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Care Expatriate
Health insurance for expatriates
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Beschreibung
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Product description tariff Care Expatriate Basic
Summary of benefits:
- outpatient medical treatment deemed medically necessary and rendered by a physician: 100 %
- medicines and dressing prescribed by a physician up to 100 %
- pregnancy check-ups – as long as the insured is not pregnant on commencement of cover or at the time of applying for renewal of cover.
- inpatient medical treatment deemed medically necessary, shared room (general care category), without additional services (no private medical treatment)
- ambulance service required for inpatient medical treatment and/or from/to accident location
- medically required dental treatments including fillings as well as annual check-ups and visits to hygienist - 100% of bill up to 600 Euro per insurance year
- dentures required following an accident, including the cost of repairs up to max. 1000.00 EUR per accident and insurance year completed
- repatriation/burial costs in event of death of the insured person up to 10,000.00 EUR
- treatment, such as massages and physiotherapy up to a total of 250 Euro per insurance year
- psychotherapy up to 500.00 EUR per insured year (up to 100.00 EUR per session)
- aids due to an accident up to max. 500.00 EUR per insured year
- up to 30 days per year insurance cover in own country
- Existing medical conditions are generally not covered by the insurance.
The tariff provides for a general excess of € 150.00 per insured year. For a complete list of benefits see the general insurance conditions (AVB).
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Product description tariff Care Expatriate Comfort
The product is based on Care Expatriate Basic with the following extras:
- medically required dental treatments including fillings as well as annual check-ups and visits to hygienist - 100% of bill
- dentures required following an accident, including the cost of repairs up to max. 2,000.00 EUR per accident and insurance year completed
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treatment, such as massages and physiotherapy up to a total of 500.00 Euro per insurance year
- psychotherapy up to 1000.00 EUR per insured year (up to 100.00 EUR per session)
- medical aids prescribed by a physician, max. 500.00 EUR per insurance year
- wheelchairs, hearing and speech aids prescribed by a doctor, max. 1,000.00 EUR per insurance year
- dentures deemed medically necessary (at 60%), max.
- 500.00 EUR in 1st insurance year (IY),
- 1,000.00 EUR in 2nd IY,
- 1,500.00 EUR in 3 rd IY,
- 2,500.00 EUR for every year thereafter.
where treatment and medical cost projections are not submitted prior to treatment, only 50% of the maximum reimbursable treatment costs shall be paid out where the medical necessity of the treatment is subsequently demonstrated.
- screening examinations aimed at early detection of disease, max. 250.00 per insurance year
- vision aids prescribed by a physician, max. 100.00 EUR per insurance year
- up to 45 days per year insurance cover in own country
- existing medical conditions can be insured with an excess of 5000 Euro per insurance year. An application for the excess to be waived can be made by providing more detailed health information.
- hospital per diem rate of 20 Euro for each full inpatient day up to 20 days per insurance year
The tariff provides for a general excess of € 150.00 or € 500.00 per insured year. For a complete list of benefits see the general insurance conditions (AVB).
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Product description tariff Care Expatriate Premium
The product is based on Care Expatriate Comfort with the following extras:
- inpatient medical treatment deemed medically necessary, shared room (general care category), without additional services. Where the policy applies outside of Germany, accommodation in a single room/shared two-person room is included
- dentures required following an accident, including the cost of repairs up to max. 3,000.00 per accident and insurance year completed
- treatment, such as massages and physiotherapy up to a total of 1,500.00 Euro per insurance year
- repatriation/burial costs in event of death of the insured person up to 15,000.00 EUR
- psychotherapy up to 1,500.00 EUR per insured year (up to 150.00 EUR per session)
- medical aids prescribed by a physician, max. 2,500.00 EUR per insurance year
- dentures deemed medically necessary (at 80%), max.
- 750.00 EUR in 1st insurance year (IY),
- 1,500.00 EUR in 2nd IY
- 2,500.00 EUR in 3 rd IY,
- 4,000.00 EUR for every year thereafter.
where treatment and medical cost projections are not submitted prior to treatment, only 50% of the maximum reimbursable treatment costs shall be paid out where the medical necessity of the treatment is subsequently demonstrated.
- screening examinations aimed at early detection of disease, max. 500.00 per insurance year
- vision aids prescribed by a physician, max. 300.00 EUR per insurance year
- up to 90 days per year insurance cover in own country
- hospital per diem rate of 30 Euro for each full inpatient day up to 30 days per insurance year
The tariff provides for a general excess of € 500.00 or € 1,000.00 per insured year. Alternatively also policies without excess are available. For a complete list of benefits see the general insurance conditions (AVB).
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B Specific stipulations
(1) Insurable persons
Insurable persons:
- Persons with permanent residence in Germany, Austria, EU countries, Member States of the Schengen agreement, Switzerland and Liechtenstein in any country worldwide.
- Persons with permanent residence in other countries of the world who are staying in Germany, Austria, EU countries, Member States of the Schengen agreement, Switzerland and Liechtenstein.
