Care

Sanitas knows the importance of taking care of your employees when they are abroad. That's why we

o�er you Global Care, a policy with global cover with which to provide them with the most

comprehensive protection, and that you can personalise to adapt to your company’s needs.

1. Global Ca�, a product wi��t b�d�s

We o�er two options:

1. Global Care, a product without borders1.1. Choose the most suitable cover

Global Care Premium: a module with additional cover and higher available capital.

Global Care: a policy with wide cover and limits with which your employees will have all of their medical needs covered.

Your employees will always be protected during their trips, as they can use their Global Care policy around the world.

You will have two areas of cover to choose the one that best adapts to the circumstances of each employee:

1.2. Choose your area of cover

• Worldwide: with which they will have comprehensive cover worldwide. This is the best option for those who live or spend long periods in the USA.

• Worldwide, except USA: the best option for those who do not live in the USA, as they will have comprehensive cover worldwide, except in the USA, where they will have emergency cover during their stays in the country lasting less than 28 days.

1. Global Care, a product without borders

With Global Care they will be able to continue in close contact with their doctors in Spain. With the digital benefits of blua, they can connect with their doctors wherever they are, thanks to the online video-consultation services o�ered by Sanitas.

1.3. Connect with blua, wherever you are

Connect conveniently and without needing to travelvia our website or app, with your specialists in:

With blua, holding video-consultations couldn’t be easier, they can connect with our specialists in Spain via the website or app.

When they return, they can also attend consultations with any professional who has treated them via video- consultation, whenever they need to.

Video-consultations will be provided during Spanish working hours.

Allergology

Digestive system

Dermatology

Endocrinology

Haematology

Gynaecology

General medicine

Internal medicine

Oncology

Paediatrics

Rheumatology

Urology

1. Global Care, a product without borders

2. T� b�t value proposalThe best healthcare is the healthcare that best adapts to your employees.

The largest network in the USA available to your employees (with more than 96% of hospitals and 92% of medical professionals available).

GeoBlue Network in USA

ANY DOCTOR IN THE WORLD AVAILABLE TO YOU100% reimbursement of the medical costs in any doctor in the world, even if they do not belong to our network*.

That is why we o�er you three options so that they always receive the care they need.

In a single call, we manage direct payment to the medical centre for expensive hospital or outpatient treatment. The most convenient way of looking after your health without needing to make any payments.

Bupa global network

2. The best value proposal2.1. Access to any doctor in the world

T H E B E S T V A L U E P R O P O S A L :

Access to any doctor in the world

The best cover available to you

Additional benefits:

• MST• Expert Opinion• Call Center 24/7

All our doctors in Spain available with your Global Care card now with also available via video-consultation, wherever they are.

Sanitas Network in Spain

*80% in centres in USA not available in our network. The cost of the treatment must adapt to the reasonable costs published by the corresponding local authorities or bodies. Sanitas may reject any extra cost that does not adapt to the reasonable costs of the country or corresponding to treatment not recommended by a doctor through the medical protocols applicable.

FACILITIES FINDER> To check the Bupa medical chart visit bupaglobal.com/es/facilities/finder

In a single call, we manage direct payment to the medical centre for expensive hospital or outpatient treatment. The most convenient way of looking after your health without needing to make any payments.

Bupa global network

6,300doctors

21,000Carers and health

care assistants

+190countries

+32millioncustomers

SUPPLIERS

Largenumber of

REVIEW

84,000Employees

More than halfare clinical sta�

8,400nurses

Network underconstant

CERTIFICATION Joint Commission International.







Thanks to the partnership between BUPA and Blue Cross Blue Shield we can o�er the largest network of medical suppliers in the USA, present in all states, adding to our medical chart:

The largest network in the USA available to your employees (with more than 96% of hospitals and 92% of medical professionals available).

GeoBlue Network in USA

96%PRIVATE HOSPITALS

5,700CENTRES

BUPAGLOBALACCESS> To check the medical chart in the USA, the insured can visit bupaglobalaccess.com

105members

M80years experience 50US states

25% discount inRX pharmacies







1,500,000Insureds

+140 Customers service o�ces

43 Care homes for the elderly

9,000 Residentscustomer service

1,100,000Insureds

126 Dental clinics 55 Franchises

4Sanitas hospitals

20 Medical centres16 Wellness centres

ResidentialDental

Hospitals, PPPs and New ServicesPolicies

10,162employees

2.4insureds

M60 years ofexperience

BUPA CHILE +LUX MED GROUP IN POLAND

30,000 7Memployees customers

All our doctors in Spain available with your Global Care card and our exclusive video-consultation service.

Sanitas Network in Spain







GLOBAL CARE GLOBAL CARE PREMIUM

Hospital care and surgery 100% 100%

Maximum annual capital €1,000,000 €2,000,000

Outpatient care €30,000 €50,000

Maternity (8-month waiting period) €15,000 €25,000

Speech therapy 20 sessions 40 sessions

Physiotherapy 20 sessions 40 sessions

No 20 sessions

Preventive check-ups €750 €1,500

HIV medicine (including antiretroviral) No €10,000

Chronic diseases Yes Yes

Home nursing after hospitalisation €900 / year €900 / year

Palliative care €30,000 €30,000

Transplants 100% 100%

Dentistry (check-ups, cleaning and emergencies) €600 €600

Transfer in air ambulance Not included 100%

Allowance for hospitalisation €110/night, max. 20 nights / year €110/night, max. 20 nights / year

Prescription medication and vaccines €1,200 €2,000

Check all cover types in the product terms and conditions.

