Our most innovative and
comprehensive plan for all
your health needs


Our most innovative and comprehensive plan for all your health needs


Option IOption IIOption IIIOption IVOption VOption VIOption VII
Inside USAUS$500US$1,000US$2,000US$5,000US$10,000US$20,000US$50,000
Outside USAUS$1,000US$2,000US$3,000US$5,000US$10,000US$20,000US$50,000

*Only one deductible per person, per policy year applies. For family policies, a maximum of two deductibles accumulated per policy, per policy year will be applied. For more information, please refer to the policy’s Conditions of Coverage.


Maximum coverage per person, per policy yearUnilimited
Age to applyUp to 75 years old
Waiting Period30 days
Geographical coverageWorldwide without restrictions of doctors and hospitals
Standard private hospital room100% UCR
Special benefit for suite accommodation (subject to availability)Up to US$3,000 per day within the USA Special Network®
Use of intensive care unit100% UCR
Adult companion accommodation expenses (Of a hospitalized insured under 18 years old)100% UCR, unlimited nights
Adult companion accommodation expenses (Of a hospitalized insured over 18 years old)100% UCR, max. of 21 nights
Prescribed medications while hospitalized100% UCR
Emergency room care100% UCR
Physician and specialist visits100% UCR
Physician and specialist home visits (where available) 100% UCR
Outpatient prescription medication100% UCR
Complementary therapy: chiropractor, psychologist, psychiatrist, osteopath and/or acupuncturistUS$6,000
Nurse or therapist care at home100% UCR
Preventive health checkup, per insured, no deductible applies (options I, II, III, IV, V & VI)

• US$300 per visit, up to 6 visits, for insureds from 0 to 12 months
of age
• Up to US$500 from 12 months of age and older, including up to
US$75 for preventive dental checkup in options I, II & III
Preventive care benefits (options I, II, III & IV):
• Colon cancer screening (at 50 years and older):
US$1,200 every 10 years
• Mammogram (at 40 years and older): US$400
• Pap smear (from 21 to 65 years of age): US$150 every 3 years
• Prostate cancer screening (at 50 years and older): US$300

Hearing aidsUS$3,000 per lifetime
Treatment for Alzheimer’s disease100% UCR
Autism treatment

• 100% UCR if the insured was born under a covered maternity
• US$10,000 for insureds not born under a covered maternity, and
who developed the condition while they were insured

Allergy treatment100% UCR

The following benefits offer the same coverage for both inpatient and outpatient procedures.

Surgeon and anesthesiologist fees 100% UCR
Diagnostic study services (laboratory tests, pathology, X-rays, MRI/CT/PET scans)100% UCR
Oncology: tests, treatment (chemotherapy and/or radiotherapy) and medication 100% UCR
Surgery to reduce the risk of cancer or prophylactic surgeryUS$30,000 per lifetime (after a 12-month waiting period)
Dialysis services100% UCR
Prostheses and medical appliances implanted during surgery100% UCR
Organ transplant (per organ/tissue)US$3,000,000 per lifetime
Includes US$80,000 benefit for expenses of the live donor
Durable medical equipment100% UCR
Physical therapy and rehabilitation 100% UCR
Specialized treatments: sleep apnea and other sleep disorders
Specialized therapies: occupational and speech
Congenital and/or hereditary conditions diagnosed before age 18US$2,000,000 per lifetime
Congenital and/or hereditary conditions diagnosed after age 18 100% UCR
HIV-AIDS treatmentUS$1,000,000 per lifetime (after a 24-month waiting period)

Gastric bypass bariatric surgery and any type of surgical procedure for
weight loss and its complications or treatments

US$15,000 per lifetime (after a 24-month waiting period)
Surgical treatment of symptomatic foot disorders100% UCR (after a 24-month waiting period)
Reconstructive surgery after an accident or illnessUp to the benefit limit

10-month waiting period, no deductible applies.

Maternity (options I, II & III)

Normal delivery:
• 100% UCR in a hospital within the Special Maternity Network®
• US$8,000 in a hospital outside the Special
Maternity Network®
Cesarean delivery:
• US$10,000 for cesarean delivery inside or outside the Special
Maternity Network®

Extraction and storage of stem cells (options I, II & III)US$2,000 per covered pregnancy
Maternity and newborn complications (options I, II & III)US$1,000,000 per lifetime
Inclusion of the newborn within 90 days after the birth (options I, II & III)Without underwriting, if born from a covered maternity
Free coverage for dependents up to 10 years old (options I & II)*

• Max. of 2 children born from a covered maternity
(options I & II only), if both parents are insured in the policy
• Max. of 1 child born from a covered maternity (options I & II only),
if only the mother is insured in the policy

Fertility treatment (options I & II)**US$5,000 per lifetime, after deductible (after a 24-month waiting period)

*Included in the policy within 90 days from birth. After 90 days, premium payment will be required.

**The coverage of these treatments does not exonerate the insured from the exclusions related to a pregnancy resulting from them, as detailed in the policy.

Emergency transportation by ground ambulance100% UCR, no deductible applies
Emergency transportation by air ambulance 100% UCR, no deductible applies
Cost of return ticket for the insured and one companion after an evacuation by air ambulanceUS$2,000 per person
Repatriation or cremation of mortal remains100% UCR
Treatment for injuries during the training or practice of hazardous hobbies and/or professional sports100% UCR
Emergency dental coverage 100% UCR for treatment within the first 180 days of the covered accident
Refractive eye surgery US$500 per eye, per lifetime (after a 24-month waiting period)
Palliative care100% UCR
Temporary coverage for accidents while application is being
Free extended coverage for eligible dependents after the policyholder’s
death as a result of a covered accident or condition
2 years
Elimination/reduction of the policy deductible for no claims during the last 3 yearsOptions I, II, III & IV:
• Elimination for 1 year, after the 3rd year without claims
• Reduction of 50% of the deductible for 1 year after the 3rd year, if the deductible was not met in any of the years

Options V & VI
• Reduction of 50% of the deductible for 1 year after the 3rd year without claims
Second Medical Opinion VIP®Access to a second medical opinion of renowed experts from around the world, without deductible
Travel VIP Light*Up to US$5,000 for emergency medical treatment while traveling abroad

*For policies from Argentina, Chile, Colombia, Paraguay, Peru and Uruguay this benefit is included in the plan benefits, without an additional premium.

All benefits with 100% coverage are up to the policy limit. Benefits with established coverage will be up to the limits stated in each of them.