Logo A+ International Healthcare

Seguro Internacional | Full

Global-80 2700- Only US/CA

Deductible: 2.700 USD and Max. Coverage: 2.025.000 USD/Year

Consult
Administrators
A Plus International Services Limited
Room 4, 17 th Floor, Westlands Centre,
20 Westlands Road, Quarry Bay,
Hong Kong China S.A.R.
Tel: + 852 2891 3608
Fax: + 852 2891 3229
Email: [email protected]
Concepts and trademarks
are licensed from
A Plus International Insurance Development AG
CH-8032 Zurich, Switzerland
www.aplusii.com
Your Health First
Worldwide Plans
Benefits Table
effective 1/1/2022
Benefits Table
- effective 1/1/2022
Note: The General Conditions
can be provided upon request
or downloaded from
www.aplusii.com

Important notice:

1) Only expenses which are
‘reasonable & customary’ can qualify for reimbursement. (for all
plans and options)

2) Unless indicated otherwise, all
ceilings mentioned in this table are applicable per Insured
and
per Insurance Year.
3) For
definitions of the terms used in this table, reference is explicitly made to article 1.2.
(‘Definitions’) of Chapter I of the General Conditions.

4) Pre-existing conditions are covered subject to acceptance by the medical consultant at

the time of enrolment.

Level of cover is according to the limits of the plan chosen.

Hospitalisation
Global 80 Global 100 Global 100 Plus
BENEFITS
a) Hospitalisation a) Hospitalisation
b) Outpatient 80%

c) Other Benefits

a) Hospitalisation

b) Outpatient 100%

c) Other Benefits

a) Hospitalisation

b) Outpatient 100%

c) Maternity treatment

d) Other Benefits

Maximum total

reimbursement per Insured

and per insurance year

Premiums and claims shall be

payable in US$, EUR, GBP or CHF,

according to the currency in which

the policy has been concluded. *

$ 1,350,000

€ 1,000,000

GBP 900,000

CHF 1,500,000

$ 2,025,000

€ 1,500,000

GBP 1,350,000

CHF 2,250,000

$ 4,050,000

€ 3,000,000

GBP 2,700,000

CHF 4,500,000

$ 4,050,000

€ 3,000,000

GBP 2,700,000

CHF 4,500,000

Hospitalisation
Global 80 Global 100 Global 100 Plus
1. Inpatient Care (with overnight stay in hospital)

Important:
Precertification is always required except in case of emergency (see article 2.1.3.4. ‘precertification’ in General
Conditions). Failure to comply with the precertification requirement could lead to a reduction of the reimbursement.

Hospital accommodation

-
Room & board (standard private
room or semi-private if private

room is not available
) Full Cover Full Cover Full Cover Full Cover
- Intensive Care Unit (ICU)
Full Cover Full Cover Full Cover Full Cover
-
One accompanying parent for
child under age 16 having to stay

overnight in hospital

Full Cover

up to 14 days

Full Cover

up to 14 days

Full Cover

up to 14 days

Full Cover

up to 14 days

Doctors' fees (including surgeon's &

anaesthetist's fees)
Full Cover Full Cover Full Cover Full Cover
Other medical expenses, including:

- use of operating room and recovery room

- lab exams / - medical imaging (X-ray,

CT, MRI, etc.)

- prescription drugs and dressings

- physiotherapy

- logopaedic treatment, speech therapy,

occupational therapy and ergo therapy

Full Cover
Full Cover Full Cover Full Cover
Cancer treatment (e.g. radiotherapy,

chemotherapy) and diabetes, kidney dialysis,

excluding all experimental treatments

Full Cover
Full Cover Full Cover Full Cover
Psychiatric inpatient hospital care

Full Cover up to

$ 13,500 / € 10,000

/ GBP 9,000

/ CHF 15,000

Full Cover up to

$ 13,500 / € 10,000

/ GBP 9,000

/ CHF 15,000

Full Cover up to

$ 13,500 / € 10,000

/ GBP 9,000

/ CHF 15,000

Full Cover up to

$ 13,500 / € 10,000

/ GBP 9,000

/ CHF 15,000

Accidental Damage to teeth (treatment

received in an emergency ward of a hospital

within 5 days of incurring an accidental

damage to sound and natural teeth)