Complementary therapies (acupuncture, chiropractic, homeopathy)






2. The best value proposal2.2. The best cover available to you

Evacuation and Repatriation

With evacuation and repatriation cover, o�er your employees additional protection in the most critical situations, as they will be evacuated to the nearest country in which the treatment they need is available, guaranteeing the resources and care needed during transfer. With repatriation cover, they could also be transferred to their home country.

Dental add-on

The most comprehensive dental cover that includes all dental specialities with an annual limit of €2,000 and the following reimbursement percentages:• 100% of the cost of preventive treatment and restorative dentistry (check-ups, cleaning, fillings, etc.)

• 80% of the cost of endodontic, periodontics treatments and surgery, and others (extractions, periodontal maintenance, etc.).

• 50% of the cost of orthodontics treatments, implants and prosthesis. An add-on with which your employees can take care of their oral health, anytime, anywhere.

Optional cover






2. The best value proposal2.2. The best cover available to you

BEFORE TREATMENT

Service coordination

Coordination of direct payment to the medical centre...

DURING TREATMENT

Customer support

Simultaneous monitoring of treatment...

AFTER TREATMENT

Monitoring after discharge from hospital

Coordination and support with prescribed medicine...

Bupa m�i�rs its pati�ts

MST: The Medical Service Team as a di�erentiating care concept makes managing the health of our insureds easy.

1 2 3

• Bupa medical team

• Consisting of 40 health professionals

• Available 24 hours a day

• Helps insureds to manage their cases before, during and after treatment

• Assistance with medical consultations

• Address queries about the destination

• Personalisation in each clinical case in long-term treatment via a manager

• O�ers a second opinion



The best coveravailable to you



2. The best value proposal2.3. Additional benefits: MST

Expert Opinion: global network consisting of 5,000 world-renowned medical experts.

• Aimed at insureds who need information to make a medical decision.

• Review and confirmation of diagnoses by world-renowned specialists and treatment recommendations.

• Advice provided to more than 25 million people.

• 3 specialists per case, selected due to their proven experience assessing the specific conditions of each patient.

• Of the total consultations 20% avoided surgery, 21% changed treatment and 6% changed diagnosis.

• 66% of insureds got a second opinion in-person.

• Recommendation and satisfaction of 99% of insureds.

Why use Expert Opinion

How Expert Opinion works

1

The insured requests the service

2

They are assigned a doctor who:• Explains the service• Helps gather information

3

The clinical committee assesses the case and selects specialists

4

A medical check-up is performed by experts who recommend a treatment

5

The insured is informed about:• Medical history, specialists’ opinions,

references to publications and doctors’ profiles.






2. The best value proposal2.3. Additional benefits: Expert Opinion

Bupalatinamerica.com / APP BUPA

• Personal private area abroad• Virtual card generation• Online reimbursement management• Facilities Finder: check the global network of participating centres.

Mi Sanitas / Sanitas app

• Personal private area in Spain• Virtual card generation• Online reimbursement management• Make an appointment online.

Call Center 24/7

All queries addressed in the language and during the time that best suits the insured.






2. The best value proposal2.3. Additional benefits: Customer service 24/7

App�dix

Terms and conditions

• Global Care is available from three months’ stay abroad.

• With no minimum number of insureds and with discounts according to

the number of employees.

• Four payment frequencies available: monthly, quarterly, biannually and

annually.

• They can access most of the types of cover from day one.

See the special terms and conditions for your company.

Hospital care

Outpatient care

Other cover

Optional cover:

• Dental

• Care cover

Cover appendixProduct details

No sub-limit No sub-limitSingle SingleSingle Singlewith parent accommodation with parent accommodation100% 100%100% 100%100% 100%100% 100%100% 100%100% 100%100% 100%100% 100%

HOSPITAL CARE RoomChild’s room

Specialist and nursing costs Surgery costs (surgery, anaesthesia) Diagnostic tests Intensive care Medication administered and surgical bandages Internal prostheses Organ transplants* RehabilitationPsychiatric treatment* 50 days/policy term 50 days/policy term

TOTAL CAPITAL LIMIT PER YEAR Global Care €1,000,000

Global Care Premium€2,000,000

* Includes autologous transplants of bone marrow and peripheral blood progenitor cells for tumours of hematopoietic lineage, and corneal transplantation. In the latter case, Sanitas will not cover the cost of the cornea to transplant. Similarly, it includes transplants abroad of the small intestine, kidney, pancreas, liver, heart or lung. Sanitas will not cover the cost of the organ, its transportation or the administrative costs for obtaining it. Similarly, any costs related to the donor are also excluded.

