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 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition only
See policy wording for full benefit description |
12-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period
See policy wording for full benefit description |
6-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period
See policy wording for full benefit description |
6-month waiting period
Additional $25,000 lifetime maximum for eligible medical expenses for the acute onset of pre-existing condition during waiting period
See policy wording for full benefit description |
Only charges resulting from an Acute Onset of a Pre-existing Condition can be eligible for coverage. Coverage is for those under age 80 and is up to the policy maximum of the plan. For Emergency Medical Evacuation, an Acute Onset of a Pre-existing Condition is covered up to a $25,000 lifetime maximum.
See policy wording for full benefit description |
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 |