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Executive plan

Eligibility

• Any person who resides in Latin America or the Caribbean. The maximum age for enrollment is 74.
• Requires a minimum of 5 employee holders per group policy, who must be on active duty and work full time for the employer.
• The maximum enrollment age is 74 years. No age limit for renewal while the group is in force.
• 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 Exam is required for all proposed insureds age 65 and over.

Deductible Options

I II III IV V VI VII
Outside the US: US$0 / In the US: US$500 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 deductible does not 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.

General Information

Maximum coverage per insured (Per policy year) US$2,000,000
Waiting period 60 days / Immediate coverage for accidents and infectious diseases
Geographic coverage Worldwide
Hospital network Free election outside the US / BMI USA Network Executive in the US
Out-of-Network Emergency Medical Treatment BMI USA Executive US$25,000 per incident

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%
Physical therapy, occupational therapy and language therapy due to illness or covered accident 100%

Outpatient Benefits

Description Coverage
Ambulatory surgery 100%
Physician or specialist visits 80%
Laboratory tests and diagnostic services 80%
Physical therapy, occupational therapy and language therapy due to illness or covered accident 80%
Medications after hospitalization or surgery (Maximum 90 days) 100%
Prescription drugs non related to hospitalization or surgery US$1,000
Routine medical check-up (Deductible does not apply. Policyholder and spouse. 12 month waiting period) US$200
Routine immunizations for dependent under 18 years old (Deductible do not apply. 12 month waiting period. Automatic for dependents born under a covered maternity) US$100

Prescription Drugs

Description Coverage
Prescription drugs during hospitalization 100%
Prescription drugs after hospitalization or ambulatory surgery (Maximum 90 days) 100%
Outpatient prescription drugs (Not related to hospitalization or ambulatory surgery) US$1,000

Maternity Benefits

Description Coverage
Maternity (Deductible does not apply) US$5,000
Maternity complications US$100,000
Conditions diagnosed in the first 90 days of the newborn (Lifetime)* US$10,000
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%
Hospice or terminal care 100%
Dental treatment due to accident (Deductible does not apply) 100%
Local ambulance 100%
Home nursing (Maximum 30 days) 100%
Intraoperative prostheses 100%
Medical Visits for Sleep Apnea | Medical Visits for Allergies 80%
Organ transplant (Lifetime) US$500,000
Medical benefit for organ resection from a donor US$15,000
Congenital conditions (Diagnosed before age 18. Lifetime) US$250,000
Congenital conditions (Diagnosed from age 18) 100%
Aids treatment (Lifetime) US$100,000
Medical equipment, external prostheses and orthopedic devices US$5,000

Preexisting Medical Conditions

• Disclosed preexisting conditions (not excluded) will be covered as follows:
o Coverage of US$15,000 for groups of 5 to 20 employees, with a waiting period of 12 months
o Coverage of US$30,000 for groups of 21 or more employees, with a waiting period of six months

Additional Coverage Riders (Optional)

TRAVEL ASSISTANCE / AIR AMBULANCE / REPATRIATION

BMI will cover the amount of the deductible -up to a maximum of US$5,000- in the event of a medical emergency due to accident or illness during a trip outside the country of residence.・The amount covered by BMI will be applied to the annual deductible of the contracted policy.・Follow-up visits will be covered under the benefits of the policy. The insured will assume any remaining amount until reaching the limit of his deductible.・ Benefits:

Emergency Medical Air Transportation / Air Ambulance 100%
medical repatriation US$25,000
Repatriation of mortal remains or cremation services US$10,000
return of minors US$1,000
Transportation of the companion US$1,000
Stay of the companion (Per day. Maximum 5 days) US$100

 

AIR AMBULANCE / REPATRIATION

Emergency Medical Air Transportation / Air Ambulance 100%
medical repatriation US$25,000
Repatriation of Mortal Remains US$10,000

 

AIR AMBULANCE

Emergency Medical Air Transportation / Air Ambulance 100%

 

DENTAL CARE

・Coverage within the country of residence, for reimbursement.
・Waiting period of 6 months. A deductible of US$50 per person, per policy year applies.

Maximum coverage per insured (Per policy year) US$2,000
Preventive: oral exam, routine cleaning, plain x-rays 100%
Restorative: fillings, extractions, crowns, bridges, endodontics, root canal treatment 80%
Orthodontia (For dependents up to 18 years of age) 80%

 

EYE CARE

・Coverage within the country of residence, for reimbursement.
・6 month waiting period

Maximum coverage per insured (Per policy year) US$500
Routine eye exam 100%
Lenses, frames and contact lenses 80%

TERM LIFE INSURANCE

・Benefit: US$50,000 or US$100,000 death options are offered for both the owner and the spouse.
・Eligibility: Owner and/or spouse who is applying for health insurance with BMI. Medical evaluation is required along with the
health insurance application

 

The information on this site is for informational purposes. Benefits are detailed in the policy contract.

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