| PLAN BENEFITS |
SELECT CARE |
PREMIER CARE |
PREMIER PLUS |
| Annual Benefit Limit |
£500,000 or $800,000 or €750,000 |
£1,000,000 or $1,600,000 or
€1,500,000 |
£5,000,000 or $8,000,000 or
€7,500,000 |
| In-patient and day-patient
benefits |
| In-patient and day case treatment
Hospital accommodation & nursing,
surgeons & anaesthetists fees, MRI & CT scans, physiotherapy,
oncology, parent accommodation and reconstructive surgery. |
Full refund provided all costs
have been authorised in advance by International SOS. |
Full refund provided all costs
have been authorised in advance by International SOS. |
Full refund provided all costs
have been authorised in advance by International SOS. |
Psychiatric treatment
Up to 30 days per period
of cover. Available after 24 months cover. All costs must be authorised
in advance by William Russell Ltd. |
£25,000 or $40,000 or €37,500
Life-time limit |
£30,000
or $48,000 or €45,500
Life-time limit |
£40,000
or $64,000 or €60,000
Life-time limit |
| Organ transplants |
Up to £100,000 or $160,000 or €150,000
(Lifetime limit) |
Up to
£150,000 or $240,000
or €225,000 (Lifetime limit) |
Up to
£200,000 or $320,000
or €300,000 (Lifetime limit) |
Hospital cash benefit
paid for each night
spent in a free hospital |
£25 or $40 or €37.50 per
night
(max 60 nights) |
£50 or $80 or €75 per night
(max 60 nights) |
£100 or $160 or €150 per
night
(max 60 nights) |
| Local ambulance charges |
Full refund* |
Full refund* |
Full refund* |
| Out-patient
benefits |
Out-patient treatment & consultations
Out-patient surgical operations, GP
& specialist consultations and physiotherapy |
Not covered unless post hospital
treatment |
Full refund after the excess |
Full refund after the excess |
| Oncology |
Full refund after the excess |
Full refund after the excess |
Full refund after the excess |
Psychiatric consultations
Limited to 10 pre-authorised consultations
within the life-time limit for psychiatric treatment |
Not covered unless post hospital
treatment |
Full refund after the excess |
Full refund after the excess |
Chronic conditions
Routine check-ups, drugs and dressings
prescribed for the palliative treatment of a chronic medical condition. |
Not covered |
Up to £500 or $800 or €750
after the excess |
Up to £1,000 or $1,600 or €1,500
after the excess |
| Treatment by a chiropractor, osteopath,
homeopath or acupuncturist (Maximum ten sessions per year) |
Not covered unless post hospital
treatment |
Full refund after the excess |
Full refund after the excess |
Home nursing
Covered for up to
12 weeks per year |
Full refund* |
Full refund* |
Full refund* |
Well-being benefit
(12 month waiting period) For a general medical examination, a cervical
smear test and mammogram for women and a prostate cancer test for
men |
Not covered |
£150 or $240 or €225 after
the excess |
£250 or $400 or €375 after
the excess |
| Maternity Benefits |
Complications
of pregnancy
(12 month waiting period) |
Up to
£3,000 or
$4,800 or €4,500 |
Up to
£4,000 or
$6,400 or €6,000 |
Up to
£6,000 or
$9,600 or €9,000 |
Routine maternity care
(12 month waiting period) |
Not covered |
Not covered |
80% of expenditure incurred
up to a limit of £4,000 or $6,400 or €6,000 per pregnancy |
Cover for newborns
Born to a mother who has been insured
by the Premier Plus plan for at least 12 months. |
Not covered |
Not covered |
Up to £25,000 or $40,000 or €37,500
(cover restricted to within the first 28 days of life). |
| Dental treatment benefits |
| Emergency in-patient and
day-patient dental treatment following an accident |
Up to
£3,000 or $4,800 or €4,500 |
Up to
£5,000 or $8,000 or €7,500 |
Up to
£8,000 or $12,800 or
€12,000 |
Routine dental treatment
(6 month waiting period) |
Not covered |
Not covered |
Up to
£500 or $800 or €750 after the excess |
| Evacuation Benefits |
| Emergency medical evacuation
|
Full refund* |
up to £500,000
or $800,000 or €750,000 |
up to £500,000
or $800,000 or €750,000 |
Return airfare
Following an emergency medical evacuation |
Economy class airfare |
Economy class airfare |
Economy class airfare |
| Travelling expenses of a companion |
Economy class airfare |
Economy class airfare |
Economy class airfare |
| Accommodation expenses of the companion |
Up to £45 or $72 or €67.50
per night (max 15 nights) |
Up to £60 or $96 or €90
per night (max 15 nights) |
Up to £75 or $120 or €112.50
per night (max 15 nights) |
| Compassionate home travel |
Economy class airfare |
Economy class airfare |
Economy class airfare |
Repatriation or local
burial of mortal remains |
Up to
£5,000 or
$8,000 or €7,500 |
Up to
£7,000 or $11,200 or
€10,500 |
Up to
£10,000 or $16,000 or
€15,000 |
*Subject always to the overall annual plan limit.
The standard excess amount is £25 or $40 or €37.50 per claim
and it is applied only to the benefits mentioned above.
You may apply for cover in either sterling or US dollars or Euros. If
you pay your premiums in sterling the sterling benefit limits will apply.
If you pay in dollars, the dollar benefit limits will apply. If you pay
in euros, the euro benefit limits will apply.
