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Full Network of Hospitals

Full Network of Hospitals

Regular price $225.00
Regular price Sale price $225.00
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Full Network of Hospitals
  • 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 and single mothers; full cover after 270 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
    • Coronary Stent Valves: Covered up to sickness prothesis limit
  • 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: Covered 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
        • 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 enrolment 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 NextCare preferred network
        • Coverage: 85% or 100% on direct billing basis (depends on your choice of plan)
        • Amniocentesis: Covered if delivery date occurs after the maternity waiting period.
        • Morphological Echography: Covered if delivery date occurs after the maternity waiting period.
        • Triple test: Covered if delivery date occurs after the maternity waiting period.
        • Maternity Lab tests: Covered if delivery date occurs after the maternity waiting period.
        • 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
        • OCTcovered subject to a prior approval
        • Osteodensitometry (for insured age 50 and above): covered for a specific medical reason
        • 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.
        • 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.
        • Unknown Pre existing conditions in hospital: Covered after 6 month 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 270 days for maternity and preexisting conditions
        • Extension of coverage at the expiry date and while in hospital: up to 30 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
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