Description of services
Description of services

DETAILS OF OUR SERVICES

This is a health insurance with wide cover and variable co-payment according to the medical treatment involved. In the section on ‘Co-payment of Services', you'll find a list of charges and medical treatments.

In addition, here we single out the main features of our services:

  • Free choice of doctor from a list of more than 4.500 in Barcelona.
  • No waiting lists.
  • Healthcare in Spain via the established pool of healthcare professionals and in the rest of the world in case of emergency.
  • Online services.
  • 20 regional offices for you to choose from.
  • Special protection for our old people and large families.
  • Health specialists with more than 50 years' experience.

 

And all these services with the guarantee and the commitment from Assistència Sanitària that it will not increase premiums in response to claims.


SERVICES

Assistència Sanitària guarantees:

Visits to the doctor's surgery or home visits for:

  • General medicine.
  • Nursing care.

 

Specialities

All medical and surgical specialities.

Personalised obstetrics

Special therapeutic techniques

  • Coronary angioplasty.
  • Therapeutic endoscopy.
  • Ophthalmic laser photocoagulation.
  • Renal lithotripsy.
  • Radiotherapy.
  • Endoscopic and outpatient surgery.
  • Interventional radiology.
  • Chemotherapy.
  • Haemodialysis for acute and chronic cases.

 

Special diagnostic techniques

  • Allergy tests
  • Amniocentesis (according to protocol)
  • Angioradiology
  • Annual gynaecological check-up
  • Bone densitometry
  • Campimetry
  • Cardiac stress test
  • Cardiovascular echo doppler
  • Coronarography
  • Digestive functional tests:
    • Manometry
    • Ph measuring
  • Electromyography and neurophysiology techniques
  • Endoscopy (digestive, pulmonary, urological)
  • Evoked potentials
  • Fluoresceinography
  • Holter
  • Magnetic resonance
  • Molecular biology
  • Neuroradiology
  • Objective audiometry
  • PET (positron emission tomography)
  • Polysomnography
  • Radioisotope testing
  • Scanner
  • SPECT
  • Ultrasound scan
  • Urodynamic testing
  • Vascular and cardiac haemodynamics

 

Other services

  • Ambulance. Inside and outside the municipal limits (maximum distance: 300 km)
  • Healthcare in case of traffic, work or professional accident
  • Blood and plasma bank. Operating theatre and other transfusions
  • Hyperbaric chamber. High-pressure oxygen chamber
  • Phoniatrics, surgical cases, up to 15 sessions
  • Oxygen therapy. In hospital for all admissions and at home
  • Family planning. Tubal sterilisation, vasectomy
  • Podiatrist. Only at doctor's surgery and a maximum of 12 sessions a year
  • Physiotherapy and rehabilitation service. With specialist staff
  • Surgical staples
  • Ventilotherapy and aerosols

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HOME EMERGENCY SERVICES. SUD

An exclusive service for our insured persons. More than 140 doctors available to care for you 24 hours a day, 365 days a year.

In case of emergency, don't leave your home. Call us and we'll come.
When we get your call, we immediately set out for your home faster than if you were to go to a hospital.

The doctor will examine you, suggest the most suitable treatment and, in case of hospitalisation, will help with transport.

Our doctors travel to any point in the province of Barcelona to visit you at your home, at any time of the day or night and all the year round.

SECURITY, COMFORT AND SPEED, JUST A PHONE CALL AWAY.

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HOSPITAL DE BARCELONA

If you need to be admitted to a clinic or health centre, don't worry. Assistència Sanitària will see to the admission and the services covered with no limit to charges.
We have an agreement with more than 50 hospitals, out of which we single out the Hospital de Barcelona.

  • You'll enjoy the very best in private hospitals. With a surface area of 44,000 m², distributed over 19 floors and 3 basement levels, Hospital de Barcelona has 313 rooms.
  • You'll have a hospital bed just when you need it, in a comfortable individual room, with full board for an accompanying person.
  • Each patient will be visited by the doctor of his/her choice.

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HOSPITALISATION

There follows a list of the different reasons for which you might need to be admitted to hospital and the services we offer in each case.

Surgical hospitalisation

A situation in which the insured person is hospitalised as a result of a surgical and/or trauma operation.

