Beyond Services ltd
Prime Care Medical Plan - Yearly Price Starting at
Ramassage actuellement indisponible
Area of Cover: Lebanon.
- Network of Hospitals: All hospitals on direct billing.
- Limit for In-Hospital Treatments: Unlimited
- For Couples: Full cover after 180 days of enrollment.
- For Single Mother: Full cover after 12 months of enrollment.
- New Born Baby: Covered as of day 1, free of charge
- Epidural: Covered
- Incubator and Nursery: Unlimited days, up to $30,000
- Screening test for baby: Up to $200
- 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 16: covered
- Home care: In hospital treatments administered at home are covered
- Due to Accident: Unlimited, as per TPA's Tariff
- Due to Sickness: Up to $30,000 per year as per TPA's Tariff
- Due to Accident: Up to $500
- Due to Sickness: Up to $500
- Additional Inpatient Benefits:
- Dialysis for acute renal failure, excluding arteriovenostomy: covered for all needed sessions during first initial admission
- Sleep Disorder Disease: Polysomnography is covered.
- Sleep Apnea Surgery: Up to $5,000
- Parkinson: Up to $5,000 (In & Out)
- Epilepsy: Up to $5,000 (In & Out)
- New treatments, Medical Techniques, Surgeries & Tests: Up to $5,000 (In & Out)
- Rehabilitation for a covered case: Up to $2,000
- Breast Reconstruction: Covered if due to a covered partial or complete breast excision due to breast cancer within 6 months of the sickness
- Infertility: Covered after 12 months of enrollment and up to $3,000 per year, for all classes, as per TPA's Tariff.
- Cornea transplant: surgery is covered, cost of cornea is excluded.
- Cardiovascular disease: unlimited
Coronary stent: covered up to sickness prosthesis limit
- Valves: covered up to sickness prosthesis limit
- Work Related Accidents: Covered
- Bone Marrow Aspiration & Organ Transplant Surgery: covered up to $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 $7,500 lifetime, as per TPA's tariff.
- Cancer Disease: unlimited
- Chemotherapy and radiotherapy: covered
- Tropical Disease: Specific diseases as per general conditions are covered.
- Sexually Transmitted Diseases: covered up to $15,000 per year.
- Psychiatric disorder: in-hospital treatment covered up to $10,000 per year after 12 months of enrollment.
- Hospital daily income: For entrepreneurs below 60 years of age $50 per day starting the second day and up to 7 days per year
- Morgue and burial expenses: up to $3,000
- Out of hospital benefits / Ambulatory Services (Lab, X-RAY, MRI...): Direct billing as per next care preferred network
- Coverage: 85% on direct billing basis
- Amniocentesis: covered
Morphological Echography: once per pregnancy
- Triple test: covered once per pregnancy
Dental panoramic: covered if due to a covered accident and up to 9 months after the accident
- MRI: covered subject to a prior approval
- Thallium myocardial scintigraphy: covered subject to a prior approval
- Pet scan: covered subject to a prior approval
- VCT 64: covered subject to a prior approval
- Genetic test: up to $1,000 per year
- OCT: covered subject to a prior approval
- Osteodensitometry (for insured age 50 and above): covered for a specific medical reason in private diagnostic centers
Physiotherapy and kinesitherapy: 25 sessions per year
- Premarital test: covered
- Additional Benefits:
- 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.
- Family discount: applicable for 3+ (for every year)
- Rental of medical supplies: up to 1 month rental
- Guaranteed Renewability: 720 days, lifetime subject to an observation period of 180 days for new members.
- Pre existing conditions in hospital: Covered after 1 year for new members.
- Tests related to pre-existing cases for new insured: up to $100 once per year from day 1
- Upgrades on renewal: Observation period of 180 days for maternity and preexisting conditions
- Extension of coverage at the expiry date and while in hospital: up to 120 days
- Claims outside of Lebanese territories or outside of network: claim processed on reimbursement basis as per NEXTCARE's Lebanese network rates and subject to 30% excess
- Travel insurance:
- Travel insurance up to 65 years of age: Covers 24/7 help desk. Covers death abroad, repatriation of mortal remains, up to $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.
- Travel insurance 66 and above: covers 24/7 help desk, death abroad, repatriation of mortal remains up to $10,000
Private transportation service/ private ambulance: covered
- Death: covered for $10,000 a year