Prime Care Medical Plan - 1st CLASS - Yearly Price Starting at
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Area of Cover: Lebanon.
Network of Hospitals:All hospitals on direct billing.
Limit for In-Hospital Treatments:Unlimited
Maternity: Full cover after 180 days of enrollment. (both parents should be insured.
New Born Baby: Covered as of day 1, free of charge, until parents policy expiry date.
Incubator and Nursery: Unlimited days, up to USD 30,000
Congenital Cases for babies born at Securite (Bebe Securite): All cases are covered up to the age of 12 and with no financial limit.
Parent Accommodation at hospital for children below age of 12: covered
Due to Accident:Unlimited, as per TPA's Tariff
Due to Sickness:Up to USD 30,000
Additional Inpatient Benefits:
Sleep Disorder Disease:only Polysomnography is covered.
Sleep Apnea Surgery: up to USD 5,000
Parkinson:Up to USD 5,000 (In & Out)
Epilepsy:Up to USD 5,000 (In & Out)
New treatments, Medical Techniques, Surgeries & Tests:Up to USD 5,000 (In & Out)
Rehabilitation for a covered case:Up to USD 2,000
Infertility:Covered after 12 months of enrollment and up to USD 3,000 per year, for all classes, as per TPA's Tariff.
Work Related Accidents:Covered
Bone Marrow Aspiration & Organ Transplant Surgery: covered up to USD 30,000 lifetime, as per TPA's tariff. Cost of organ is excluded.
Bariatric Surgery related to morbid obesity (e.g. Sleeve and Bypass): covered up to USD 7,500 lifetime, as per TPS's tariff.
Tropical Disease:Specific diseases as per general conditions are covered.
Sexually Transmitted Diseases: Only specific diseases are covered up to USD 15,000 per year.
Breast Reconstruction: Covered if due to a covered partial or complete breast excision due to breast cancer (within 6 month of sickness).
Ambulatory Services (Lab, X-RAY, MRI...)
Coverage:85% on direct billing basis
Home Care: Covered
Rental of medical supplies:up to 1 month rental
Travel Insurance: Worldwide excluding USA, Canada, Australia and Japan.
Travel insurance up to 65 years of age:Covers 24/7 help desk. Covers death abroad, repatriation of mortal remains, up to USD 10,000. Covers accidental and acute sickness not due to any Pre-Existing condition, up to €30,000 per trip and up to 90 days per year. Card should be requested at least 48 hours before traveling.
Private Transportation Service / Private Ambulance: covered
Waiver of medical premium of family: Applicable for adherents aged below 65 years, for a period of the policy year and 1 additional year in case of death, terminal illness, or total disability of the bread winner.
Death due to accident:covered, up to USD 10,000 per insured
Guaranteed Renewability: As per the ministry of Economy (720 days lifetime per insured)
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