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William Russell Limited - Essential Care Plus

Global Health Essential Care Plus


key features
If you’re working on a budget, but still want to ensure you have cover for all the important things, our surprisingly comprehensive Global Health Essential Care and Essential Care Plus plans take care of all the essential health care costs.With Global Health Essential you’re covered for hospitalisation, out-patient treatment and emergency medical evacuation. Your premiums are kept to a minimum by excluding cover for the ‘extras’ such as alternative medicine, psychiatric care and maternity care.

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Full refund for Semi-private accommodation or $150 : AED 551 per day towards the cost of a Private accommodation
Surgeon / Consultant / Specialist & Anaesthetists fees
Full refund
Physicians fees & diagnostic tests
Full refund
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full refund
Organ transplant
Full refund for heart, kidney, liver, lung, heart and lung, and bone marrow transplants
Outside area of cover limit for USA / Canada
No cover
Prosthetic devices
No cover
Psychiatric treatment
No cover

Key Facts - Out-patient Charges

Complementary medicine
No cover
Diagnostic tests (excluding scans)
Full refund up to the annual out-patient treatment sub-limit of $5,000 : AED18,350
GP referred consultations
Full refund up to the annual out-patient treatment sub-limit of $5,000 : AED18,350
Physiotherapy consultant referred
Up to $250 : AED 918 per policy year
Physiotherapy GP referred
Up to $250 : AED 918 per policy year
Psychiatric cover
No cover
Radiotherapy / Chemotherapy
Full refund for follow-up consultations and tests within two years from surgery or completion of Chemotherapy or Radiotherapy
Scans - MRI / CT / PET
Full refund
Surgical Procedures
Full refund up to the annual out-patient treatment sub-limit of $5,000 : AED18,350
Vaccinations administered by a medical practitioner
No cover

Key Facts - Additional Benefits

Cash benefit if the treatment is received completely free of charge
No cover
Nursing at home
No cover
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
Up to $1,600 : AED 5,872 per policy year

Additional Benefits

24 Hour emergency helpline
Included
Accompanying relative travel & accomodation
Travelling expenses of a companion - Full Refund (economy class) must be authorised in advance by William Russell Ltd or the Assistance Service.
Accommodation expenses of a companion - No Cover
AIDS / HIV treatment
No cover
Alcohol & drug abuse
No cover
Annual maximum limit
$300,000 : AED 1,101,000 for the total amount that 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
No cover
Chiropractors & Osteopaths
No cover
Chronic conditions & palliative care
No cover
Compassionate home visit
No cover
Cover for new born children
No cover
Cremation / burial or repatriation of remains
Up to $10,000 : AED 36,700
This benefit is only payable when death occurs outside the home country
Dental treatment
Emergency in-patient or day-patient dental treatment following an accident: The treatment must be received within 15 days of the accident for the restoration of sound, natural teeth lost or damaged in an accident.
Up to $5,000 : AED 18,350
Routine dental treatment:
Not covered.
Emergency medical evacuation & medical repatriation
Up to $300,000 : AED 1,101,000
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
No cover
Hormone replacement therapy
No cover
Infertility investigations
No cover
Maternity cash benefit
No cover
Overseas cover
Travel Plan
Clients who purchase a Global Health Plan have the option to take out our Travel insurance plan for added cover. The Plan is particularly beneficial for frequent business travellers who wish to have assurance for their luggage and personal effects. The Travel Plan costs £62 : $104 : €104 for an annual period of cover. If cover is added mid-year we will charge a pro-rata premium.
Travel Plan benefits include:

* Up to 120 days of Travel Insurance benefits for trips made away from your country of residence, and within your country of residence when a trip is pre-booked and involves at least two nights paid accommodation
* Up to £50,000 : $85,000 : €85,000 personal accident benefit
* Up to £2,500 : $4,250 : €4,250 for personal baggage which is lost, damaged or stolen
* Cover for trip cancellation, curtailment and delay
* Legal expenses
* Passport replacement

This is an optional benefit and can be added at any time throughout the client's policy year. Simply contact us and we will send you the necessary application form.

Accident Plan
Clients who purchase a Global Health Plan also have the option to take an Accident Plan, which gives them worldwide financial protection against a debilitating or fatal accident. Accident cover includes up to £250,000 : $375,000 : €375,000 of benefit paid as a cash lump sum in the unfortunate event of a client suffering an accident that results in:

* Death
* Loss of one or both eyes
* Loss of, or permanent loss of the use of, one or more limbs
* Permanent total disablement

This is an optional benefit and can be added at any time throughout the client's policy year. Simply contact us and we will send you the necessary application form
Personal & total disability benefit
No cover
Policy excess
The excess is the amount you have to pay for each claim you submit.
$ 0 : AED 0 - 20% Loading
$ 50 : AED 185 - Standard Rate
$ 1,000 : AED 3,670 - 20% Discount
$ 2,500 : AED 9,175 - 30% Discount
$ 5,000 : AED 36,700 - 40% Discount
Pre-existing conditions
No cover
Pregnancy complications
Up to $5,000 : AED 18,350 per pregnancy
Available after 12 months continuous insurance. In-patient treatment necessary as a direct result of a complication of pregnancy. NB: No cover is provided for childbirth or emergency caesarean section. In-patient treatment required as a result of pregnancy and received after 12 months of continuous cover
Presciption drugs, dressings and medicines
No cover
Rehabilitation
No cover
Routine maternity cover
No cover
Sight / vision benefit
No cover
Stabilisation of acute chronic episode
Cover is provided for treatment of an acute exacerbation of a chronic condition. However, you are not covered for the cost of treatment that is aimed at maintaining or controlling a chronic condition
 
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