{"id":484,"date":"2019-11-19T17:19:53","date_gmt":"2019-11-19T17:19:53","guid":{"rendered":"https:\/\/www.vumigroup.com\/?page_id=484"},"modified":"2021-06-21T22:39:10","modified_gmt":"2021-06-21T22:39:10","slug":"prime-vip","status":"publish","type":"page","link":"https:\/\/www.vumivenezuela.com\/en\/prime-vip\/","title":{"rendered":"Prime VIP"},"content":{"rendered":"

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PRIME <\/span>VIP<\/span><\/span><\/p>\n

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Offers a wide range of benefits with a lifetime coverage of US$5 million<\/span><\/p>\n

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PRIME <\/span>VIP<\/span><\/span><\/p>\n

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Offers a wide range of benefits with a lifetime coverage of US$5 million<\/span><\/p>\n

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DEDUCTIBLE <\/span>OPTIONS*<\/span><\/span><\/p>\n

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\n \n \n \n \n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n
<\/th>Option I<\/th>Option II<\/th>Option III<\/th>Option IV<\/th>Option V<\/th><\/tr>\n<\/thead>\n
<\/td>US$1,500<\/td>US$3,000<\/td>US$5,000<\/td>US$10,000<\/td>US$20,000<\/td> <\/tr>\n
<\/td>US$1,500<\/td>US$3,000<\/td>US$5,000<\/td>US$10,000<\/td>US$20,000<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=”.vc_custom_1593640206298{padding-top: 10px !important;padding-right: 62px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #f4f4f4 !important;}”]<\/p>\n

*Only one deductible per person, per policy year applies. For family policies, a maximum of two deductibles accumulated per policy, per policy year will be applied. For more information, please refer to the policy\u2019s Conditions of Coverage.<\/p>\n

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TABLE OF <\/span>BENEFITS<\/span><\/span><\/p>\n

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<\/i> Download PDF<\/a><\/p>\n