- Persons with permanent residence in Germany, Austria, EU countries, Member States of the Schengen agreement, Switzerland and Liechtenstein, who are staying in the above countries.
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(2) Geltungsbereich
Insurance cover extends to foreign countries world-wide. All countries world-wide are considered foreign – except those states of which the insured holds nationality and/or in which the insured had a permanent domicile before the commencement of travel |
(2.1) Discontinuation of the stay abroad
For a temporary return to the home country of the insured, the insurer will provide insurance cover after notification of the return to the home country. Depending on the selected tariff, the overall duration shall be 30 days (Basic), 45 days (Comfort) or 90 days (Premium).
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(3) Insurance eligibility
The highest entry age is 74 years. |
(4) Versicherungsdauer
The minimum duration of insurance is 6 months. The maximum duration of insurance for stays in the Federal Republic of Germany is 5 years. The insured can get cover for travel outside Germany until the end of the 75th year of life.
Persons taking out a 5-year policy valid outside of Germany will receive a one-off acceptance guarantee for a follow-on policy for a maximum period of a further 5 years.
The maximum contract duration for insured persons up to the entry age of 65 is 60 months initially and can be extended by 60 months each time with written consent of the insurer, as long as the insured has not yet reached his 66th birthday on commencement of the renewal (otherwise the insurance can only be renewed by max. 36 months).
The insurance according to this tariff ends at the end of the month in which eligibility for insurance ceases, or in which the stay abroad is terminated (exception see B 1.1); the conditions for a temporary stay cease or when the insured reaches his or her 80th birthday.
When a reason for termination materializes, the insurance holder must inform the insurer in writing within a month. |
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C. Additional services
Assistance services
- Information on the possibilities of medical care inland and abroad, which includes, for example, a listing of physicians, specialists, hospitals and specialist clinics with appropriate language skills.
- Listing of salvage and rescue operators, specialist car repair companies, rental car companies, hotels, airlines and other transport companies in Germany and abroad.
- Listing of experts, lawyers and interpreters in Germany and abroad with appropriate language skills.
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D. Versicherer
Address
HanseMerkur Versicherungsgruppe
Siegfried-Wedells-Platz 1
20352 Hamburg |
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E. Premiums
Prämienübersicht | Care Expatriate |
Weltweit ohne NAFTA
| Versicherungstarif |
Basic |
Comfort |
Premium |
| Eigenanteil pro Jahr (in EUR) |
150,- |
150,- |
500,- |
0,- |
500,- |
1000,- |
Eintrittsalter : 0-12 (€ /
Monat ) |
61,- |
99,- |
77,- |
182,- |
142,- |
111,- |
Eintrittsalter : 13-40 (€ / Monat) |
53,- |
78,- |
60,- |
172,- |
134,- |
104,- |
Eintrittsalter : 41-60 (€ /
Monat ) |
68,- |
99,- |
77,- |
244,- |
191,- |
149,- |
Eintrittsalter : 61-74 (€ /
Monat ) |
234,- |
307,- |
236,- |
411,- |
320,- |
250,- |
Prämienübersicht | Care Expatriate |
Weltweit inkl. NAFTA
| Versicherungstarif |
Basic |
Comfort |
Premium |
| Eigenanteil pro Jahr (in EUR) |
150,- |
150,- |
500,- |
0,- |
500,- |
1000,- |
Eintrittsalter : 0-12 (€ /
Monat ) |
140,- |
223,- |
173,- |
410,- |
319,- |
249,- |
Eintrittsalter : 13-40 (€ /
Monat ) |
120,- |
176,- |
136,- |
386,- |
301,- |
235,- |
Eintrittsalter : 41-60 (€ /
Monat ) |
153,- |
223,- |
173,- |
549,- |
429,- |
335,- |
Eintrittsalter : 61-74 (€ /
Monat ) |
584,- |
766,- |
590,- |
1026,- |
801,- |
625,- |
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Insurance for sickness daily allowance Care Cash
General information on insurance for sickness daily allowance Care Cash
Geschäftsreisende im Ausland - Entsendete oder Selbständige - können durch eine plötzliche Erkrankung oder einen Unfall für längere Zeit Ihren Aufgaben nicht nachgehen und dadurch u. U. empfindliche finanzielle Einbußen erleiden. Während dies für sozialversicherungspflichtig tätige Personen in Deutschland gesetzlich geregelt wird (Lohnfortzahlung im Krankheitsfall), müssen alle anderen Berufstätigen für diesen Fall selbst vorsorgen.
Aus diesem Grund bieten wir für entsendete, gewerblich und freiberuflich tätige Reisende bis zum Erreichen des 67. Lebensjahres als Ergänzung zum Tarif "Care Expatriate" einen Krankentagegeldtarif "Care Cash" an.
