ExpatriateHealthCare

EXPATRIATE HEALTHCARE PROGRAM
COVER BENEFITS

PRODUCT STRUCTURE

Options	BASE COVER(BC)	BACK HOME COVER(BHC)	COMPREHENSIVE COVER(CV)	REMARKS
Plans	Primary Healthcare Cover Hospital Cover	Back Home Cover Medical Evacuation Cover	Primary Healthcare cover Hospital Cover Back Home Cover Medical Evacuation Cover	Access Plan: Flexible and tailored-made based on customer needs
ANNUAL LIMITS	Stated Benefits	Stated Benefits	Stated Benefits	-

1. COUNTRY OF EXPATRIATION

PRIMARY HEALTH BENEFITS COVER

	BASE COVER(BC)		BACK HOME COVER(BHC)		COMPREHENSIVE COVER(BHC)
INCIDENT LIMIT	Budget	Stated Benefit	-	-	Stated Benefit	Stated Benefit
BENEFIT	Individual & Family	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	Medical Debit Card
Consultation	Up to benefit limit	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Dentistry	Up to benefit limit	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Optometry	Up to benefit limit	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Laboratory	Up to benefit limit	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Radiology	Up to benefit limit	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Pharmacy Acute	Up to benefit limit	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Ancillary	Up to benefit limit	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Maternity(OPC)	Up to benefit limit	Stated Benefit	N/A	Stated Benefit	Stated Benefit	Stated Benefit

HOSPITAL BENEFITS COVER

Options	BASE COVER(BC)		BACK HOME COVER(BHC)		COMPREHENSIVE COVER(BHC)
INCIDENT LIMIT	N/A	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
BENEFITS		BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS
Hospitalization	N/A	Full Cover	N/A	N/A	Full Cover	Full Cover
Pharmacy	N/A	Full Cover	N/A	N/A	Full Cover	Full Cover
Radiology	N/A	Full Cover	N/A	N/A	Full Cover	Full Cover
Pathology	N/A	Full Cover	N/A	N/A	Full Cover	Full Cover
Rehabilitation	N/A	Full Cover	N/A	N/A	Full Cover	Full Cover
Prosthesis and Devices	N/A	Full Cover	N/A	N/A	Full Cover	Full Cover
Maternity(NVD)	N/A	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit
Maternity (C/Section)	N/A	Stated Benefit	N/A	N/A	Stated Benefit	Stated Benefit

2. COUNTRY OF NON RESIDENCE

BACK HOME BENEFITS COVER

Options	BASE COVER(BC)		BACK HOME COVER(BHC)		COMPREHENSIVE COVER(BHC)
INCIDENT LIMIT	N/A	N/A	Stated Benefit	Stated Benefit	Stated Benefit	Stated Benefit
BENEFITS		BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS
Hospitalization	N/A	N/A	Full Cover	Full Cover	Full Cover	Full Cover
Pharmacy	N/A	N/A	Full Cover	Full Cover	Full Cover	Full Cover
Radiology	N/A	N/A	Full Cover	Full Cover	Full Cover	Full Cover
Pathology	N/A	N/A	Full Cover	Full Cover	Full Cover	Full Cover
Rehabilitation	N/A	N/A	Full Cover	Full Cover	Full Cover	Full Cover
Prosthesis and Devices	N/A	N/A	Full Cover	Full Cover	Full Cover	Full Cover
Maternity(NVD)	N/A	N/A	Stated Benefit	Stated Benefit	N/A	N/A
Maternity (C/Section)	N/A	N/A	Stated Benefit	Stated Benefit	N/A	N/A

INTERNATIONAL COVER

Options	BASE COVER(BC)		BACK HOME COVER(BHC)		COMPREHENSIVE COVER(BHC)
INCIDENT LIMIT	N/A	N/A	N/A	Stated Benefit	Stated Benefit	Stated Benefit
BENEFITS		BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS
Hospitalization	N/A	N/A	N/A	Full Cover	Full Cover	Full Cover
Travel fare	N/A	N/A	N/A	N/A	Stated Benefit	Stated Benefit
Accommodation	N/A	N/A	N/A	Full Cover	Full Cover	Full Cover
Repatriation of Mortal remains	N/A	N/A	N/A	Full Cover	Full Cover	Full Cover

3. ADDITIONAL BENEFITS COVER

VALUED ADDED BENEFITS(VAS)

Options	BASE COVER(BC)		BACK HOME COVER(BHC)		COMPREHENSIVE COVER(BHC)
BENEFITS		BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS	BENEFIT LIMITS
Medical Debit Card	N/A	N/A	N/A	N/A	N/A	N/A
Mobile Data	N/A	N/A	Stated Benefit	Stated Benefit	Stated Benefit	Stated Benefit
Mobile Airtime	Stated Benefit	Stated Benefit	Stated Benefit	Stated Benefit	Stated Benefit	Stated Benefit
Mobile Handset (Smart Phone)	Stated Benefit	Stated Benefit	Stated Benefit	Stated Benefit	N/A	N/A
Mobile Handset (Tablet)	N/A	N/A	N/A	N/A	Stated Benefit	Stated Benefit
Mobile Wallet	TBA	TBA	TBA	TBA	TBA	TBA

4. PREMIUM TABLE MATRIX

BASE ANNUAL PREMIUM

Options	BASE COVER(BC)		BACK HOME COVER(BHC)		COMPREHENSIVE COVER(BHC)
	IND.	FAM.	IND.	FAM.	IND.	FAM.
PREMIUM	SUBJECT TO COUNTRY OF EXPATRIATION	SUBJECT TO COUNTRY OF EXPATRIATION	SUBJECT TO COUNTRY OF EXPATRIATION	SUBJECT TO COUNTRY OF EXPATRIATION	SUBJECT TO COUNTRY OF EXPATRIATION	SUBJECT TO COUNTRY OF EXPATRIATION
	ENQUIRE	ENQUIRE	ENQUIRE	ENQUIRE	ENQUIRE	ENQUIRE
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