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Jose Quesada
Medical Director
Bupa International Private Medical Insurance
Jonathan Edelheit
CEO Medical Tourism Association
Director of Global Benefits Association
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Plan
Premier Plan is our flagship product offering extensive benefits worldwide through our network of over 9,600 listed health services providers.
The plan allows direct billing facility within ******network of health service providers. At the same time, you also have the choice to go to a doctor or
hospital of your choice outside our network, and get a reimbursement for services covered in your policy.
Annual Limit AED 5,000,000 Per Person - $ US 1,361,247
Emerge
ncy
Treatm
ent
Covered worldwide
Inpatient
Benefits
Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges)
Diagnostic tests during your hospital stay
Specialist‟s or Physician‟s Fees, and Visiting Doctor‟s Fees
Childbirth or any pregnancy related complications
New born care and accommodation
Benefit for parent and companion accommodation in specific conditions
Home Nursing - On doctor‟s recommendation, plan covers for health services required at home
Cash compensation in case of free inpatient treatment
Emergency cases leading to inpatient treatment
Exclusive
Benefits
Dental Cover including consultations, extractions, root canal, dentures, tooth bleaching, gum treatments and more
Optical Cover including vision tests, spectacles, contact lenses and Lasik surgeries
A preventive medical check-up every policy year
Annual screening for breast, prostate and colon cancer above the specified age as mentioned in your policy
Alternative medicine including Homeopathy, Osteopathy, Acupuncture, Chiropractic treatments and more
Psychiatric treatment for diseases or disorders related to mental health
Consultation with Dietician on nutritional adequacy
Vaccination
Dialysis
Vitamins as prescribed by your doctor
Contraceptives and birth control treatments, as prescribed by your doctor
Hepatitis treatment including hepatitis B and C
Infertility treatment
Groups with more than 50 members have the flexibility to choose from additional coverage modules, including Dental Cover, Optical Cover, Alternative
Medicine and Chiropractic, Home Nursing, and Annual Health Check Ups.
Specialized
Services
A global emergency assistance program through our partner „******
Access to top-class medical experts globally for second opinion services through our partner „******‟
An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications
Access to 24/7 call center staffed with bi-lingual representatives
Easy and safe access to our online portal “My ******” to submit and track claims, search for providers, and more
Access to “**********Customer Club”, an online *************member community, offering exclusive offers from our trusted partners, health and wellness tips
Territori
al Limit
Worldwide (WW)
Plan
Our Enhanced Gold Plan offers health insurance coverage across 4,500 listed providers
worldwide excluding USA and Canada.
What‟s more, you even have the choice to go to a doctor, hospital or pharmacy of your choice and get a reimbursement for services covered under this plan
Annua
l Limit
AED 2,500,000 Per Person US $68000
Emergenc
y
Treatment
Covered worldwide; For maternity in Non-Network – 80% on Reimbursement worldwide
Inpatient
Benefits
Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges)
Diagnostic tests during your hospital stay
Specialist‟s or Physician‟s Fees
Childbirth or any pregnancy related complications
Benefit for parent and companion accommodation in specific conditions
Emergency cases leading to inpatient treatment
Specialize
d Services
Annual screening for breast, prostate and colon cancer above certain age
A global emergency assistance program through our partner „*******************
Access to top-class medical experts globally for second opinion services through our partner „**************
An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications
Access to 24/7 call center staffed with bi-lingual representatives – Arabic and English
Easy and safe access to our online portal “My ******************” to submit and track claims, search for providers, and more
Access to “**************Customer Club”, an online ******member community, offering exclusive offers from our trusted partners, health and wellness tips
Territorial
Limit Worldwide excluding USA and Canada (WW exc. US CAN)
Network
Network within UAE: Exclusive 1 (Direct billing available in American Hospital for In-patient treatment only)
Network outside UAE: WW exc. US CAN
Reimburs
ement at
Non-
Network
Provider
80% for Non-Network providers
In case of Emergencies:
a) 100% covered worldwide
b) 80% covered in Non-Network for Maternity
Plan
Enhanced Bronze Plan offers you health insurance coverage for all health services within UAE. With a network of over 1,400 health service
providers, you may be rest assured that the plan offers complete coverage for inpatient, outpatient, and emergency benefits. You can
also get a second opinion from medical experts globally, should the need arise to
consult them.
