RedBridge RedPrime Care
Type of plan
RedPrime Care
Cobertura máxima por segurado
US$6,000,000 per policy year
Idade limite para solicitar cobertura
75
Período de carência
Maternity care: 10 months
AIDS: 48 months
Bariatric surgery: 24 months
Prophylactic surgery: 24 months
Preventive medical check-up: 10 months
AIDS: 48 months
Bariatric surgery: 24 months
Prophylactic surgery: 24 months
Preventive medical check-up: 10 months
Cobertura fora dos Estados Unidos
100% worldwide without restrictions of doctors and hospitals
Cobertura dentro dos Estados Unidos
• 100% inside the Red Preferencial
• 70% outside the network
• Emergency medical treatment will be covered 100% up to the policy limits
• 70% outside the network
• Emergency medical treatment will be covered 100% up to the policy limits
Coberturas Hospitalares
Quarto de hospital padrão particular
100%
Benefício especial para uma suíte
N/A
Unidade de cuidados intensivos
100%
Acompanhante durante uma hospitalização
Related to the hospitalization of an under age insured
• US$300 per night, max. of 10 nights
• US$300 per night, max. of 10 nights
Medicamentos prescritos durante uma internação
100%
Tratamento hospitalar para saúde mental
N/A
Coberturas Ambulatoriais
Sala de emergência
100%
Consultas médicas e de especialistas
100%
VIP Transportation
• VIP transportation service for medical appointments in the U.S., requires 24 hours advance coordination
VIP Transportation
• VIP transportation service for medical appointments in the U.S., requires 24 hours advance coordination
Consultas médicas e de especialistas em residência
100%
Medicamentos prescritos
US$30,000
Terapias complementares
N/A
Cuidados de enfermagem no domicílio / home care
US$25,000
Exame médico preventivo (check-up)
No deductible applies, after a 10-month waiting period:
• US$500 for the main insured and dependent spouse
• US$200 for dependent children
• Colon cancer screening, US$1,200 from 50 years and older, every 10 years
• Mammogram, US$400 from 40 years and older
• Pap Smear, US$150 from 21 to 65 years old, every 3 years
• Prostate cancer screening, US$300 from 50 years and older
• US$500 for the main insured and dependent spouse
• US$200 for dependent children
• Colon cancer screening, US$1,200 from 50 years and older, every 10 years
• Mammogram, US$400 from 40 years and older
• Pap Smear, US$150 from 21 to 65 years old, every 3 years
• Prostate cancer screening, US$300 from 50 years and older
Aparelhos auditivos
US$2,000 per lifetime
Doença de Alzheimer
100%
Autismo
Included in the specialized treatments benefit up to US$3,000
Cirurgia ambulatorial
Not specified
Terapia de reposição hormonal para aliviar os sintomas da menopausa
N/A
Benefícios Gerais
Honorários do cirurgião e do anestesista
100%
Serviços de estudos diagnósticos
Laboratory tests, pathology, X-rays, MRI/CT/PET scans
• 100%
• 100%
Oncologia: exames de câncer, tratamento (quimioterapia e/ou radioterapia) e medicamentos
100% including genetic testing for cancer detection
Diálise
100%
Cirurgia para reduzir o risco de câncer ou cirurgia profilática
US$25,000 per lifetime, after a 24-month waiting period
Prótese e meios corretivos implantados durante uma cirurgia
100%
Transplante de órgãos e tecido
US$1,000,000 per lifetime
Cobertura para o doador vivo
Included in the organ and tissue transplant benefit, no limit specified
Equipamento médico-hospitalar
US$25,000
Tratamento de alergia
100%
Fisioterapia e reabilitação
Inpatient
• 100%
Outpatient
• US$25,000
• 100%
Outpatient
• US$25,000
Tratamentos especializados
Autism, occupational therapist, speech therapist, sleep apnea or other sleep disorders
• US$3,000 for outpatient treatments
• US$3,000 for outpatient treatments
Condições congênitas diagnosticadas antes dos 18 anos
• US$700,000 per lifetime
• US$500,000 for cellular and biological immunotherapy
• US$500,000 for cellular and biological immunotherapy
Condições congênitas diagnosticadas na idade de 18 ou após
• 100%
• US$500,000 for cellular and biological immunotherapy
• US$500,000 for cellular and biological immunotherapy
HIV-AIDS
US$500,000 per lifetime, after a 48-month waiting period
Human papilloma virus (HPV)
• 100%
Human papilloma virus (HPV)
• 100%
Tratamento cirúrgico de distúrbios sintomáticos do pé
N/A
Psicoterapia
N/A
Medicamentos prescritos para saúde mental
N/A
Benefícios de Maternidade
Maternidade
Only available on deductible options of less than US$5,000
No deductible applies, after a 10-month waiting period
• US$8,000 per pregnancy for normal delivery or cesarean delivery
Includes prenatal and postnatal care, 2 pediatric visits and collection and transportation of stem cells from the umbilical cord
No deductible applies, after a 10-month waiting period
• US$8,000 per pregnancy for normal delivery or cesarean delivery
Includes prenatal and postnatal care, 2 pediatric visits and collection and transportation of stem cells from the umbilical cord
