5/5

Azure

It is our international plan that gives you a maximum coverage of USD $5,000,000, with free choice of hospitals and specialists outside the US and access to a select network of hospitals in the US (BMI USA Azure Network). It has been designed for those who require prompt attention due to their active lives and who require outpatient coverage, medical fees and hospital room.

General Information

Description Coverage
Maximum coverage per insured (Per policy year) US$5,000,000
Waiting period 30 days / Immediate coverage for accidents and infectious diseases
Geographic coverage Worldwide
Hospital network Free choice outside the US / BMI USA Azure Network in the US
Renewals Guaranteed. No age limit
Elimination of deductible in case of hospitalization due to accident Applies to deductible options I, II & III
Emergency medical treatment outside the BMI USA Azure Network US$50,000
Waiver of premium upon death or permanent & total disability of policyholder under 60 years old 2 years

Eligibility

• Residents of Latin America and the Caribbean. No age limit for issuance and renewal.
• Dependent children up to their 18th birthday or if they are single and residing with the policyholder up to their 30th birthday. Dependents studying full-time outside their country of residence until their 24th birthday.
• Medical examination is required (the insurer reserves the right to waive the medical examination, according to a declaration of good health and / or evidence presented by the proposed insured)

Deductible Options

I II III IV V VI
US$500 US$1,000 US$2,500 US$5,000 US$10,000 US$20,000

• Applies per insured, per policy year, up to a maximum of 2 deductibles per family.
• In case of an accident in country of residence in which one or more family members suffer injury only one deductible per policy year will apply.
• Expenses incurred during the last 90 days of the policy year not exceeding the deductible will be applied to the next policy year period.

Hospitalization Benefits

Description Coverage
Medical and surgical charges 100%
Physician fees 100%
Laboratory tests and diagnostic services 100%
Hospital room 100%
Intensive care unit 100%
Prescription Drugs 100%
Stay for companion (Per day. Maximum 30 days) US$150

Outpatient Benefits

Description Coverage
Ambulatory surgery 100%
Visits to physicians and specialists 100%
Laboratory tests and diagnostic services 100%
Medications after hospitalization or surgery or after 90 days (Maximum 90 days) 100%
Prescription drugs non-related to hospitalization or surgery US$30,000
Routine medical check-up (Deductible does not apply. Policyholder and spouse. 12 months waiting period) US$250

Maternity benefits

• 10 month waiting period. Available for deductibles I-II-III. Available for dependents

 

Description Coverage
Maternity (Deductible does not apply) US$5,000
Maternity complications (Deductible does not apply) US$150,000
Conditions diagnosed within the first 90 days of birth (Lifetime) US$250,000
Addition of newborn (Must send birth certificate within 90 days of birth) Automatic
Umbilical cord stem cells preservation (Deductible does not apply. Per newborn) US$1,500

Other Benefits

 

Description Coverage
Chemotherapy, radiotherapy and dialysis 100%
Cancer risk reduction surgery (Prophylactic surgery) 100%
Reconstructive surgery due to illness 100%
Physical therapy, occupational therapy and language therapy due to illness or covered accident 100%
Treatment for injuries as a result of participation in non-professional sports 100%
Emergency room 100%
Dental treatment due to accident (Deductible does not apply) 100%
Congenital conditions (Diagnosed after 90 days of birth) 100%
Nutritionist services 100%
Local ambulance (Deductible does not apply) 100%
Home nursing (Maximum 90 days) 100%
Intraoperative prostheses 100%
Organ transplant (Lifetime) US$1,000,000
Medical benefit for organ resection from a donor US$30,000
Total and permanent disability of the holder US$50,000
Medical equipment, external prostheses and orthopedic devices US$50,000
Surgical treatment for symptomatic foot disorders (24 month waiting period) US$1,500
Autism US$2,000
Hearing aid (12-month waiting period. US$1,000 lifetime) US$1,000
Alzheimer's US$50,000
ROUTINE IMMUNIZATIONS UNDER 18 YEARS OLD per policy year, per child.
A 12-month waiting period applies
US$100

Additional Coverage Riders (Optional)

• Travel Assistance - Medical Emergency Transportation

• Term Life Insurance (US$50,000 or US$100,000)

Travel Assistance - Medical Emergency Transportation

*OPTIONAL.

 

TRAVEL ASSISTANCE BENEFIT:

• BMI will waive the deductible -up to US$5,000- in case of a medical emergency due to illness or accident while traveling outside the country of residence.
• The amount of deductible waived by BMI will be applied to the policy annual deductible.
• Follow-up visits will be covered as per policy benefits. The insured will be responsible for any remaining deductible until the annual deductible is reached.

 

EMERGENCY MEDICAL TRANSPORTATION BENEFITS:

Air ambulance 100%
Transportation expenses for accompanying family member when not allowed
travel to the medical center in the air ambulance *
US$1,000
Living expenses for accompanying family member * US$100 per day, maximum 5 days
Medical repatriation * US$25,000
Air ticket back to the country of residence (insured and companion) * US$1,000 per person, per event
Airfare for companion if hospitalized (more than 5 days) during a trip US$1,000
Repatriation of mortal remains or cremation services US$10,000
Return of minor children due to policyholder’s death US$1,000 per policy
*Following an air ambulance service

BMI Access

* INCLUDED AT NO ADDITIONAL COST.

 

The BMI Access Service Center provides 24x7 assistance and exclusive benefits to all BMI health insureds.

The insured should only contact BMI Access to be assigned a Medical Coordinator, who will be their guide to coordinate any services or benefits available in their health policy.

BMI MD Live

* INCLUDED AT NO ADDITIONAL COST.

 

BMI MD Live is a telehealth service that provides access to a network of certified physicians via phone or video call to diagnose medical conditions, provide treatment plans, and prescribe medications if necessary.

Available 24/7 worldwide, this convenient service saves policyholders on medical expenses and helps prevent unnecessary visits to the emergency room or urgent care center.

 

Contact BMI Access to enjoy BMI MD Live:

 

bmiaccess@bmicos.com
Tel .: +1(305)665-4817
US Tel: 1-800-882-7796
Whatsapp: +1(829)760-3152
Application for: BMI Access

Coinsurance

Does not apply

Coinsurance within the network vive Costa Rica

Does not apply

Out-of-network coinsurance vive Costa Rica

Does not apply

Waiting period

Does not apply

Emergency coverage outside of Costa Rica

Does not apply

Supplements

Not applicable

Information

• Information:

For medical visits and treatments outside of a hospital or states not included in this list, any provider in the Global Reach / Aetna network applies
• Red Azure BMI USA
• Global Network / Aetna
• International network

Tarjeta MAS
Tarjeta MAS
BMI Access
BMI Access

General Conditions

Adjuncts

BMI-Logos_Costa Rica

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