Full Cover
Full Cover Full Cover Full Cover
* Euro, GBP and CHF only available to residents in the European Union and Switzerland
Reconstructive Surgery following an accident Full Cover Full Cover Full Cover Full Cover
Hospital Cash Benefit: daily allowance,

only when room, board & treatment

costs are not claimed to the policy

$ 67.50 / € 50 /

GBP 45 / CHF 75

per night

up to 60 nights

$ 135 / € 100 /

GBP 90 / CHF 150

per night

up to 60 nights

$ 270 / € 200 /

GBP 180 / CHF 300

per night

up to 60 nights

$ 270 / € 200 /

GBP 180 / CHF 300

per night

up to 60 nights

Organ transplant

We cover doctors’ fees, hospital

accommodation (standard private

room) and other related medical

expenses during hospital stay.

Excluded from cover: costs related

to the search for a donor, costs for

acquisition of the organ, costs incurred

for removal of organ from the donor

Full Cover

(Prior approval

from the Insurer’s

Medical Consultant)

Full Cover

(Prior approval

from the Insurer’s

Medical Consultant)

Full Cover

(Prior approval

from the Insurer’s

Medical Consultant)

Full Cover

(Prior approval

from the Insurer’s

Medical Consultant)

Rehabilitation and convalescence rest /

care (when the admission immediately

follows hospitalisation)

Full Cover

up to 30 days

Full Cover

up to 30 days

Full Cover

up to 60 days

Full Cover

up to 60 days

Hospitalisation
Global 80 Global 100 Global 100 Plus
2. Outpatient Care

GP

Fees of a GP (General Practitioner,

Family Doctor)

Not Covered
80% Full Cover Full Cover
Specialist

Fees of a Specialist Doctor
Not Covered 80% Full Cover Full Cover
Consultations, Diagnosis tests,lab

tests, medical imaging (cf. X-Ray,

Ct, MRI, etc.) by GP and Specialist,

Prescribed Drugs, Treatments by

Physiotherapists related to inpatient

treatments within 15 days prior to

admission and up to 30 days following

hospital release

Up to maximum of

$ 2,000 / € 1,500 /

GBP 1,333 /

CHF 3,000 /

if related to Inpatient

treatment

Full Cover
Full Cover Full Cover
Outpatient psychiatric care, ergotherapy,

logopaedics and / or speech therapy,

occupational therapy

Only care prescribed by or performed by

a Doctor can qualify for reimbursement.

The covered amount includes fees of

Doctor and / or (treatment fees of) Medical

Practitioner, but does not include prescription

drugs which are covered according to the

provisions of paragraph below.

Not Covered

50% up to

$ 1,350 /

€ 1,000 /

GBP 900 /

CHF 1,500

50% up to

$ 2,700 /

€ 2,000 /

GBP 1,800 /

CHF 3,000

50% up to

$ 2,700 /

€ 2,000 /

GBP 1,800 /

CHF 3,000

Prescription drugs

Only drugs that are prescribed by

a Doctor and that are not available

without prescription can be reimbursed.

Not Covered
80% Full Cover Full Cover
Diagnostic tests, lab tests, medical

imaging (cf. X-ray, CT, MRI, etc.)
Not Covered 80% Full Cover Full Cover
Traditional Chinese Medicine
Not Covered 80% Full Cover Full Cover
Cancer treatment (e.g. radiotherapy,

chemotherapy) and diabetes, kidney dialysis,

excluding all experimental treatments

Full Cover
Full Cover Full Cover Full Cover
Physiotherapy prescribed by a Doctor
Not Covered
80% up to

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

Full Cover up to

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

Full Cover up to

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

M
edical aids (including hearing aids,
orthopaedic appliances & stockings,

artificial limbs, wheelchair)

Not Covered

80% up to

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

Full Cover up to

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

Full Cover up to

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

Treatments performed by

Complementary Medical

Practitioners:

Chiropractor / Osteopath /

Acupuncturist / Homeopath

These treatments must be prescribed

by a registered medical Doctor.

