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Spain: Sanitas agent (BUPA Group) 

Sanitas Mundi General Conditions   (English)

1. Purpose of the Insurance 

Benefit A: IN-PATIENT CARE

Benefit B: OUT-PATIENT CARE

This benefit covers the partial refund or, as appropriate, total payment by the insurer of expenses corresponding to visits and emergency home visits. It also covers partial refund or, as appropriate, total payment by the insurer of expenses corresponding to physician-prescribed diagnostic tests, therapy, and day-case or out-patient surgery. It also includes partial refund or, as appropriate, total payment by the Insurer of expenses incurred for visits to dentists or extractions, stomatological care as a result of such extractions and scaling when prescribed by a dentist.

The service of ambulance by land for moving the Insured to a hospital or from the hospital to his / her home following medical prescription is included. In case of services recommended by the Insurer, this service will be rendered when the agreed healthcare resources are not enough to care the Insured at his place or he/she requests going to his province or residence. In case of reimbursement, the service will be also rendered in compliance with the economic limits established in the particular conditions of the policy.

The service does not include the moves required for rehabilitation therapies or for performing diagnostic procedures on an outpatient basis.

Also included is home health care prescribed by a physician, provided exclusively by the medical services recommended by the Insurer.

The podiatry (chiropody) service is also covered, subject to the maximum number of sessions stipulated in the Particular Conditions.

Benefit C: PROSTHETIC DEVICES

 

Return to Index (English Conditions)

For more information your English Sanitas agent is: David Harris              

Mobile / cell: (00 34) 609 522 300    

email:     saniprof@wanadoo.es  

Any questions or comments to  saniprof@mail.ddnet.es - thanks.

(Free messenger service - I cover the whole of Spain (click here...))

 
Preliminary clause Definitions I. Purpose of the insurance
II. Excluded risks III. Grounds for contract IV. Excess
V. Waiting periods VI. Claims procedure VII. Refunds of expenses
VIII. Term of insurance policy IX. Insurance premiums X. Other obligations and duties of policyholders and / or members
XI. Rights of policyholders and / or members XII. Other obligations of the insurer XIII. Disputes 
XIV. Duplicate copies of policy XV. Subrogation XVI. Prescription
XVII. Notifications XVIII. Claims-control and procedure XIX. Others

Apartado (PO Box) 19

28760 Tres Cantos    Madrid

Tlf: ( 00 34) 91 804 3802    Fax: (00 34) 91 803 2484

 
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Mainly health plans S.L CIF: B19250372 Inscrito en el Registro Mercantil de Guadalajara: Documento: 1/2007/1.655,0 Diario: 14 Asiento: 779 Tomo 495 Libro: 0 Folio: 71 Hoja: GU-6611.

Suscrita Póliza de Responsabilidad Civil Profesional conforme a lo dispuesto en la Ley de Mediación de Seguros Privados

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Copyright © All rights reserved. 2000 - David M Harris
Última modificación: 22 de May de 2011