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Fleximedic

  • Description

    This contract has been designed for groups of 25 or more individuals, in which the member and his or her eligible dependents agree to coverage for medical services received according to the plan.

  • Benefits

    The contract covers the following services:

    • Disability coverage
    • Daily room and board
    • Calendar year deductible
    • Deductible transfer
    • Deductible for dependents
    • Choice of co-payments - 70, 80 or 90 percent
    • Maternity
    • Funeral arrangements for dependents
    • The McGraw–Hill fee table
    • al revision of fee
  • Medical Benefits

    Among various services, it offers:

    Hospitalization services such as:

    • Nursing care
    • Medication
    • Priority for room assignment

    Necessary medical equipment and supplies for patient rehabilitation:

    • Prosthetics
    • Orthopedic accessories (including shoes)
    • Wheelchairs

    Diverse Treatments:

    • Alcohol or drug detoxification, except at hospitals that exclusively treat substance dependence
    • AIDS treatment, up to a maximum of 15 percent of covered benefits

    Pediatric care:

    • Congenital diseases for eligible children under contract terms

    Additional Benefits:

    • Sterilization procedures for males and females (vasectomy and tubal ligation)
    • Prescription Drugs
    • Laboratory and imaging tests
    • Natural disaster benefits