Not Covered

80% up to

$ 2,700 /

€ 2,000 /

GBP 1,800 /

CHF 3,000

Full Cover up to

$ 4,050 /

€ 3,000 /

GBP 2,700 /

CHF 4,500

Full Cover up to

$ 4,050 /

€ 3,000 /

GBP 2,700 /

CHF 4,500

Day surgery (outpatient surgery)
Full Cover
(precertification

required)

Full Cover

(precertification

required)

Full Cover

(precertification

required)

Full Cover

(precertification

required)

Preventive care & wellness benefits

A waiting period of 12 months applies

- well baby care

- medically required vaccinations

(adults & children)

- one routine eye test per insurance year

- one adult physical examination every 2

years including:

- one (bilateral) mammogram and

one pap-smear test every 2

years (females as of age 35)

- one PSA-test every 2 years

(males as of age 50)

Not Covered

Full Cover

combined cover of

up to

$ 675 /

€ 500 /

GBP 450 /

CHF 750

Full Cover

combined cover of

up to

$ 1,012.50 /

€ 750 /

GBP 675 /

CHF 1,125

Full Cover

combined cover of

up to

$ 1,012.50 /

€ 750 /

GBP 675 /

CHF 1,125

3. Medical Evacuation and Repatriation Services
* (Prior Approval from Insurer compulsory)
Evacuation / Repatriation

Emergency medical evacuation to the nearest hospital or emergency medical repatriation
Full Cover
Transportation of mortal remains or burial at the place of death
Full Cover
Compassionate Visit by a relative of the Insured

(Applicable when hospitalisation in excess of 5 consecutive days)

One economy class return airfare

Accommodation for compassionate visit by a relative accompanying the insured

Full Cover

$ 125
/ € 100 / GBP 80 / CHF 150 per day (Max 7 days)
Return of minor children (<19, unmarried and at school) if left alone when Insured

is hospitalised. One-way economy class airfare per eligible child
Full Cover
Early Return

One economy class return airfare
Full Cover
Temporary replacement colleague (transport costs)
Full Cover
For complete terms and conditions and explanation of benefits, refer to Chapter III of the General Conditions

Hospitalisation
Global 80 Global 100 Global 100 Plus
4. Other Benefits

Local ambulance to nearest hospital

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Dental treatment following an accident

(surgical reconstruction covered

under hospitalisation benefits)

Covered under

Accidental Damage

to teeth

Covered under

Accidental Damage

to teeth

Covered under

Accidental Damage

to teeth

Covered under

Accidental Damage

to teeth

Nursing at home
Not Covered
80%. Annual max.

reimbursement of

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

up to 60 days

Full Cover.

Annual max.

reimbursement of

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

up to 60 days

Full Cover.

Annual max.

reimbursement of

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

up to 60 days

* This service is provided by AXA Assistance
Treatments performed by
Complementary Medical

Practitioners:

Chiropractor / Osteopath /

Acupuncturist / Homeopath

These treatments must be prescribed

by a registered medical Doctor.

Not Covered

80% up to

$ 2,700 /

€ 2,000 /

GBP 1,800 /

CHF 3,000

Full Cover up to

$ 4,050 /

€ 3,000 /

GBP 2,700 /

CHF 4,500

Full Cover up to

$ 4,050 /

€ 3,000 /

GBP 2,700 /

CHF 4,500

Day-care treatment and Day surgery
Full Cover
(precertification

required)

Full Cover

(precertification

required)

Full Cover

(precertification

required)

Full Cover

(precertification

required)

Preventive care & wellness benefits

A waiting period of 12 months applies

- well baby care

- medically required vaccinations

(adults & children)

- one routine eye test per insurance year

- one adult physical examination every 2

years including:

- one (bilateral) mammogram and

one pap-smear test every 2

years (females as of age 35)

- one PSA-test every 2 years

(males as of age 50)

Not Covered

Full Cover

combined cover of

up to

$ 675 /

€ 500 /

GBP 450 /

CHF 750

Full Cover

combined cover of

up to

$ 1,012.50 /

€ 750 /

GBP 675 /

CHF 1,125

Full Cover

combined cover of

up to

$ 1,012.50 /

€ 750 /

GBP 675 /

CHF 1,125

3. Medical Evacuation and Repatriation Services
* (Prior Approval from Insurer compulsory)
Evacuation / Repatriation

Emergency medical evacuation to the nearest hospital or emergency medical repatriation
Full Cover
Transportation of mortal remains or burial at the place of death
Full Cover
Compassionate Visit by a relative of the Insured

(Applicable when hospitalisation in excess of 5 consecutive days)

One economy class return airfare

Accommodation for compassionate visit by a relative accompanying the insured

Full Cover

$ 125
/ € 100 / GBP 80 / CHF 150 per day (Max 7 days)
Return of minor children (<19, unmarried and at school) if left alone when Insured

is hospitalised. One-way economy class airfare per eligible child
Full Cover
Early Return

