IHI International health and hospital plan - Module 4 - BUPA Group - worldwide medical cover

Health insurance requirements differ from country to country, and everyone has individual needs depending on their age and occupation. This is why we offer a flexible modular system that allows you to tailor your own insurance policy.

The Hospital Plan covers hospitalisation expenses such as hospital services, childbirth, organ transplant, rehabilitation and emergency room treatment. It is the fundamental cover providing comprehensive inpatient cover, and it can be taken out on its own...

or you can choose to add one or more of the following modules:

Module 4: Dental and optical cover

Dental and optical cover gives you the right to reimbursement of dental treatment, glasses and contact lenses.

Routine dental treatment is covered 80% with maximum amounts.

Special dental treatment is covered 50% up to an annual maximum.

Glasses and contact lenses are covered 80% with specific maximum limits.

Reimbursements under these two modules are effected at 50-80%, but they will not in any event exceed the following amounts or the respective annual maximums of Module 4A

EUR 5,000

GBP 3,500

USD 5,000

and Module 4B

EUR 7,500

GBP 5,000

USD 7,500

The overall annual maximum for Module 4A is

EUR 5,000

GBP 3,500

USD 5,000

Module 4A

Routine dental treatment (80%)

Examinations, maximum

EUR	GBP	USD
20	15	20

Tooth cleaning, maximum

EUR	GBP	USD
40	25	40

Fillings per tooth, maximum

EUR	GBP	USD
60	40	60

Root treatment per tooth, maximum

EUR	GBP	USD
70	45	70

Tooth extractions per tooth, maximum

EUR	GBP	USD
40	20	40

Surgery, maximum

EUR	GBP	USD
73	50	81

X-ray, maximum

EUR	GBP	USD
40	20	40

Anesthesia, maximum

EUR	GBP	USD
15	10	15

Special assistance, maximum

EUR	GBP	USD
40	30	40

and the annual maximum for Module 4B is

EUR 7,500

GBP 5,000

USD 7,500

Module 4B

Routine dental treatment (80%)

Examinations, maximum

EUR	GBP	USD
40	30	40

Tooth cleaning, maximum

EUR	GBP	USD
60	35	60

Fillings per tooth, maximum

EUR	GBP	USD
110	65	110

Root treatment per tooth, maximum

EUR	GBP	USD
140	96	140

Tooth extractions per tooth, maximum

EUR	GBP	USD
100	60	100

Surgery, maximum

EUR	GBP	USD
174	120	195

X-ray, maximum

EUR	GBP	USD
50	35	50

Anesthesia, maximum

EUR	GBP	USD
20	15	20

Special assistance, maximum

EUR	GBP	USD
80	52	80

Module 4A: Special dental treatment ( 50% )

Bridgework

EUR	GBP	USD
50%	50%	50%

Crowns

EUR	GBP	USD
50%	50%	50%

Periodontitis

EUR	GBP	USD
50%	50%	50%

Orthodontics (tooth adjustment)

EUR	GBP	USD
50%	50%	50%

Dentures

EUR	GBP	USD
50%	50%	50%

Special dental treatment per policy year, maximum

EUR	GBP	USD
2,000	1,500	2,000

Module 4B: Special dental treatment ( 50% )

Bridgework

EUR	GBP	USD
50%	50%	50%

Crowns

EUR	GBP	USD
50%	50%	50%

Periodontitis

EUR	GBP	USD
50%	50%	50%

Orthodontics (tooth adjustment)

EUR	GBP	USD
50%	50%	50%

Dentures

EUR	GBP	USD
50%	50%	50%

Special dental treatment per policy year, maximum

EUR	GBP	USD
3,000	2,250	3,000

Module 4A: Glasses and contact lenses (80%)

One pair of glasses (excluding frames) per policy year, maximum

EUR	GBP	USD
160	100	160

Contact lenses, per policy year, maximum

EUR	GBP	USD
100	60	100

Frames and sunglasses are not covered

Module 4B: Glasses and contact lenses (80%)

One pair of glasses (excluding frames) per policy year, maximum

EUR	GBP	USD
220	150	220

Contact lenses, per policy year, maximum

EUR	GBP	USD
130	80	130

Frames and sunglasses are not covered

also:

Module 1	Non-Hospitalisation Benefits
Module 2	Medicine & Appliances
Module 3	Medical evacuation and repatriation

Reimbursement under the Hospital Plan are effected at 100% of the expenses, unless you have chosen a deductible. In this case, you will be reimbursed as soon as qualified expenses exceed the amount of the deductible.

Reimbursements will not in any event exceed the following amounts or the overall annual maximum cover per person per policy year of

EUR 1,500,000

GBP 1,200,000

USD 1,800,000

You can choose to take out your insurance:

With a deductible..	or without a deductible.
Choose your currency - euros, pounds sterling or US dollars

In the List if Reimbursements, you can see in detail which benefits are covered under the different modules, and how they can be combined to give you exactly the cover you want.

Para pedir una cotización o una aclaración / For a quote or details:
email	*saniprof@mail.ddnet.es / dmh@e-consultas.com*
Fax:	(+ 34) 91 8032484
Teléfono / 'phone:	(+ 34) 609 522 300

This glossary with definitions is part of the Policy Conditions

Acute serious illness	Anniversary date	Applicant	Application
Claim	Commencement date	Deductible	Documents
Due date	Hospitalisation	Insurance	Insured
Normal occupation	Outpatient	Policy conditions	Policyholder
Policy schedule	Pre-existing condition	Reimbursement rates	Renewal
Serious injury	Special terms	Standard terms	Subrogation
Surgery	Terminal phase	Waiting period

main index / índice principal

Disclaimer / Aviso

A Coruña	Álava	Albacete	Alicante	Almería	Asturias	Ávila	Badajoz	Balearic Islands	Barcelona	Burgos	Cáceres
Cádiz	Cantabria	Castellón de la Plana	Ceuta	Ciudad Real	Córdoba	Cuenca	Girona	Granada	Guadalajara	Guipúzcoa	Huelva
Huesca	Jaén	La Rioja	Las Palmas	León	Lleida	Lugo	Madrid	Málaga	Melilla	Murcia	Navarra
Ourense	Palencia	Pontevedra	Salamanca	Segovia	Sevilla	Tarragona	Tenerife	Teruel	Toledo	Valencia
Valladolid	Vizcaya	Zamora	Zaragoza	Dental insurance policies	Sanitas Health Plan Classic	Sanitas Multi	Sanitas Mundi	Sanitas Health Plan Complete