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DKV Globality S.A. - Globality YouGenio Top

The Globality YouGenio plan comprises three plan levels: Classic, Plus and Top. The individual plan levels differ in regards to the type and amount of benefits agreed.
The following table of benefits is an extract of the complete scope of benefits and services.

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Full cover
Surgeon / Consultant / Specialist & Anaesthetists fees
Full cover
Physicians fees & diagnostic tests
Full cover
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full cover
Organ transplant
Full cover
Outside area of cover limit for USA / Canada
During periods of temporary absence from the country of residence (i.e. for not more than six weeks), DKV will grant insurance cover for medical emergencies, as well as for the consequences of an accident or death, even in geographical area I. Journeys undertaken for the purpose of obtaining treatment in geographical area I are not insured.
Prosthetic devices
Full cover
Psychiatric treatment
Full cover provided that DKV have agreed in writing to pay benefits before treatment commences

Key Facts - Out-patient Charges

Complementary medicine
Included, up to € 1,000 : $ 1,300 : £ 840 per insured person and per insurance year.
Diagnostic tests (excluding scans)
Full cover
GP referred consultations
Full cover
Physiotherapy consultant referred
Full cover
Physiotherapy GP referred
Full cover
Psychiatric cover
Full cover provided that DKV have agreed in writing to pay benefits before treatment commences
Radiotherapy / Chemotherapy
Full cover
Scans - MRI / CT / PET
Full cover
Surgical Procedures
Full cover
Vaccinations administered by a medical practitioner
Vaccinations
Full cover
Every kind, including the vaccines and prophylactic measures, insofar as these are recommended for the applicable country of residence.

Key Facts - Additional Benefits

Cash benefit if the treatment is received completely free of charge
Substitute cash plan benefit for inpatient treatment actually received, but for which no benefits have been claimed from usIncluded, € 100 : $ 130 : £ 84 per day
Nursing at home
Full cover, up to a period of 14 days
Parental accommodation
Full cover for parent rooming-in during inpatient treatment of an underage child under 18 year old
Private ambulance
Transport to the nearest suitable doctor or hospital for initial treatment following an accident or an emergency, by an approved emergency service with conveyances appropriate to the situation

Additional Benefits

24 Hour emergency helpline
24-hour phone and e-mail service with experienced counsellors, own doctors and specialists
Accompanying relative travel & accomodation
DKV will make arrangements for one family member to travel to the hospital and back home if the stay in hospital lasts for more than seven days. DKV will pay the cost of transport (first class railway travel, economy class flight) and hotel accommodation (for up to even days) up to the specified maximum limit, but only if your relevant Service Center has been contacted beforehand
AIDS / HIV treatment
Full cover
Alcohol & drug abuse
Detoxification programmes including therapies for drug addiction and alcoholism are not covered by the insurance. Without affecting this provision, the contractual benefits will be paid for an initial detoxification for which reimbursement of the costs or benefits in
kind cannot be claimed elsewhere, provided that DKV have agreed in writing to reimburse the costs before the therapy commences.
Annual maximum limit
No annual maximum
Children covered
No age limit
Chinese medicine
Included, up to € 1,000 : $ 1,300 : £ 840 per insured person and per insurance year. Combined limit for complementary medicine and drugs and dressings Acupuncture (needle technique), homeopathy, osteopathy and chiropractic
Chiropractors & Osteopaths
Included, up to € 1,000 : $ 1,300 : £ 840 per insured person and per insurance year. Combined limit for complementary medicine and drugs and dressings Acupuncture (needle technique), homeopathy, osteopathy and chiropractic
Chronic conditions & palliative care
Full cover
Compassionate home visit
Organizing visits for a relative to the patient, up to € 3,000 : $ 3,900 : £ 2,250 per insured person and per insurance year.
Cover for new born children
The newborn baby is insured as from the moment of birth, without qualifying periods, provided that at least one parent is insured under this plan on the day on which the child is born and we receive the application for insurance within two months of the date of birth. If the application for insurance is received more than two months after the date of birth, insurance cover will commence – at the earliest – on the day on which we receive the notification.
Cremation / burial or repatriation of remains
Included, the costs directly incurred for repatriating the deceased to the country of departure or home country (including all formalities),
The costs for repatriating the urn to the country of departure or home country if the deceased has been cremated in the country of residence. Funeral costs as such will not be reimbursed.
Organizational support in case of bereavement, share of repatriation costs up to € 10,000: $ 13,000 : £ 8,400
Dental treatment
Screenings for early detection of disorders of the teeth, mouth and jaw
Dental treatement including inlays
Reimbursement for the following benefits up to € 5,000 : $ 6,500 : £ 4,200 per insured person and per insurance year.
* Dentures (e.g. prostheses, bridges and crowns)
* Up to four implants per jaw and the dentures to be secured to these implants
* Treatment relating to analysis and therapy of dental function
* Orthodontic treatment
* Dental laboratory work and materials
* Compilation of a plan of treatment and costs
Emergency medical evacuation & medical repatriation
Full cover
Extended care facility
Not included
Health Screening
Screenings for early detection of illnesses, particularly
• for early detection of cancer,
• for early detection of cardiovascular disease, kidney disorders and diabetes,
• to ensure a child’s normal physical and mental development
up to € 500 : $ 650 : £ 420 per insured person and per insurance year.
Hormone replacement therapy
Covered, if medically necessary and pre-approved
Infertility investigations
50% up to a maximum of € 15,000 : $ 19,750 : £ 12,600 per insured couple for the duration of the group contract
Maternity cash benefit
Included, lump sum of € 500 : $ 650 : £ 420 per newborn baby as an out-patient childbirth without proof of costs on presentation of the birth certificate
Overseas cover
Not included
Personal & total disability benefit
Not included
Policy excess
The following deductibles can be agreed, but apply exclusively for outpatient expenses:
• Plan level Classic: fixed deductible of € 250/ $ 325/ £ 210
• Plan levels Plus and Top: with or without optional deductible of:
€ 250 : $ 325 : £ 210,
€ 500 : $ 650 : £ 420 or
€ 1,000 : $ 1,300 : £ 840
Pre-existing conditions
Not included
Pregnancy complications
Medical treatment during pregnancy and childbirth, services of a midwife or obstetric nurse in the hospital, but excluding screenings during pregnancy, full cover
Presciption drugs, dressings and medicines
Full cover
Rehabilitation
Full cover up to of 21 days following in-patient treatment per insured person and per insurance year
Routine maternity cover
Pregnancy including preventive screenings and childbirth, midwife and obstetric nurseI, full cover
Sight / vision benefit
Full cover for vision aids, up to € 200 : $ 260 : £ 168 per day per insured person and per insurance year.
Stabilisation of acute chronic episode
Full cover
Other benefits
Other Benefits
Full cover for services of a speech therapist, provided that we have agreed in writing to pay benefits before treatment commences
Full cover for procurement and shipment of vital medication
Appropriate additional medical support (information on the nature, possible causes and possible treatment of an illness)
Support and information by our medical service (second opinion, monitoring of the course of the illness)
Information on medical infrastructure (local medical care and names and addresses of multilingual doctors)
Full cover for Therapeutic aids and appliances
 
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