Der "Care Cash" bietet Versicherungsschutz in Form eines Krankentagegeldes gegen Verdienstausfall als Folge von Unfällen oder unerwartet und akut im Ausland auftretenden Erkrankungen bei ärztlich festgestellter Arbeitsunfähigkeit.
Die Versicherungsdauer im "Care Cash" muss mit der der vorgenannten Krankenversicherungstarife identisch sein. Wurde der Erstvertrag im Tarif "Care Cash" für eine Dauer von fünf Jahren abgeschlossen, so erwirbt der Versicherte eine Weiterversicherungsgarantie für erneute fünf Jahre.
Im Tarif "Care Cash" sind Personen nicht versicherbar, die die Staatsangehörigkeit des Gastlandes erworben oder die Ihren ständigen Wohnsitz ins Gastland verlegt haben, ohne einen Rückkehrwillen ins Heimatland zu haben. |
Insurable persons
Insurable persons are travelers who intend to stay for more than 6 continuous months abroad. The insurance is available for persons, who are staying temporarily abroad. A policy must commence prior to the insured person reaching the age of 67. Voraussetzung für den Abschluss des Care Cash ist ein bestehender Vertrag in der Produktlinie „Care Expatriate“.
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Geltungsbereich
Der Versicherungsschutz erstreckt sich auf die Zahlung eines Krankentagegeldes infolge einer im Verlauf einer medizinisch notwendigen Heilbehandlung festgestellten Arbeitsunfähigkeit im weltweiten Ausland. Arbeitsunfähigkeit liegt vor, wenn die versicherte Person ihre berufliche Tätigkeit nach medizinischem Befund vorübergehend nicht in keiner Weise ausüben kann, sie auch nicht ausübt und keiner anderweitigen Erwerbstätigkeit nachgeht.
Not covered by the policy are countries of which the insured person is a national and/or which were the permanent place of residence of the person prior to commencing his/her travels.
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Versicherer
HanseMerkur Versicherungsgruppe AG, Siegfried-Wedells-Platz 1, 20354 Hamburg |
Versicherungsdauer
The minimum insurance period shall be 6 months. The maximum period of cover for stays in Germany is 5 years including all policy extensions.
Outside of Germany, persons can make any number of extension applications during their stay abroad until reaching the age of 67. Persons taking out an initial 5-year policy valid outside of Germany, will receive a one-off acceptance guarantee for a follow-on policy for a maximum period of a further 5 years. |
Duration of benefits
Die Leistungspflicht beginnt mit dem ersten Tag der Arbeitsunfähigkeit. Die Zahlung des Tagegeldes beginnt nach Ablauf der leistungsfreien Zeit (Karenzzeit). Die Karenzzeit beträgt je nach vertraglicher Vereinbarung 42, 91 oder 183 Tage. Die maximale Leistungsdauer beträgt 78 Wochen. Die Karenzzeit wird auf die maximale Leistungsdauer angerechnet. Die Leistungspflicht endet ebenfalls bei dauernder Arbeits- oder Erwerbsminderung, auch für bestehende Versicherungsfälle. Die Leistungshöhe darf 90% des auf den Kalendertag umgerechneten durchschnittlichen Nettoeinkommens der letzten 12 Monate nicht übersteigen. |
| Prämienübersicht Care Cash |
| Monthly premium per each 5 EUR sickness daily allowance |
| Defermant period in days | sickness daily allowance up to 175,– EUR | sickness daily allowance up to 300,– EUR |
| Care Cash 42 | 42 | 0,90 EUR* | 1,10 EUR* |
| Care Cash 91 | 91 | 0,70 EUR* | 0,90 EUR* |
| Care Cash 183 | 183 | 0,30 EUR* | 0,50 EUR* |
*Monthly premium from the 1. EUR per each 5 EUR sickness daily allowance
| Example: monthly premium in acc. to chosen daily allowance |
| choosen sickness daily allowance: |
20 € |
50 € |
150 € |
170 € |
175 € |
180 € |
200 € |
250 € |
300 € |
Monthly premium in €: 42 days waiting period |
3,60 |
9,00 |
27,00 |
30,60 |
31,50 |
39,60 |
44,00 |
55,00 |
66,00 |
Monthly premium in €: 91 days waiting period |
2,80 |
7,00 |
21,00 |
23,80 |
24,50 |
32,40 |
36,00 |
45,00 |
54,00 |
Monthly premium in €: 183 days waiting period |
1,20 |
3,00 |
9,00 |
10,20 |
10,50 |
18,00 |
20,00 |
25,00 |
30,00 |
Example 1: You choose a waiting period of 42 days and a daily allowance of 50,– €/day. Um den Monatsbeitrag zu berechnen, teilen Sie das gewünschte Tagegeld durch 5 und multiplizieren diese Zahl mit 0,90 €: Das ergibt einen Monatsbeitrag von: 9,– €.
Berechnung: 50 : 5=10 10 x 0,90=9
200 : 5=40 40 x 1,10=44
Take out insurance
Take out the insurance online with the tariff Care Expatriate: Online-Antrag. |
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