One economy class return airfare
Full Cover
Temporary replacement colleague (transport costs)
Full Cover
For complete terms and conditions and explanation of benefits, refer to Chapter III of the General Conditions

Hospitalisation
Global 80 Global 100 Global 100 Plus
4. Other Benefits

Local ambulance to nearest hospital

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Full Cover up to

$ 2,025 / € 1,500 /

GBP 1,350 /

CHF 2,250

Dental treatment following an accident

(surgical reconstruction covered

under hospitalisation benefits)

Covered under

Accidental Damage

to teeth

Covered under

Accidental Damage

to teeth

Covered under

Accidental Damage

to teeth

Covered under

Accidental Damage

to teeth

Nursing at home
Not Covered
80%. Annual max.

reimbursement of

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

up to 60 days

Full Cover.

Annual max.

reimbursement of

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

up to 60 days

Full Cover.

Annual max.

reimbursement of

$ 2,700 / € 2,000 /

GBP 1,800 /

CHF 3,000

up to 60 days

* This service is provided by AXA Assistance
Maternity
- waiting period of 12 months applies

- benefit limits on a per pregnancy basis

-
elective caesarean surgery excluded
80%

- Pregnancy
Not Covered 80% up to $12,000 Not Covered
80% up to

$ 12,000 /

€ 8,900 /

GBP 8,000 /

CHF13,350

- Childbirth

The covered amount includes doctors’

fees, hospital accommodation and other

related medical expenses during

hospital stay.

Not Covered
Not Covered Not Covered
- Prescribed Caesarean
Not Covered Not Covered Not Covered
Chronic Conditions (not pre-existing):
Covered Covered Covered Covered
Complication of Pregnancy
Covered Covered Covered Covered
Congenital Conditions
Covered Covered Covered Covered
AIDS / HIV Treatment
Covered Covered Covered Covered
Hormone Replacement therapy
Covered Covered Covered Covered
Expenses related to sterilisation

(waiting period of 12 months applies)

One sterilisation

per insured and per

lifetime

One sterilisation

per insured and per

lifetime

One sterilisation

per insured and per

lifetime

One sterilisation

per insured and per

lifetime

Hospice and palliative care in case of

Terminal Illness

$ 100,000 /

€ 75,000 /

GBP 65,000 /

CHF 90,000

per insured and per

lifetime

$ 100,000 /

€ 75,000 /

GBP 65,000 /

CHF 90,000

per insured and per

lifetime

$ 100,000 /

€ 75,000 /

GBP 65,000 /

CHF 90,000

per insured and per

lifetime

$ 100,000 /

€ 75,000 /

GBP 65,000 /

CHF 90,000

per insured and per

lifetime

Note: ‘Covered’ means treatment is reimbursed according to the limits of the plan chosen.

Additional Options

5. Dental and Optical

Eligibility

The optional dental insurance is only open to persons a) who are accepted into the medical insurance plan and b) who are

contracting into the Global 80, Global 100 or Global 100 Plus medical plans.

Dental & Optical plans are not available with Deductible of $ 6,750 / € 5,000 / GBP 4,500 / CHF 7,500.

The choice for taking out the dental insurance has to be made on per family level in the sense that all members of the same family, i.e.

the Insured and his / her dependants who are accepted into the medical insurance, have to a) take out the dental insurance or not (i.e.

all family members or none); b) opt for the same Dental and Optical plan (Dental & Optical Standard or Dental & Optical Plus).

Benefits

Deductibles do not apply to Dental & Optical benefits. Only expenses that are ‘reasonable and customary’ can qualify for

reimbursement, subject to the limits and ceilings as mentioned in following benefit table.

Dental and Optical Standard
Dental and Optical Plus
Max. reimbursement per insured per year
$ 3,375 / € 2,500 /
GBP 2,250 / CHF 3,750

$ 6,750 / € 5,000 /

GBP 4,500 / CHF 7,500

Basic dental care

Includes up to 2 periodic check-ups per year,

prophylactic treatments, fillings, root canal

treatment, extraction, paradental treatment,

treatment of paradontosis, treatment of gums, etc.

A waiting period of 6 months applies.

80% up to

$ 2,025 /

€ 1,500 /

GBP 1,350 /

CHF 2,250

Full Cover up to

$ 2,700 /

€ 2,000 /

GBP 1,800 /

CHF 3,000

Major dentistry

Bridges, implants, orthodontic treatment and dental

prostheses (dentures, crowns, inlays). The amount covered

includes the fees of the Dentist (or Dental Surgeon).