Annual Limit AED 500,000 Per Person (AED 250,000 for individuals and small groups*)
Emergency
Treatment
Covered outside UAE, in select list of countries
For maternity in Non-Network – 80% on Reimbursement in select list of countries
Inpatient
Benefits
Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges)
Diagnostic tests during your hospital stay
Specialist‟s or Physician‟s Fees
Childbirth or any pregnancy related complications
Benefit for parent and companion accommodation in specific conditions
Emergency cases leading to inpatient treatment
Specialized
Services
Annual screening for breast, prostate and colon cancer above certain age
Access to top-class medical experts globally for second opinion services through our partner „***********************‟
An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications
Access to 24/7 call center staffed with bi-lingual representatives
Easy and safe access to our online portal “My ***************” to submit and track claims, search for providers, and more
Access to “*********************Customer Club”, an online ***************member community, offering exclusive offers from our trusted partners, health
and wellness tips
Territorial Limit UAE
Network
Network within UAE: Comprehensive 3
Network outside UAE: NA
Reimbursement
No Reimbursement in Non-Network Providers
In case of Emergencies:
a) 100% covered in select list of countries
b) 80% covered in Non-Network for Maternity
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USA
Top Global and Regional Destinations
UK
Singapore
Hong Kong
UAE
Brazil
Mexico
France
Germany
Qatar
-
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
Argentina Chile Netherlands UK Spain Switzerland France New
Zealand
South Africa Australia USA
US$(‘000)
Normal Delivery Knee Replacement Bypass Surgery
Source: International Federation of Health Plans, 2012 Comparative Price Report. Variation in Medical and Hospital Prices by Country
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Efficiency
Top Providers
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Bupa
HQP
Remote
self
assessment
Targeted
Customer
Feedback
Compliments
& complaints
Onsite
inspection
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• Bundle Payments
• Continuum of Care Protocols for International Patients
• Transformational Performance Improvement of Hospitals
• Hospital Quality Program & Bupa Preferred Providers
• Collaboration between Payors and Providers
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Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare

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Centers of Healthcare Excellence and Global Health Insurance – The Future of Mobility in Healthcare

  • 1. Jose Quesada Medical Director Bupa International Private Medical Insurance Jonathan Edelheit CEO Medical Tourism Association Director of Global Benefits Association
  • 5. Plan Premier Plan is our flagship product offering extensive benefits worldwide through our network of over 9,600 listed health services providers. The plan allows direct billing facility within ******network of health service providers. At the same time, you also have the choice to go to a doctor or hospital of your choice outside our network, and get a reimbursement for services covered in your policy. Annual Limit AED 5,000,000 Per Person - $ US 1,361,247 Emerge ncy Treatm ent Covered worldwide Inpatient Benefits Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges) Diagnostic tests during your hospital stay Specialist‟s or Physician‟s Fees, and Visiting Doctor‟s Fees Childbirth or any pregnancy related complications New born care and accommodation Benefit for parent and companion accommodation in specific conditions Home Nursing - On doctor‟s recommendation, plan covers for health services required at home Cash compensation in case of free inpatient treatment Emergency cases leading to inpatient treatment Exclusive Benefits Dental Cover including consultations, extractions, root canal, dentures, tooth bleaching, gum treatments and more Optical Cover including vision tests, spectacles, contact lenses and Lasik surgeries A preventive medical check-up every policy year Annual screening for breast, prostate and colon cancer above the specified age as mentioned in your policy Alternative medicine including Homeopathy, Osteopathy, Acupuncture, Chiropractic treatments and more Psychiatric treatment for diseases or disorders related to mental health Consultation with Dietician on nutritional adequacy Vaccination Dialysis Vitamins as prescribed by your doctor Contraceptives and birth control treatments, as prescribed by your doctor Hepatitis treatment including hepatitis B and C Infertility treatment Groups with more than 50 members have the flexibility to choose from additional coverage modules, including Dental Cover, Optical Cover, Alternative Medicine and Chiropractic, Home Nursing, and Annual Health Check Ups. Specialized Services A global emergency assistance program through our partner „****** Access to top-class medical experts globally for second opinion services through our partner „******‟ An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications Access to 24/7 call center staffed with bi-lingual representatives Easy and safe access to our online portal “My ******” to submit and track claims, search for providers, and more Access to “**********Customer Club”, an online *************member community, offering exclusive offers from our trusted partners, health and wellness tips Territori al Limit Worldwide (WW)
