Securite Assurance sal
Golden Care - Yearly Price Starting at
Terms & Conditions
Terms & Conditions
Area of Cover: Lebanon.
Network of Hospitals:All hospitals on direct billing.
Limit for In-Hospital Treatments:Unlimited
Emergency Room: Full Cover, Exclusions covered up to $100
For Couples: Full cover after 270 days of enrollment.
For Single Mother: Full cover after 365 days of enrollment.
New Born Baby: Covered as of day 1, free of charge
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
Prosthesis: (a device designed to replace a missing part of the body or to make a part of the body work better)
Due to Accident:Unlimited, as per TPA's Tariff
Due to Sickness:Up to $30,000 per year as per TPA's Tariff
Orthesis: (An orthopedic brace, splints, or appliance.)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 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 with a maximum of 30 days of hospitalization.
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
Epidemic / Pandemic Diseases: Covered up to $30,000
Out of hospital benefits / Ambulatory Services (Lab, X-RAY, MRI...): Direct billing as per next care preferred network
Coverage: 85% or 100% on direct billing basis (depends on your choice of plan)
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