Golden Care - Yearly Price Starting at

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

Maternity:

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

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

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)

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