SSI International Health Insurance International private health insurance for SSI members • Semi-private room
• Simple application process without medical
• Routine maternity
• Dependants can be added and newborn infants
• No waiting periods apply and pre-existing
• Premium payment by credit card (MasterCard
• Decompression treatment • Medical repatriation
conditions are covered
underwriting or requirement for a health check are accepted for cover from birth or Visa)
Two different plans are available for SSI members Top: Basis:
Full cover (in-patient, out-patient, dental, repatriation) Standard cover (in-patient and repatriation)
Extract of the Table of Benefits
Top
Basis
Maximum plan benefit €
€1,125,000
€1,125,000
Hospital accommodation¹
Semi-private room
Semi-private room
Full refund
Full refund
Core Plan
In-patient benefits
Prescription drugs and materials¹
(in-patient and day-care treatment only)
Surgical fees, including anaesthesia and theatre charges¹
Physician and therapist fees¹
(in-patient and day-care treatment only)
Surgical appliances and prostheses¹
Club
Full refund
Full refund Full refund
Club
Full refund
Full refund Full refund
Diagnostic tests¹
Full refund
Full refund
Organ transplant¹
Full refund
Full refund
Full refund
Full refund
(in-patient and day-care treatment only)
Psychiatry and psychotherapy¹
(in-patient and day-care treatment only)
Emergency in-patient dental treatment
Other benefits
Day-care treatment²
Out-patient surgery²
Local ambulance
Emergency treatment outside area of cover
€10,600
Full refund
Full refund
Full refund
€10,600
Full refund
Full refund
Full refund
Full refund, max. 42 days
Full refund, max. 42 days
CT scans
Full refund
Full refund
MRI, PET and CT-PET scans²
Full refund
Full refund
Oncology²
Full refund
Full refund
Routine maternity²
Full refund
Full refund
Complications of pregnancy and childbirth²
Full refund
Full refund
€750
€750
(for trips up to a maximum period of six weeks)
Repatriation of mortal remains²
(in-patient and out-patient treatment) (in-patient and out-patient treatment) (in-patient and out-patient treatment) (in-patient and out-patient treatment)
Emergency out-patient treatment
(where these benefit amounts are reached, any additional costs may be reimbursed within the terms of any separate Out-patient Plan)
Emergency out-patient dental treatment
(where these benefit amounts are reached, any additional costs may be reimbursed within the terms of any separate Dental Plan)
€10,000
€750
€10,000
€750
Top
Out-patient Plan
Bronze
Maximum plan benefit
Basis -
€4,500
Medical practitioner fees and prescription drugs
€1,000*
Specialist fees
Full refund Full refund
Vaccinations
Chiropractic treatment, osteopathy, homeopathy, Chinese herbal medicine and acupuncture
€1,125
(max. 12 sessions per condition for chiropractic treatment and max. 12 sessions per condition for osteopathic treatment, subject to the benefit limit)
Prescribed physiotherapy, speech therapy, oculomotor therapy and occupational therapy²
Emergency out-patient
treatment covered up to
€750 under the Core Plan
€1,125
* This benefit amount is payable in addition to the maximum plan benefit amount. Dental Plan
Maximum plan benefit
Dental 1
-
100% refund
Emergency out-patient dental
80% refund
€750 under the Core Plan
Full refund
Full refund
No limit
Dental treatment
Dental surgery
100% refund
Orthodontic treatment and dental prostheses
65% refund, up to €5,000
Periodontics
Repatriation Plan
Medical Repatriation²
treatment covered up to
Benefits which are indicated by either a 1 or a 2 require pre-approval through submission of a Treatment Guarantee Form.
Monthly premium per insured person: Plan
Africa only
Worldwide excl. USA*
Worldwide incl. USA
Basis
€73
€84
€179
Top
€170
€197
* Cover for emergency treatment in the USA during trips of a maximum period of 42 days
• Fully completed Claim Forms are processed within 48 hours (unique in the market) • Multilingual 24/7 Helpline
• Direct settlement with medical providers worldwide
€426
For a detailed Table of Benefits, please contact Roger Pauli of Mesterheide Unternehmensgruppe GmbH Email: roger.pauli@mesterheide.de Tel: + 49 621 1271411
• Choice of doctors and medical providers worldwide
• Multilingual documents, website and Online Services
Allianz Worldwide Care Helpline: + 353 1 630 1301
sales@allianzworldwidecare.com www.allianzworldwidecare.com
Allianz Worldwide Care Limited, part of the Allianz Group, is registered in Ireland and regulated by the Irish Financial Services Regulatory Authority. Registered office 18B Beckett Way, Park West Business Campus, Nangor Road, Dublin 12, Ireland. Registered no.: 310852
DOC-FL-SSI-EN-0210
• Convenient and environmentally friendly paperless scheme administration facilitated by Online Services