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William Russell Limited - Elite Platinum Plan

Global Health Elite Platinum Plan


(Previously known as the Select Care Plan)

In-patient and day-patient hospital accommodation and treatment In-patient psychiatric care In-patient treatment for complications of pregnancy Oncology Post hospital treatment Evacuation cover Consultations, prescribed drugs, treatment, and diagnostic tests received as an out-patient Complimentary medicine Treatment for chronic conditions Well-being health screeningWell-child health screeningEmergency dental treatment following an accident Maternity care Routine dental treatment High-value benefit limits Complex dental treatment
Nil excess option

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Full refund (after the excess) of costs that have been authorised in advance by William Russell Ltd or the Assistance Service
Surgeon / Consultant / Specialist & Anaesthetists fees
Full refund (after the excess) of costs that have been authorised in advance by William Russell Ltd or the Assistance Service
Physicians fees & diagnostic tests
Full refund (after the excess) of costs that have been authorised in advance by William Russell Ltd or the Assistance Service
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full refund (after the excess) of costs that have been authorised in advance by William Russell Ltd or the Assistance Service
Organ transplant
Vital organs: heart, kidney, liver, heart and lung transplants
£250,000 : $400,000 : €375,000 life time limit
Outside area of cover limit for USA / Canada
Area One cover - world-wide cover excluding the USA
Area One will give you world-wide cover, excluding the United States of America. There are two sets of rates for Area One cover. If you live in China, Hong Kong, Macau, Taiwan, Japan or Singapore you must pay the Orchid rate. If you live outside these countries, the Standard rate will apply.
Area One Orchid - world-wide cover excluding the USA
As above but for residents of Bali, China, Hong Kong, Japan, Macau, Singapore or Taiwan.
Area Two cover - world-wide cover
World-wide, with cover in the USA restricted to temporary trips of not more than 45 days duration, and limited to US$100,000 per year.
Area Three cover - world-wide cover
World-wide, with cover in the USA restricted to temporary trips of not more than 90 days duration, and limited to US$250,000 per year.
Prosthetic devices
No cover
Psychiatric treatment
Full refund
Up to 30 days per period of cover, available after 24 months cover All costs must be authorised in advance by William Russell Ltd

Key Facts - Out-patient Charges

Complementary medicine
Full refund (after the excess)
Treatment by Chiropractors, Osteopaths, Acupuncturists and Homeopaths when you have been referred by your doctor. Max 10 visits in total per period of cover
Diagnostic tests (excluding scans)
Full refund (after the excess)
e.g.: prescribed drugs, dressing, pathology, scans, radiology, diagnostic tests and treatment received as an out-patient
GP referred consultations
Full refund (after the excess)
Treatment by Chiropractors, Osteopaths, Acupuncturists and Homeopaths when you have been referred by your doctor. Max 10 visits in total per period of cover
Physiotherapy consultant referred
Up to £2,500 : $4,000 : €3,750 per annum after the excess by a registered Physiotherapist when you have been referred by your doctor
Physiotherapy GP referred
Up to £2,500 : $4,000 : €3,750 per annum after the excess by a registered Physiotherapist when you have been referred by your doctor
Psychiatric cover
Full refund (after the excess)
Limited to 10 pre-authorised consultations within the lifetime limit for psychiatric treatment
Radiotherapy / Chemotherapy
Full refund (after the excess)
Scans - MRI / CT / PET
Full refund (after the excess) of costs that have been authorised in advance by William Russell Ltd or the Assistance Service
Surgical Procedures
Full refund (after the excess)
Vaccinations administered by a medical practitioner
No cover

Key Facts - Additional Benefits

Cash benefit if the treatment is received completely free of charge
£200 : $320 : €300 per night (Max 60 nights per period of cover)
Nursing at home
Full refund (Covered for up to 12 weeks per year)
Parental accommodation
Full refund of costs that have been authorised in advance by William Russell Ltd or the assistance service. Payable when the patient is a child aged under 18
Private ambulance
Full refund

