Standard Table of Benefits | |
CMPA Lebanon Standard Products | |
Program | Mutual Upgraded Plus |
Geographic coverage | MENA, France |
In-Hospital: General Conditions | |
Financial Limitation | Unlimited |
Other Limitation | 720 days per lifetime |
Excess/Deductible/Co-Pay/Co-Insurance | None |
Network | Full, Restricted, Network Variation |
Guaranteed Renewability | From day 0 between 0 and 46 yrs inclusive, after one year if over 46 yrs |
International Assistance | |
Access to Worldwide Network (through IAG) | No |
Medical Emergency Referral | No |
Medical Transportation | No |
Repatriation after treatment | No |
Repatriation in case of death | No |
Emergency visit from country of residence | No |
In-Hospital: General Benefits | |
Medical, Surgical or Endoscopic Treatment | Covered |
Emergency Treatment | Covered |
Appendectomy by Laparoscopic Materials | Covered |
Pre-Operative Tests | Covered |
Physiotherapy Treatment related to a Covered Hospitalization | Covered |
Home Care following Hospitalization | Covered |
Parental Accomodation | Covered |
Hospital Daily Indemnity | Not Covered |
Morgue and Burial Expenses | Covered up to USD 2,000 |
Uninterrupted Hospitalization | Up to 30 days after policy Expiry |
In-Hospital: Maternity and Congenital Cases | |
Delivery (Normal and Ceasarian) | Covered after 1 year |
Coverage of New Born baby | From day zero |
Free of Charge Insurance for Eligible New Born | Yes |
Nursery Boarding Cost | Covered |
Baby Incubator | Covered for an unlimited no of days irrespective of the mother’s stay at hospital (after registration) |
Pediatric Consultation | Limited to one per delivery |
Circumcision if performed during same confinement | Covered |
Epidural | Covered after 1 year |
25 Congenital Cases correctable by surgery | Covered |
Additional Congenital Cases | Covered |
Maternity Complications (including Medically Justified Abortion) | Covered |
Amniocentesis | Covered |
Abortion Not Medically Mandated | Not covered |
Guthrie Test | Covered |
Amnisure Test | Covered |
In-Hospital: Accidents | |
Work Related Accidents | Covered |
Program | Mutual Upgraded Plus |
Dental and Gum Medical or Surgical Treatment including Prothesis and Disorder of Temporomandibular Joints | Covered |
Cosmetic and/or Plastic Surgeries | Covered |
Nose Related Surgeries (Post Accident) | Covered, after accident without waiting period |
The Cost of All Kinds of Prosthesis | Covered |
Rehabilitation Post Cardio-Vascular Accident | Covered |
In-Hospital: Prosthesis (Not Accident Related) | |
Mesh Related to Hernia Surgeries | Covered up to USD 30,000 per admission |
Coronary Stent | |
Cardiac Valve | |
TVT related to Cystocele | |
Other Prosthesis | |
In-Hospital: Organ Transfer and Transplantation | |
Surgery of Organ Transfer and/or Transplantation | Covered up to USD 60,000 per case per lifetime |
Surgery of Bone Marrow Transfer and/or Transplantation | Covered up to USD 60,000 per case per lifetime |
Cornea Transplant (Surgery Cost) | Covered |
Cornea Transplant (Cost of Transfer – Transportation Fees) | Covered up to USD 2,000 per admission |
In-Hospital: Cancer | |
Radiotherapy | Covered |
Chemotherapy | Covered |
Surgery | Covered |
Breast Re-Construction | Covered |
In-Hospital: Heart Procedures | |
Angioplasty | Subject to a 3 months waiting period |
Open Heart | Subject to a 3 months waiting period |
In-Hospital: Kidney Diseases | |
Acute Renal Failure | Covered |
Peritoneal dialysis, Hemodialysis and Arterio Venostomy | Not Covered |
In-Hospital: Psychatric Illnesses | |
Mental or Psychiatric Disorders, Nervous Breakdown and Psychological Tests or Evaluations | Psychotic Disorders (e.g. Schizophrenia) are covered up to 30 days per person per year |
Rest Cures, Sanatorium, Custodial Care and Period of Quarantine | Not Covered |
In-Hospital: Sexual Diseases, Infertility and Birth Control | |
Sexually Transmitted Diseases and all related treatments,including HIV | Not covered |
Birth Control Procedures | Not covered |
Endometriosis | Not covered |
Tubal Ligations | Not covered |
Infertility/Sterility Treatment | Covered |
Varicocele | Covered |
In-Vitro and Artificial Insemination | Not covered |
Sexually Fortifying Treatment, Impotence | Not covered |
Procedures Related to Change of Sex | Not covered |
In-Hospital: Sleep Disorder | |
Sleep Disorder Treatments and Polysomnography | Covered |
In-Hospital: Other Benefits | |
Weight Control Procedures and Surgeries | Morbid Obesity Surgery only is covered |
Suicide and Self-Inflicted Injury | Not covered |
Alcoholism | Not covered |
Drug Addiction | Not covered |