Serenity Plan
INPATIENT
The serenity plan provides full coverage for hospitalization up to the chosen plan. You can choose, how much do you expect to pay per year.
| MODULE 1 INPATIENT | SERENITY |
|---|---|
| Maximum limit/person/year | $100,000 up to $1,000,000 |
| Room and board | Normal Private room Full Cover (Maximum of 180 days) |
| Intensive care or other specialty | Full Cover |
| Hospitalization expenses | Full Cover |
| Accompanying bed for hospitalized child under 16 | Full Cover |
| Outpatient hospital facility care for ambulatory surgery or day care total anesthesia (a simple plaster or strap is not an outpatient emergency) | Full Cover |
| Emergency room | Full Cover |
| Emergency ground ambulance Limited to one trip to the nearest hospital | Full cover |
| Extended care or outpatient rehabilitation connected to hospitalization | Maximum of 30 days for each Medical Condition Maximum of $2,500 per calendar year Care must begin upon discharge from inpatient and within the last 14 days |
| Organ transplant benefit | Up to $100,000 |
| Home health care services Care must start upon discharge from the hospital and must be accompanied by attending Physician orders up to 30 days | 100% up to 1,000 USD/year |
| Maternity care Pregnancy and or any condition related to pregnancy that arises during the first ten (10) months of coverage under this policy are excluded. Any fertility or infertility services are excluded. Maternity care includes hospitalization, normal and Cesarean section delivery, prenatal and postnatal care and Complications of Pregnancy. | 100% up to $8,000 |
| Congenital birth defects connected to Maternity Premature newborns, congenital conditions and birth anomalies for newborns enrolled within 31-days of the date of birth have a lifetime maximum. | 100% US$20,000 lifetime maximum |
| New born cover connected to Maternity | Have to be enrolled same cover than parents within 1 month and premium paid but considered with no preexisting condition |
| Kidney dialysis | Full cover |
| Oncology in & outpatient | Full cover |
| MRI in case of inpatient | Full cover |
| HIV | Full cover |
| Physician visits | Full cover |
| Anesthesiologist | Full cover |
| Surgery | Full cover |
| Second medical opinion | Full cover |
| Psychiatry connected to accident or terrorism | 100% up to 1,500 USD/year |
| Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 7 weeks except USA | 100% up to 15,000 USD/year |
| Extension of cover in the country of birth or origin except USA | Up to a period of maximum 3 months |
| Pre-existing condition | CONSIDERED |
| COVID- 19 | After 14 days |
Serenity Plan
OUTPATIENT
| MODULE 2 OUTPATIENT | SERENITY |
|---|---|
| Maximum limit/person/year | 6000 USD |
| Hospice care outpatient | US$10,000 lifetime maximum |
| Emergency ground ambulance (limited to one trip to the nearest hospital | Full cover |
| Physician office visits and treatment | Full cover |
| Diagnosis Services • Diagnostic laboratory test and x-rays • MRI, CAT, PET scans and other diagnostic machine test • Pathology • Inhalation therapy | Full cover |
| HIV | 100% up to US$10,000 |
| Prescribed vaccines (6 months waiting period) | Full cover |
| Prescribed durable medical equipment | Rental up to Purchase Price |
| Physiotherapy, chiropractor, osteopath, homeopath and acupuncturist (with prior consent) | 100% up to 50 USD/session and 1,000 USD/year |
| Prescribed speech therapy and orthotics (with prior consent) | 100% up to 50 USD/session and 1,000 USD/year |
| Prescribed medical prostheses (with prior consent) | 100% up to 2,000 USD/year |
| Spa treatments (with prior consent) | Up to 20 days & 25 USD/day |
| Infusion therapy Please refer to Comprehensive Medical Coverage section for details. | 100% up to $50/session and 1,000 USD/year |
| Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 7 weeks except USA | Full cover |
| Extension of cover in the country of birth or origin except USA | 100% up to a period of maximum 3months |
| Preventive check up | 100% up to 300 USD (after 3 years and every 3 years) |
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