Additional Benefits

24 Hour emergency helpline
Included
Accompanying relative travel & accomodation
Travelling expenses of a companion - Full refund (economy class)
Accommodation expenses of a companion - Up to £100 : $160 : €150 per night
If the companion is required to stay with the insured person we will pay towards their hotel accommodation. This benefit is limited to 15 nights accommodation during any one period of cover
AIDS / HIV treatment
No cover
Alcohol & drug abuse
No cover
Annual maximum limit
£1,000,000 : $1,600,000 : €1,500,000 is the total amount the can be claimed by each insured person during each annual period of cover
Children covered
18 (or 24 if still in FTE)
Discount offered for 2nd, 3rd and 4th Child
2nd Child - 25% Discount
3rd Child - 50% Discount
4th, 5th etc - 50% discount
Chinese medicine
Traditional Chinese Medicine - up to £20 : $32 : €30 per session after the excess, and a max of 10 sessions per period of cover for traditional Chinese medicine practitioners registered to practice in china only
Chiropractors & Osteopaths
Full refund (after the excess)
Treatment by chiropractors & osteopaths when you have been referred by your doctor. Max 10 visits in total per period of cover
Chronic conditions & palliative care
Up to £18,750 : $30,000 : €28,125 after the excess for routine check-ups, drugs & dressings prescribed for the palliative treatment of a chronic medical condition
Compassionate home visit
Economy class airfare
The cost of an economy class return airfare to attend the funeral of a close family member. A close family member is a spouse, parent, brother, sister, child or grand-child. The benefit is limited to a lifetime limit of one per insured person.
Cover for new born children
Up to £30,000 : $48,000 : €45,000 per pregnancy
Hospital accommodation and treatment charges of a child born to a mother who has been insured by the Elite Platinum plan for a continuous period of not less than 12 months at the time of birth. Cover is restricted to the first 28 days of life
Cremation / burial or repatriation of remains
Up to £12,500 : $20,000 : €18,750
This benefit is only payable when death occurs outside the home country
Dental treatment
Emergency in-patient dental treatment - required to restore sound, natural teeth following an accident and received within 15 days of the accident - Full refund.
Emergency out-patient dental treatment - required on natural teeth following an accidental injury and carried out within 72 hours of the accident - up to £750 : $1,200 : €1,125 per annum.
Routine dental treatment - Annual screening, preventative scaling, polishing, sealing, fillings, extractions and root canal treatment received after 6 months continuous cover - up to £,1200 : $2,000 : €1,800 per annum.
Complex dental treatment - for crowns, in-lays and bridges received after 12 months continuous Platinum plan cover - up to £1,200 : $2,000 : €1,800 per annum
Emergency medical evacuation & medical repatriation
Up to £500,000 : $800,000 : €750,000
If you have a life threatening condition covered by your plan which cannot be treated locally, we will pay to have you evacuated to the nearest hospital, (as determined by the Assistance Service), where appropriate in-patient treatment is available
Extended care facility
No cover
Health Screening
Adult - Up to £300 : $480 : €450 per annum (towards the cost of an annual medical check-up, a cervical smear test and mammogram for women, a prostate cancer test for men)
Child - Up to £310 : $500 : €460 per annum (towards the cost of routine vaccinations and developmental check-ups)
Hormone replacement therapy
No cover
Infertility investigations
No cover
Maternity cash benefit
Up to £7,500 : $12,000 : €11,250 per pregnancy (Pre-natal, childbirth and post-natal treatments and examinations, and elective caesarean sections)
Overseas cover
Area One cover - world-wide cover excluding the USA Area
One will give you world-wide cover, excluding the United States of America. There are two sets of rates for Area One cover. If you live in China, Hong Kong, Macau, Taiwan, Japan or Singapore you must pay the Orchid rate. If you live outside these countries, the Standard rate will apply.
Area Two cover - world-wide cover
World-wide, with cover in the USA restricted to temporary trips of not more than 45 days duration, and limited to US$100,000 per year.
Area Three cover - world-wide cover
World-wide, with cover in the USA restricted to temporary trips of not more than 90 days duration, and limited to US$250,000 per year.
Personal & total disability benefit
The Global Life Plan pays a cash lump sum to your beneficiary in the event of your death. An optional Accident Protection benefit is also available that pays a cash lump sum if your death is caused by an accident or if an accident causes you a permanent injury.

The Global Income Plan will provide you with a regular income if you suffer an illness or injury which prevents you from working for a continuous period of longer than three or six months.

The Global Life & Income Plans are available to working expatriates in non-hazardous occupations between the ages of 18 and 64. Once you have been issued with a policy, you may continue to renew it up to age 65. The plans are individual, annually renewable and age related which means that the premiums will increase as you get older.

Please visit www.william-russell.com for further information and a online quote.
Policy excess
The excess is the amount you have to pay for each claim you submit.
Nil excess - 20% Loading
£ 30 : $ 50 : € 45 - Standard Rate
£ 60 : $ 100 : € 90
- 5% Discount
£ 250 : $ 400 : € 375 - 15% Discount
£ 500 : $ 800 : € 750 - 20% Discount
£1,000 : $ 1,600 : €1,500 - 30% Discount
£3,000 : $ 5,000 : €4,500 - 40% Discount
£6,000 : $10,000 : €9,000 - 50% Discount
Pre-existing conditions
No cover
Pregnancy complications
Full refund
In-patient treatment required as a result of pregnancy and received after 12 months of continuous cover
Presciption drugs, dressings and medicines
Full refund
Rehabilitation
No cover
Routine maternity cover
Up to £7,500 : $12,000 : €$11,250 per pregnancy
80% of the cost of routine parental childbirth, pre-natal, post-natal treatments and examinations, and elective caesarean sections received after 12 months continuous Elite Platinum plan cover
Sight / vision benefit
No cover
Stabilisation of acute chronic episode
No cover for chronic conditions. However, we will pay for consultations, tests and prescribed medication required to monitor and maintain the stability of a chronic condition up to £18,750 : $30,000 €28,125 per annual period of cover
 
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