This is a benefit financing health insurance that qualifies as risk insurance, according to Section 6.3 of Annex 1 to the Act CXII of 1995 on Personal Income Tax.
In return for the premium you pay, in the event of illness of the insured person(s), the Insurer will organise and cover the costs of medical care supplied by the private healthcare provider partners of the care organiser (private clinics/physicians, private hospitals) contracted with the Insurer.
This means that the insured person (except in case of the service provided by Care, Care Plusz and the Surgery package and the surgical element of the Kid Extra package) supplemental insurance) does not receive financial benefits from the Insurer, the insured person is entitled to use medical consultancy over the telephone and personal health consultancy and medical services organised by the Insurer.
medical specialist services for outpatients,
laboratory tests,
other diagnostic tests (e.g. X-ray, ultrasonography, etc.),
ambulatory and one-day surgeries,
high value diagnostic imaging procedures (CT, PET-CT, MRI, cardio-CT, endoscopy and stereotactic biopsy),
medical consultancy that is available 24 hours a day,
a second medical opinion,
and other supplemental services selected by the contracting party (e.g. surgery reimbursement, organising and financing of screening tests, lump-sum indemnity and annuity payment in the event of malignant diseases).
healthcare services provided by service providers operating in a foreign country,
emergency care,
epidemic healthcare services and treatments,
healthcare services that had become necessary due to illnesses that already existed before the conclusion of the insurance, except the costs of outpatient specialist care and diagnostic tests,
employment healthcare,
healthcare services incurred in connection with reproductive ability, including interventions related to examinations or treatments of infertility,
medically unjustified termination of pregnancy,
plastic aesthetic operations,
dental care,
psychiatric, psychological, oncology, rheumatology care and motion rehabilitation, except if the insured person has a supplemental insurance package for motion rehabilitation.
The above list is not exhaustive. The detailed and precise list of events not reimbursed by the Insurer is included in the insurance terms and conditions.
The insurance covers only the benefits provided by service providers operating in Hungary, only in the event that you used the benefit with the knowledge and approval of the care organiser partner of the Insurer.
age: it cannot be concluded for insured persons under the age of 6 months and over the age of 69, and shall terminate at the insurance anniversary after the insured has reached the age of 70,
it can be used for screening tests financed by the Insurer only if a supplementary package is purchased
not all standard packages can be combined with all supplementary packages
in case the limit is exhausted during the year, it is not possible to top up the cover
the supplementary Care and Care Plusz cannot be selected if the insured person has already been diagnosed with a malignant disease.