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\n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n \n \n \n \n \n \n
Description<\/th>Coverage<\/th><\/tr>\n<\/thead>\n
Maximum coverage per person, per lifetime<\/td>US$5,000,000<\/td> <\/tr>\n
Maximum coverage per person, per policy year<\/td>US$1,500,000<\/td> <\/tr>\n
Maximum coverage per person, per policy year at 70 years and older<\/td>US$500,000<\/td> <\/tr>\n
Maximum age to apply for coverage<\/td>Up to 75 years old<\/td> <\/tr>\n
Waiting period<\/td>60 days<\/td> <\/tr>\n
Coinsurance (inside USA)<\/td>20% of the first US$5,000 after the deductible; 1 per insured, per policy year; max. of 2 per policy, per policy year<\/td> <\/tr>\n
Coverage outside USA<\/td>100% UCR with free choice of hospitals and doctors*<\/td> <\/tr>\n
Coverage inside USA<\/td>\u2022 100% UCR within the Prime Network\u00ae
\u2022 Outside the Prime Network\u00ae, the coverage will be at 60%
\u2022 Emergencies will be covered at 100% UCR, up to the policy limits
<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Inpatient Benefits” tab_id=”1562174748858-e69f6a5f-5f097187-7a89″][vc_column_text]
\n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n \n \n \n
Description<\/th>Coverage<\/th><\/tr>\n<\/thead>\n
Standard private hospital room<\/td>\u2022 100% UCR within the Prime Network\u00ae
\u2022 Up to US$500 daily, max. of 180 days outside the Prime Network\u00ae<\/td> <\/tr>\n
Use of intensive care unit<\/td>\u2022 100% UCR within the Prime Network\u00ae\u00ae
\u2022 Up to US$1,400 daily, max. of 60 days outside the Prime Network\u00ae<\/td> <\/tr>\n
Adult companion accommodation expenses of a hospitalized insured under 18 years old<\/td>US$150 per night, max. of 100 nights per policy year<\/td> <\/tr>\n
Prescribed medication while hospitalized<\/td>100% UCR<\/td> <\/tr>\n
Inpatient laboratory tests and X-rays<\/td>100% UCR<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Outpatient Benefits” tab_id=”1562174751188-c69e2c79-5c777187-7a89″][vc_column_text]
\n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n \n \n \n \n \n \n
Description<\/th>Coverage<\/th><\/tr>\n<\/thead>\n
Emergency room care<\/td>100% UCR<\/td> <\/tr>\n
Physician and specialist visits (including home visits where available)<\/td>US$80 per visit, max. of 30 visits<\/td> <\/tr>\n
Outpatient surgery<\/td>US$12,000<\/td> <\/tr>\n
Prescribed medication following a hospitalization<\/td>100% UCR for up to 6 months<\/td> <\/tr>\n
Outpatient or non-hospitalization prescription medication<\/td>US$3,000<\/td> <\/tr>\n
Outpatient diagnostic study services (laboratory tests, pathology, X-rays, MRI\/CT\/PET scans)<\/td>US$600 per exam, per insured; max. of US$1,800 per policy year<\/td> <\/tr>\n
Nurse or therapist care at home<\/td>US$5,000<\/td> <\/tr>\n
Preventive health checkup per insured, no deductible applies (options I & II)<\/td>US$100 (after a 12-month waiting period)<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”General Benefits” tab_id=”1562174752411-21141c50-e45f7187-7a89″][vc_column_text]
\n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n \n \n \n \n \n \n \n
Description<\/th>Coverage<\/th><\/tr>\n<\/thead>\n
Surgeon and anesthesiologist fees<\/td>100% UCR<\/td> <\/tr>\n
Oncology: tests, treatment (chemotherapy, radiotherapy and\/or gene therapy) and medication<\/td>100% UCR, max. of US$125,000 per policy year<\/td> <\/tr>\n
Dialysis services<\/td>100% UCR<\/td> <\/tr>\n
Prostheses and medical appliances implanted during surgery<\/td>100% UCR<\/td> <\/tr>\n
Durable medical equipment<\/td>US$1,000<\/td> <\/tr>\n
Physical therapy and rehabilitation<\/td>US$5,000<\/td> <\/tr>\n
Congenital and\/or hereditary conditions diagnosed before age 18<\/td>US$125,000 per lifetime<\/td> <\/tr>\n
Congenital and\/or hereditary conditions diagnosed after age 18<\/td>US$500,000 per lifetime<\/td> <\/tr>\n
Reconstructive surgery after an accident or illness<\/td>Up to the maximum benefit<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Maternity” tab_id=”1562174753022-96410fc9-8b3b7187-7a89″][vc_column_text]
\n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n \n
Description<\/th>Coverage<\/th><\/tr>\n<\/thead>\n
Maternity (options I & II)<\/td>US$3,000
Includes deliveries for pregnancies that are a result of any type of fertility treatments<\/td> <\/tr>\n
Maternity and birth complications (options I & II)<\/td>US$25,000<\/td> <\/tr>\n
Inclusion of the newborn within 90 days after the birth (options I & II)<\/td>Without underwriting, if born from a covered maternity<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Medical Evacuation” tab_id=”1562174753933-abcec223-ef3e7187-7a89″][vc_column_text]
\n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n \n
Description<\/th>Coverage<\/th><\/tr>\n<\/thead>\n
Emergency transportation - Ground ambulance<\/td>100% UCR, no deductible applies<\/td> <\/tr>\n
Emergency transportation - Air ambulance<\/td>US$35,000, no deductible applies<\/td> <\/tr>\n
Repatriation or cremation of mortal remains<\/td>100% UCR<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Other Benefits” tab_id=”1562174754546-ce0305b0-89b27187-7a89″][vc_column_text]
\n \n \n \n \n <\/colgroup>\n \n\n \n\n \n \n \n \n
Description<\/th>Coverage<\/th><\/tr>\n<\/thead>\n
ncy dental coverage<\/td>100% UCR for treatment within the first 30 days of the covered accident, max. of US$6,000 per policy year<\/td> <\/tr>\n
Palliative care<\/td>US$7,500<\/td> <\/tr>\n
Temporary coverage for accidents while application is being underwritten<\/td>US$30,000<\/td> <\/tr>\n
Second Medical Opinion VIP\u00ae<\/td>Access to a second medical opinion of renowned experts from around the world, no deductible applies<\/td> <\/tr>\n <\/tbody>\n <\/table>\n \n \n \n<\/div>\n[\/vc_column_text][\/vc_tta_section][\/vc_tta_tabs][vc_row_inner disable_element=”yes”][vc_column_inner][vc_column_text css=”.vc_custom_1562261870087{margin-top: -38px !important;padding-top: 10px !important;padding-right: 62px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #f4f4f4 !important;}”]<\/p>\n

*For existing Policies, the Waiting Period begins on the Renewal Date. All benefits with 100% coverage are up to the Policy limit.<\/p>\n

All contents of this book are for informative purposes only. The benefits are governed by the terms described in the Conditions of Coverage of the Policy. Unless otherwise stated, the benefits are offered on a per Insured \/ per Policy Year basis in which the chosen Deductible applies. All amounts are in US Dollars (USD). The benefits are limited to the medical expenses covered under the Policy and are subject to the Usual, Customary and Reasonable expenses (UCR) for the geographic area where the expenses were incurred.<\/p>\n

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