Máximo de cobertura |
$200.000 |
$500.000 |
$600,000 |
$5,000,000 |
$50,000, $100,000, $250,000, $500,000 $1,000,000, or $2,000,000 (Ages 70 to 79: $50,000 or $100,000 limit; Ages 80+: $10,000 limit) |
Beneficio máximo por lesión o enfermedad |
$100,000 |
$250.000 |
$300.000 |
$500.000 |
Beneficios hasta el máximo de póliza |
Deducible |
$50 |
$45 |
$35 |
$25 |
$0, $100, $250, $500, $1,000, $2,500 or $5,000 |
Coaseguro |
In-Network: 80% of eligible expenses after the deductible up to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
In-Network: 80% of the next $25,000 of eligible expenses after the deductible, then 100% to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
In-Network: 80% of the next $5,000 of eligible expenses after the deductible, then 100% to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
In-Network: 100% of eligible expenses after the deductible to the overall maximum
Out-Network: Usual, Reasonable, and Customary (URC) |
100% coverage on eligible expenses, after the deductible, up to the policy maximum. |
Enfermedades preexistentes |
$25.000 máximo de por vida para gastos médicos elegibles únicamente para el inicio agudo de una enfermedad preexistente |
12-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period |
6-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period |
6-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period |
Only charges resulting from an Acute Onset of a Pre-existing Condition can be eligible for coverage. Under Age 70: Covered Up to the Overall Maximum; Ages 70-79: Covered Up to a $100,000 Maximum ($25,000 Lifetime Maximum for Emergency Medical Evacuation) |
Maternidad |
Sin cobertura |
Up to $5,000 |
Up to $10,000 |
Up to $25,000 |
Solo se puede dar cobertura al tratamiento para complicaciones de embarazo durante las primeras 26 semanas de embarazo. |
Salud mental |
Paciente ambulatorio: $50 por día, $500 Paciente hospitalizado: hasta $5.000 |
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse. |
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse. |
Outpatient: Max. 30 days of coverage. Inpatient: Max. 30 visits. Coverage includes drug and alcohol abuse. |
Sin cobertura |
Deportes en equipo |
Sin cobertura |
No Coverage
Optional Team Sports rider available, please select that option to view pricing |
No Coverage
Optional Team Sports rider available, please select that option to view pricing |
No Coverage
Optional Team Sports rider available, please select that option to view pricing |
Sin cobertura |
Actividades recreativas, de ocio y de acondicionamiento |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Cubierto por condiciones de póliza |
Deportes de aventura |
Se aplican algunas exclusiones |
Se aplican algunas exclusiones |
Se aplican algunas exclusiones |
Se aplican algunas exclusiones |
Se aplican algunas exclusiones |
Evacuación/Repatriacón Médica de Emergencia |
$50.000 / $25.000 |
$250.000 / $25.000 |
$300.000 / $25.000 |
$500.000 / $50.000 |
$1,000,000 / Equal to the elected overall maximum limit |