Orthodontic treatment
is only covered if started
before age 17 (seventeen).

A waiting period of 12 months applies.

80% up to

$ 1,350 /

€ 1,000 /

GBP 900 /

CHF 1,500

80% up to

$ 4,050 /

€ 3,000 /

GBP 2,700 /

CHF 4,500
6. Currency Plans can be subscribed in US dollars, Euro, Great Britain Pound (GBP) or Swiss Francs (CHF)
7. Cover Area
- Worldwide
- Worldwide Excluding USA / Canada

8. Deductible
US$ EUR GBP CHF
Applicable only to benefits of the 4 main plans,

per insured and per insurance year.

0
0 0 0
Available for all 4 medical plans
675 500 450 750
1,350
1,000 900 1,500
2,700
2,000 1,800 3,000 Only available with Global 80,
Global 100 or Global 100 Plus
6,750 5,000 4,500 7,500
9. Accidental death and dismemberment (AD&D)
- Not available to Hong Kong applicants and policies subscribed in Hong Kong
This cover will guarantee the payment of a lump sum in case you die in an accident or you incur a permanent disability of

at least 20% caused by an accident.

Lump Sum after accidental death

-
up to a maximum of US$ 675,000 / € 500,000 / GBP 450,000 / CHF 750,000 with a minimum of US$ 67,500 / € 50,000 /
GBP 45,000 / CHF 75,000

- cover is available for you and your adult dependants

Lump Sum after permanent disability

-
from at least a permanent disability degree of 20%;
-
cash benefit = sum insured x degree of disability
10. Loss of Income (TI / PD)
- Not available to Hong Kong applicants and policies subscribed in Hong Kong
Temporary incapacity (TI)

With the temporary incapacity plan option, you will feel more secure knowing your family will be protected financially if you are

totally unable to perform your professional occupation due to illness or accident. You can choose the level of income benefit

that is appropriate to you and your family:

- up to 80% of pre-disability gross monthly salary;

- subject to a maximum of $ 13,500 / € 10,000 / GBP 9,000 / CHF 15,000 per month and a minimum of $ 1,350 / € 1,000 /

GBP 900 / CHF 1,500.

Income protection during 24 months

We will pay you a regular income for as long as you are unable to return to work. After a waiting period of 90 days, the income

will start up to a maximum of 24 months.

If you are still unable to resume work after 24 months then you will receive a lump sum through the Permanent Disability plan

if the PD option below has been contracted.

Permanent disability (PD)
(can be taken out only as supplement option to Temporary Incapacity)
With this option, you receive a lump sum in case you are affected by a permanent disability of at least 33.33% caused by

illness or accident. You can choose the level of sum insured that is appropriate to you:

- up to 80% of pre-disability gross monthly salary multiplied by 48 months;

- subject to a maximum of
$ 648,000 / € 480,000 / GBP 432,000 / CHF 720,000 and a minimum of $ 64,800 / € 48,000 /
GBP 43,200 / CHF 72,000;

- when disability is between 33.33% and 66.67%, then cash benefit = sum insured x ((3 x n) - 1), n = degree of disability (%);

- when disability is above 66.67%, then cash benefit = sum insured.

Additional payment of $ 33,750 / € 25,000 / GBP 22,500 / CHF 37,500

If from the start of the disability you need the assistance of a third person to perform the basic activities of daily living (such as

feeding, washing yourself) and your degree of disability exceeds 66.67%, then an additional sum of $ 33,750 / € 25,000 /

GBP 22,500 / CHF 37,500 will be paid.

Vision care

Glasses, frames, contact lenses.

Sunglasses are excluded from cover.

80% up to

$ 135 / € 100 /

GBP 90 / CHF 150

Full Cover up to

$ 270 / € 200 /

GBP 180 / CHF 300

Administrators

A Plus International Services Limited

Room 4, 17
th Floor, Westlands Centre,
20 Westlands Road, Quarry Bay,

Hong Kong China S.A.R.

Tel:
+ 852 2891 3608
Fax:
+ 852 2891 3229
Email: [email protected]

Concepts and trademarks

are licensed from

A Plus International Insurance Development AG

CH-8032 Zurich, Switzerland

www.aplusii.com

Worldwide Plans

Benefits Table

effective 1/1/2018

Your Health First