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DKV Globality S.A. - Globality CoGenio Classic

The Globality CoGenio 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
Included for oncological drugs and treatment up to € 50,000 : $ 65,000 : £ 42,000
Organ transplant
Not included
Outside area of cover limit for USA / Canada
Geographical Area II: 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
Included, such as cardiac pacemakers, if needed as a life-saving measure
Psychiatric treatment
Full cover provided that DKV have agreed in writing to pay benefits before treatment commences

Key Facts - Out-patient Charges

Complementary medicine
Not included
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
Not included

Key Facts - Additional Benefits

Cash benefit if the treatment is received completely free of charge
Not included
Nursing at home
Not included
Parental accommodation
Not included
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
Full cover
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
up to the age of 25.
Chinese medicine
Not included
Chiropractors & Osteopaths
Not included
Chronic conditions & palliative care
Full cover
Compassionate home visit
Not included
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 € 2,500: $ 3,250 : £ 2,100
Dental treatment
Pain relieve treatment included
Reimbursement of 50 % for the following benefits if needed as a result of an accident
* Dentures (e.g. prostheses, bridges and crowns)
* Up to four implants per jaw and the dentures to be secured to these implants
* 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
Not included
Hormone replacement therapy
Covered, if medically necessary and pre-approved
Infertility investigations
Not included
Maternity cash benefit
Not included
Organ Transplants
Not included
Overseas cover
Up to 6 weeks
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
Pre-existing conditions
Pre-existing conditions can be covered with MHD underwriting with a minimum of 10 principle insured members.
Pregnancy complications
Not included
Presciption drugs, dressings and medicines
Not included
Rehabilitation
Not included
Routine maternity cover
Not included
Sight / vision benefit
Not included
Stabilisation of acute chronic episode
Full cover
Well Baby Examination
Full cover
Other benefits
Other Benefits
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)
 
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