Complicações de maternidade e do nascimento
Only available on deductible options of less than US$5,000
No deductible applies, after a 10-month waiting period
• 100% in Latin America
• US$500,000 outside Latin America, per policy, per lifetime
For multiple births of a covered maternity, the benefit will be distributed proportionally among the newborns
No deductible applies, after a 10-month waiting period
• 100% in Latin America
• US$500,000 outside Latin America, per policy, per lifetime
For multiple births of a covered maternity, the benefit will be distributed proportionally among the newborns
Inclusão de recém-nascido
Only available on deductible options of less than US$5,000
• Newborns from a covered maternity have automatic coverage, provided they are enrolled in the policy within 60 days of birth
• Newborns from a covered maternity have automatic coverage, provided they are enrolled in the policy within 60 days of birth
Extração e armazenamento de células tronco
Included in the maternity care benefit up to US$8,000
Tratamento de fertilidade
N/A
Unidade de Cuidados Intensivos Neonatais (UCIN)
Not specified
Cuidados pré-natais e pós-natais
Only available on deductible options of less than US$5,000
• Included in the maternity care benefit up to US$8,000
• Included in the maternity care benefit up to US$8,000
Benefícios de Evacuação Médica
Transporte de emergência por ambulância terrestre
100% no deductible applies
Transporte de emergência por ambulância aérea
100% no deductible applies
Passagem aérea de volta do segurado e acompanhante após uma evacuação por ambulância aérea
US$1,000 per person
Repatriação de restos mortais
100%
Funeral Assistance Rider
• US$2,500 for funeral services for the main insured and spouse, 18-74 years old, after a 180-day waiting period
Funeral Assistance Rider
• US$2,500 for funeral services for the main insured and spouse, 18-74 years old, after a 180-day waiting period
Outros Benefícios
Lesões durante o treinamento ou na prática de hobbies e/ou esportes perigosos não profissionais
100%
Lesões durante o treinamento ou na prática de esportes profissionais
100%
Cobertura dental de emergência
100% for treatment of the covered accident
Cirurgia corretiva ou reconstrutiva em caso de doença ou acidente
100%
Cirurgia refrativa ocular
N/A
Cuidados paliativos em casos terminais
100% up to 30 days, per lifetime
Cobertura provisória para acidentes enquanto se processa a solicitação do seguro
US$25,000
Cobertura gratuita prorrogada para dependentes após a morte do titular da apólice
N/A
Cobertura gratuita para dependentes
N/A
Eliminação / redução da franquia por não apresentar reembolsos
For deductible options of US$5,000 or less
• Elimination for 1 policy year after the end of the 3rd year without claims
For deductible options greater than US$5,000
• Reduction of 50% for 1 policy year after the end of the 3rd year without claims
• Elimination for 1 policy year after the end of the 3rd year without claims
For deductible options greater than US$5,000
• Reduction of 50% for 1 policy year after the end of the 3rd year without claims
Eliminação da franquia
• Up to US$1,000 of the deductible will be waived for inpatient surgery in the country of residence
• For deductible options of US$5,000 or less: elimination of the deductible for a hospitalization due to a serious accident
• For deductible options of US$5,000 or less: elimination of the deductible for a hospitalization due to a serious accident
Segunda opinião médica
Included
Prótese de membros
US$25,000 per lifetime
Tratamento odontológico maior ou de rotina
N/A
Reembolso de viagens para tratamentos na rede de centros de excelência da América Latina
N/A
Guerra e Terrorismo
N/A
Seguro de vida temporário
N/A
Condições pré-existentes declaradas
Covered when disclosed in the application, benefit will be previously evaluated
Catastrophic and chronic illnesses that survive the contracting of the service
N/A
Catastrophic and unusual conditions
N/A
Medical emergency
100%
Illness or injury in private aircraft
Injuries caused by an aviation accident on a private/commercial aircraft
• 100%
• 100%
Contraceptive treatments
N/A
Serviços de concierge para pacientes
N/A
Assistência de viagem
Traveler Assistance Rider
Up to 74 years old
• US$10,000 for the first medical treatment
75 - 85 years old
• 50% of the benefit
85 years old
• 25% of the benefit
Not available for 86 year olds and older
Up to 74 years old
• US$10,000 for the first medical treatment
75 - 85 years old
• 50% of the benefit
85 years old
• 25% of the benefit
Not available for 86 year olds and older
Benefício hospitalário em dinheiro
N/A
Benefícios adicionais opcionais
Evacuação para o país de escolha do segurado, país de residência ou país de origem
N/A
Evacuação não emergencial
N/A
Exoneração do período de espera para condiciones preexistentes
N/A