BENEFITS

 

COVER

 

 

COVER

 

COVER

 

 

TDC is “Tarif de Convention” (the official price list set up by the French National Healthcare System CPAM)

 

HOSPITAL CHARGES

PLATINE

HOSPITAL

PLATINE

FRANCE

PLATINE

GLOBAL

1. Hospital Charges including :

i) Medical Practitioner or Specialist  fees as an In-Patient or Day Patient

 

 

ii) Diagnostic and surgical procedures as an In-Patient or Day Patient including scans, pathology, X rays, oncology.

 

iii) Surgeons and Anaesthetist fees

including “Depassement

 

 

iv) Theatre fees and nursing by a Qualified Nurse

 

 

v) Daily food charge and bottled water

 

 

vi) Prescribed Drugs and Dressings

 

 

vii) Private Room

(max 30 days per Medical  Condition)

 

 

viii) Physiotherapy

 

 

 

Up to 300%

of TDC

 

 

 

Full

refund

 

 

Up to 300%

of TDC

 

 

Full

refund

 

 

Full

refund

 

Full

refund

 

 

Up to €50

Per day

 

Full

Refund

 

 

 

Up to300%

of TDC

 

 

 

Full

refund

 

 

Up to 300%

of TDC

 

 

Full

refund

 

 

Full

refund

 

Full

refund

 

 

Up to €50

Per day

 

Full

refund

 

 

 

Full

refund

 

 

 

Full

refund

 

 

Full

refund

 

 

Full

refund

 

 

Full

refund

 

Full

refund

 

 

Up to €100

Per day

 

Full

Refund

 

 

2. Parent Accommodation.

Standard private Hospital accommodation in respect of a parent or legal guardian staying with an Insured Person who is under 12 years of age and is admitted as an In-Patient in a Hospital

 

Full

refund

Full

refund 

 

 

 

Full

refund 

 

3. Transportation. The cost of emergency transport necessarily incurred to and from Hospitals for Medical Conditions covered by this Policy

 

Full

refund

Full

refund

 

Full

refund 

 

 

4. Home Nursing. Nursing care given outside a Hospital which is immediately received subsequent to Treatment

as an In-Patient or Day Patient. This must be provided by a Qualified Nurse

 

 

Up to €120 per day

 

 

 

Up to €120

per day

 

 

 

 

Up to €120

Per day

 

5. Reconstructive Surgery. Reconstructive surgery following an Accident or following surgery for an event covered by this Policy

 

Full

refund

Full

refund

 

Full

refund 

OUTPATIENT CHARGES

PLATINE

HOSPITAL

PLATINE

FRANCE

PLATINE

GLOBAL

6. Out-Patient charges including:

i) Medical Practitioner or Specialist fees as an Out-Patient including home visits

 

ii) Diagnostic and surgical procedures as an Out-Patient including scans, pathology, Xrays, oncology.

 

 

iii) Prescribed Drugs and Dressings

 

 

iv) Physiotherapy Home Nursing

where referred by a specialist

Max 30 days per medical condition

 

 

 

x

x

x

Prior to

admission

to Hospital

max 90 days

after discharge

up to

€1.600

x

x

x

 

 

 

 

 

Up to 300%

of TDC

 

Full

refund

 

 

 

Full

refund

 

Full

refund

 

 

 

 

 

Full

refund

 

Full

refund

 

 

 

Full

refund

 

Full

refund

 

7. Alternative Medicines

Limited to Acupuncture, Homeopathy, Chiropractic and Osteopathy on referral of a specialist

 

 

 

Not

covered

 

 

 

 

Up to €400

per period

of cover

 

 

 

Up to €400

per period

of cover

 

8. Cash Benefit

Where Hospital accommodation and all Treatment costs are provided in a State or charitable institution and no claim is submitted under this Policy, providing that the condition suffered would be eligible for Benefit

 

€120 per day

 

 

 

 

 

€120 per day

 

 

 

 

 

 

 

€120 per day

 

 

 

9. Routine Pregnancy and Childbirth

 

Not covered

Not covered

Up to €1.600

Per period of

cover after

24 months cover

10. Complications of Pregnancy and Childbirth

Not covered

Not covered

Up to €50.000

Per period of

cover after

24 months cover

11. Evacuation/Repatriation.

Reasonable travel, accomodation and repatriation expenses of the Insured Person (including one other person necessarily having to travel and/or remain with and /or escort the Insured Person) in the event of Treatment being necessarily undertaken in the Country of Nationality or nearest country with suitable facilities on the certified

instructions of a Medical Practitioner or Specialist and with the prior

approval of The Insurers

 

Not covered

 

 

 

 

 

 

 

 

Not covered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full

refund

12. Mortal Remains Cover

The cost of preparation and transportation of the remains of the Insured Person from the place of death to the Country of Residence,

or the preparation and local burial/cremation of the mortal remains of the Insured Person when death occurs outside the Country of

Residence.

 

Not covered

Not covered

 

 

 

 

Up to €4.000

DENTAL BENEFITS

 

PLATINE

HOSPITAL

 

PLATINE

FRANCE

 

PLATINE

GLOBAL

9. Dental charges including:

 

i) Accidental Damage to Teeth -

Treatment received in an Emergency room in a Hospital within 7 days of incurring Accidental damage caused to sound, natural teeth when given by a Medical or Dental Practitioner

 

ii) Routine Dental Treatment.

The fees of a Dental Surgeon in respect of routine dental Treatment received at a dental surgery

 

 

Full

refund

 

 

 

 

 

Not covered

 

 

 

Full

refund

 

 

 

 

 

Not covered

 

 

 

 

Full

refund

 

 

 

 

 

Up to €800

 

ADDITIONAL BENEFITS

PLATINE

HOSPITAL

 

PLATINE

FRANCE

 

PLATINE

GLOBAL

Personal Accident

Refer to Policy Wording for full details

Not covered

Not covered

 

Up to €80.000

TERITORIAL LIMITS

 

Restricted to

France

Restricted

to

France

 

Europe plus 90 days World Wide

Excluding USA and Canada

MAKSIMUM SUMS INSURED

Per insured person per Policy Year

 

€80.000

 

 

 

 

€80.000

 

 

 

€400.000