Cigna Global Medical Plans to Cover You
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Benefits | Silver | Gold | Platinum |
Annual benefit – maximum per beneficiary per period of cover. This includes claims paid across all sections of International Medical Insurance. |
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Hospital charges for: Nursing and accomodation for inpatient and daypatient treatment and recovery room | Paid in full for semi-private room | Paid in full for a private room | Paid in full for a private room |
Hospital charges for:
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Paid in Full | Paid in Full | Paid in Full |
Intensive care
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Paid in Full | Paid in Full | Paid in Full |
Surgeons’ and anaesthetists’ fees Where surgery is provided on an inpatient, daypatient or outpatient basis. |
Paid in Full | Paid in Full | Paid in Full |
Specialists’ consultation fees Paid in full for regular visits by a specialist during stays in hospital including intensive care by a specialist for as long as is required by medical necessity. |
Paid in Full | Paid in Full | Paid in Full |
Hospital accommodation for a parent or guardian Up to the maximum amount shown per period of cover. If a beneficiary who is under the age of 18 years old needs inpatient treatment and has to stay in hospital overnight, we will also pay for hospital accommodation for a parent or legal guardian, if:
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Paid in Full |
Transplant services for organ, bone marrow and stem cell transplants We will pay for inpatient treatment directly associated with an organ transplant, for the beneficiary if:
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Paid in Full | Paid in Full | Paid in Full |
Kidney dialysis Where treatment is provided on an inpatient, daypatient or outpatient basis. |
Paid in Full | Paid in Full | Paid in Full |
Pathology, radiology and diagnostic tests (excluding Advanced Medical Imaging) Where investigations are provided on an inpatient or daypatient basis. |
Paid in Full | Paid in Full | Paid in Full |
Advanced Medical Imaging (MRI, CT and PET scans) Up to the maximum amount shown per period of cover. We will pay for these scans whether received on an inpatient, daypatient or an outpatient basis. |
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Paid in Full |
Physiotherapy and complementary therapies Up to the maximum amount shown per period of cover. Where treatment is provided on an inpatient or daypatient basis. |
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Paid in Full |
Home nursing Up to 30 days and the maximum amount shown per period of cover. |
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Paid in Full |
Rehabilitation Up to 30 days and the maximum amount shown per period of cover. |
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Paid in Full |
Hospice and palliative care Up to the maximum amount shown per lifetime. |
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Paid in Full |
Internal prosthetic devices/surgical and medical appliances We will pay for:
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Paid in Full | Paid in Full | Paid in Full |
External prosthetic devices/surgical and medical appliances Up to the maximum amount shown per period of cover. We will pay for:
For adults, we will pay for one external prosthetic device. For children up to the age of 16, we will pay for the initial prosthetic device and up to two replacement devices. |
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Local ambulance and air ambulance services Medically necessary travel by local road ambulance or local air ambulance, such as a helicopter, when related to covered hospitalisation. |
Paid in Full | Paid in Full | Paid in Full |
Inpatient cash benefit Per night up to 30 nights per period of cover. We will make a cash payment to the beneficiary when they:
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Emergency inpatient dental treatment Dental treatment in hospital after a serious accident. |
Paid in Full | Paid in Full | Paid in Full |
Mental health care Up to the maximum amount shown per period of cover Subject to the limits explained below we will pay for: • the treatment of mental health conditions and disorders; and • the diagnosis of addictions (including alcoholism); |
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Paid in Full |
Cancer care › Following a diagnosis of cancer, we will pay for costs for the treatment of cancer if the treatment is considered by us to be active treatment and evidence-based treatment. This includes chemotherapy, radiotherapy, oncology, diagnostic tests and drugs, whether the beneficiary is staying in a hospital overnight or receiving treatment as a daypatient or outpatient. › We do not pay for genetic cancer screening. |
Paid in Full | Paid in Full | Paid in Full |
Routine maternity benefit care (Gold and Platinum plans only) Up to the maximum amount shown per period of cover. Available once the mother has been covered by the policy for 12 months or more. › We will pay for the following parent and baby care and treatment, on an inpatient or daypatient basis as appropriate, if the mother has been a beneficiary under this policy for a continuous period of at least 12 months or more: • hospital, obstetricians’ and midwives’ fees for routine childbirth; and • any fees as a result of post-natal care required by the mother immediately following routine childbirth. › We will not pay for surrogacy or any related treatment. We will not pay for maternity benefit care or treatment for a beneficiary acting as a surrogate or anyone acting as a surrogate for a beneficiary. |
Not covered |
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Complications from maternity (Gold and Platinum plans only) Up to the maximum amount shown per period of cover. Available once the mother has been covered by the policy for 12 months or more. › We will pay for inpatient or outpatient treatment relating to complications resulting from pregnancy or childbirth if the mother has been a beneficiary under this policy for a continuous period of at least 12 months or more. This is limited to conditions which can only arise as a direct result of pregnancy or childbirth, including miscarriage and ectopic pregnancy. |
Not covered |
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Homebirths (Gold and Platinum plans only) Up to the maximum amount shown per period of cover. Available once the mother has been covered by the policy for 12 months or more. › We will pay midwives’ and specialists’ fees relating to routine home births if the mother has been a beneficiary under this policy for a continuous period of 12months or more. › Please note that the Complications from maternity cover explained above does not include cover for home childbirth. This means that any costs relating to complications which arise in relation to home childbirth will only be paid in accordance with the home childbirth limits, as explained in the list of benefits. |
Not covered |
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Newborn care Up to the maximum amount shown for treatment within the first 90 days following birth. Available once at least one parent has been covered by the policy for 12 months or more. › Provided the newborn is added to the policy, we will pay for: • up to 10 days routine care for the baby following birth; and • all treatment required for the baby during the first 90 days after birth instead of any other benefit; if at least one parent has been covered by the policy for a continuous period of 12 months or more prior to the newborn’s birth. |
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Congenital conditions Up to the maximum amount shown per period of cover. › We will pay for treatment of congenital conditions on an inpatient or daypatient basis which manifest themselves before the beneficiary’s 18th birthday if: • at least one parent has been covered by the policy for a continuous period of 12 months or more prior to the newborn’s birth and the newborn is added to the policy within 30 days of the birth. • they were not evident at policy inception. |
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Deductible (various) A deductible is the amount which you must pay before any claims are covered by your plan. |
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Cost share after deductible and out of pocket maximum Cost share is the percentage of each claim not covered by your plan.The out of pocket maximum is the maximum amount of cost share you would have to pay in a period of cover.The cost share amount is calculated after the deductible is taken into account. Only amounts you pay related to cost share contribute to the out of pocket maximum. |
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Cigna Global Health Options helps you create a health insurance plan that’s perfectly tailored for the needs of you and your family by offering you the reassurance of comprehensive core cover, and the flexibility of additional modules to build a plan which fits your needs.
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