  • 6. Plan Our Enhanced Gold Plan offers health insurance coverage across 4,500 listed providers worldwide excluding USA and Canada. What‟s more, you even have the choice to go to a doctor, hospital or pharmacy of your choice and get a reimbursement for services covered under this plan Annua l Limit AED 2,500,000 Per Person US $68000 Emergenc y Treatment Covered worldwide; For maternity in Non-Network – 80% on Reimbursement worldwide Inpatient Benefits Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges) Diagnostic tests during your hospital stay Specialist‟s or Physician‟s Fees Childbirth or any pregnancy related complications Benefit for parent and companion accommodation in specific conditions Emergency cases leading to inpatient treatment Specialize d Services Annual screening for breast, prostate and colon cancer above certain age A global emergency assistance program through our partner „******************* Access to top-class medical experts globally for second opinion services through our partner „************** An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications Access to 24/7 call center staffed with bi-lingual representatives – Arabic and English Easy and safe access to our online portal “My ******************” to submit and track claims, search for providers, and more Access to “**************Customer Club”, an online ******member community, offering exclusive offers from our trusted partners, health and wellness tips Territorial Limit Worldwide excluding USA and Canada (WW exc. US CAN) Network Network within UAE: Exclusive 1 (Direct billing available in American Hospital for In-patient treatment only) Network outside UAE: WW exc. US CAN Reimburs ement at Non- Network Provider 80% for Non-Network providers In case of Emergencies: a) 100% covered worldwide b) 80% covered in Non-Network for Maternity
  • 7. Plan Enhanced Bronze Plan offers you health insurance coverage for all health services within UAE. With a network of over 1,400 health service providers, you may be rest assured that the plan offers complete coverage for inpatient, outpatient, and emergency benefits. You can also get a second opinion from medical experts globally, should the need arise to consult them. Annual Limit AED 500,000 Per Person (AED 250,000 for individuals and small groups*) Emergency Treatment Covered outside UAE, in select list of countries For maternity in Non-Network – 80% on Reimbursement in select list of countries Inpatient Benefits Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges) Diagnostic tests during your hospital stay Specialist‟s or Physician‟s Fees Childbirth or any pregnancy related complications Benefit for parent and companion accommodation in specific conditions Emergency cases leading to inpatient treatment Specialized Services Annual screening for breast, prostate and colon cancer above certain age Access to top-class medical experts globally for second opinion services through our partner „***********************‟ An in-house Health Support team to support members with chronic diseases on treatment facilities, procedures and medications Access to 24/7 call center staffed with bi-lingual representatives Easy and safe access to our online portal “My ***************” to submit and track claims, search for providers, and more Access to “*********************Customer Club”, an online ***************member community, offering exclusive offers from our trusted partners, health and wellness tips Territorial Limit UAE Network Network within UAE: Comprehensive 3 Network outside UAE: NA Reimbursement No Reimbursement in Non-Network Providers In case of Emergencies: a) 100% covered in select list of countries b) 80% covered in Non-Network for Maternity
  • 8.
  • 10. USA Top Global and Regional Destinations UK Singapore Hong Kong UAE Brazil Mexico France Germany Qatar
  • 11. - 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 Argentina Chile Netherlands UK Spain Switzerland France New Zealand South Africa Australia USA US$(‘000) Normal Delivery Knee Replacement Bypass Surgery Source: International Federation of Health Plans, 2012 Comparative Price Report. Variation in Medical and Hospital Prices by Country
  • 18. • Bundle Payments • Continuum of Care Protocols for International Patients • Transformational Performance Improvement of Hospitals • Hospital Quality Program & Bupa Preferred Providers • Collaboration between Payors and Providers
  • 19.
  • 20.