** An 8-month waiting period will be applied.

OUTPATIENT CARE €30,000/year €50,000/yearGeneral Practitioner 100% 100% Consultations with specialists 100% 100% Diagnostic tests 100% 100% Radiology 100% 100% Ophthalmology 100% consultations + 100% consultations +

annual check-up annual check-upPsychology* 100% 100% Psychiatry* 100% 100% Podology. Limit 6 sessions per year. 100% 100% Sleep disorders 100% consultations + 5 100% consultations + 5

studies/year + respiratory therapies studies/year + respiratory therapies Fertility diagnosis* 100% treatment 100% treatment

OTHER OUTPATIENT COVER No sub-limit No sub-limitOutpatient surgery 100% 100% MRI, CT and PET 100% 100% Oncology (diagnosis and treatment) 100% 100%



*An 8-month waiting period will be applied.

In the case of psychology, psychoanalysis, psychoanalytical therapy, hypnosis, narcolepsy and psychosocial rehabilitation services and neuropsychiatry are excluded.

Fertility diagnosis: also includes family planning: tubal ligation, IUD implantation (the device being covered by the insured) and monitoring of the treatment with anovulatory drugs. The following genetic tests are included: karyotype, factor V Leiden and prothrombin 20210 gene mutation.

Hospital care

Outpatient care

Other cover

Optional cover:

• Dental

• Care cover




OTHER COVERMaternity (pregnancy monitoring, birth and routine €15,000 /year €25,000 /yearcare of the newborn during the first week of life)*

Newborn care (non-routine care €110,000 /year, max. 90 days €110,000 /year, max. 90 daysor after the first week)** Physiotherapy 20 sessions/year 40 sessions /yearSpeech therapy 20 sessions/year 40 sessions /yearPrescription medicine and vaccinations €1,200/year €2,000 /yearHIV specific medication (including antiretroviral)*** Not included €10,000 /year Home nursing after hospitalisation €900 /year €900 /year Dentistry (check-ups, cleaning and emergencies) €600 /year €600 /yearPalliative care €30,000 /policy term €30,000 /policy termPalliative care: €750 /year €1,500 /year - Assessment of cholesterol, blood pressure,diabetes, anaemia, lung function, liver function,renal function and cardiovascular risk- Diagnosis of prostate cancer, coloncancer, mammography and cytology

Local transfer in land ambulance 100% 100% Transfer in air ambulance Not included 100%Complementary therapies (acupuncture, chiropractic, Not included 20 sessions /yearhomoeopathy, osteopathy and traditional Chinese medicine) Second opinion 100% 100% Allowance for hospitalisation (without using the policy) €110 /night, max 20 nights/year €110 /night, max 20 nights/year

* An 8-month waiting period will be applied

** The new-born must be included on the policy. Cognitive or hereditary diseases are covered provided that the mother or father has been a policyholder for more than a year and the newborn is added during the first 90 days of life.

***HIV treatment is covered like any other disease with the same outpatient and hospital care limits (except specific medication and ART, where this cover is available).

Hospital care

Outpatient care

Other cover

Optional cover:

• Dental

• Care cover


TOTAL CAPITAL LIMIT PER YEAR

Preventive treatment (check-ups, cleaning, fluoridation, 100% sensitivity treatment...)Restorative dentistry (fillings, reconstructions...) 100%Radiology (X-rays, orthopantomograms...) 100%Dental CT 80%Surgery 80%Extractions 80%Endodontic treatments 80%Periodontics treatments 80%Temporomandibular joint disorder 80%Prosthesis 50%Orthodontics 50%Implants 50%

Cover module:

- Reimbursement

- Network of Sanitas Dental Clinics with prices with deductibles

€2,000

DENTAL

Hospital care

Outpatient care

Other cover

Optional cover:

• Dental

• Care cover


TOTAL CAPITAL LIMIT A YEAR

Transfer to receive the appropriate treatment when it is not available locally (valid for hospital or day hospital treatments. Could be authorised for diagnosis via imaging or oncological treatment, depending on the insured’s situation).

The treatment received will be provided with the cover of the main product.

The insured must have cover in the country in which the treatment is provided.

Transfer of a companion

The transfer will beto the nearest countrywhere the treatmentneeded is available

Includes the transfer of an insured companionprovided thatit is medicallynecessary

When the transfer is to the country of origin or residence, it includesthe transfer of a relativeor partner. When thetransfer is to thenearest country, it includes the transfer of an insured companionwhen it is medically necessary.

Return journey of the patient and companion (within 14days after the treatment has ended)

Included Included

Repatriation to the country of origin in case of death Included Included

Expenses of the companion Not included Includes an allowance of €37 / day for a maximum of 10 days

The transfer couldbe to the nearest country where the treatment needed isavailable or to the country of origin or residence

No limitNo limit

EVACUATION EVACUATION AND REPATRIATION

They must contact our customer service centre before the transfer. They will manage it.

The treatment must be recommended by a doctor and not be available locally.

The treatment must be covered by the policy and the insured must have full cover in the area where they are going to receive it.

Evacuation and repatriation cover must have been purchased before requiring the treatment.

Hospital care

Outpatient care

Other cover

Optional cover:

• Dental

• Care cover


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Dank SpasiboM��