Our services include:

  • Unlimited stay in hospital. The time spent in hospital will depend entirely on medical criteria.
  • Hospital stay in an individual room.
  • Full board stay for accompanying person throughout the period of hospitalisation of the patient.
  • Surgical rights.
  • Medication and treatment material, in the operating theatre and out of it.
  • Anaesthetic drugs.
  • Accommodation, also with no time limit, in Intensive Care Units, Special Treatments and Coronary Unit.
  • Laser in proctological surgery, surgical treatment of varicose veins, otorhinolaryngological surgery and bronco laser

 

Medical hospitalisation

Hospital admission not requiring surgical operation. This type of hospitalisation includes the following services:

  • Unlimited stay in hospital. The length of the stay will depend solely on medical criteria.
  • Hospital stay in individual room.
  • Medication, treatment and necessary material.
  • Accommodation, also with no time limit, in Intensive Care Units, Special Treatments and Coronary Unit.
  • Full board stay for accompanying person.

 

Psychiatric hospitalisation

Assistència Sanitària guarantees you admission to hospital, up to a maximum of 90 days per year, in the following cases:

  • Schizophrenic crises.
  • Mental disorders in acute phase and, in general, any acute episode which in the physician's opinion can not be treated at home and requires admission to hospital.

 

It includes the following services:

  • The patient's stay in hospital.
  • Medication.

 

Does not cover the accompanying person's stay in the clinic. In no case can social problems be accepted as a reason for staying in the clinic.

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MATERNITY CARE

Throughout your pregnancy, the following services will be covered:

  • Monitoring of the pregnancy by an obstetrician, who will also attend normal, dystocic and premature births.
  • Midwife who will depend on the obstetrician attending the expectant mother.
  • Ultrasound scans during pregnancy.
  • Foetal Respiratory Reserve (FRR), in high-risk pregnancies and with prior medical prescription.
  • Prenatal diagnosis of congenital anomalies (triple screening, amniocentesis and biochemical screening).
  • Maternal education and preparation for delivery.
  • Postpartum recovery of the pelvic floor.

 

Hospitalisation for delivery

For all types of delivery, you will have the following services covered:

  • Accommodation in an individual room for the mother.
  • Full-board accommodation for the accompanying person.
  • Rights to delivery room or operating theatre in case of caesarian.
  • Medication and treatment material, in the operating theatre and out of it.
  • Anaesthetist's fees and anaesthetic drugs.
  • Anti-D vaccine.
  • Under the terms of the mother's policy, care of newborn babies and paediatric care, until dismissal of the mother or for ten days, whichever is less.
  • Should the newborn baby require neonatological admission, Assistència Sanitària will cover the illness if it has previously been registered as an insured person.
  • Incubator service. If the clinic where the delivery takes place does not provide this service, transport to a suitable hospital in a duly equipped ambulance will be covered.

 

Neonatological hospitalisation

The stay for the insured newborn will have no limit to the number of days and will comprise:

  • Surgical rights.
  • Treatment material and medication, in the operating theatre and out of it.
  • Anaesthetic drugs.

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SPECIAL TREATMENTS AND PREVENTIVE MEDICINE

Oncology service - cancer diagnosis and treatments

  • Radiotherapy.
    • Linear accelerator. Does not include radiosurgery.
  • Antineoplastic chemotherapy for hospitalised patients according to the criteria and limits established in the Special Conditions.
  • Home service for palliative treatment.

 

Preventive medicine

  • Annual gynaecological check-up.
  • Early diagnosis of breast cancer by mammography.

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CO-PAYMENT OF THE INSURANCE
 

ACTS   Amount
Consultations  
General medicine 5€
General medicine (home visit)  10€
Medical and surgical specialities  10€
Minor surgery in consulting room  5€
Diagnostic tests and therapeutic acts  
Allergy tests  9€
Clinical analyses (except genetic tests)  9€
Anatomical pathology  9€
Image diagnosis (conventional radiology)  9€
Other tests and acts (not included in the next section)  9€
High technology and/or high complexity tests and acts  
Genetic tests  28€
Nuclear medicine  28€
Arteriography  28€
Vascular haemodynamics  28€
Polysomnography  28€
Nuclear Magnetic Resonance (NMR)  28€
Computed Axial Tomography (TAC/SCAN)  28€
Lithotripsy 28€
Endoscopic techniques  28€
Cancer treatment (per session)  30€
Positron Emissions Tomography (PET)  50€
Other services  
Preparation for childbirth  28€
Emergency hospital treatment  25€
Home Emergency Service (SUD)
 15€
Physiotherapy (rehabilitation session)  3€
Speech and voice therapy (per session)  3€
Oxygen therapy at home (per day)  1,50€
Nursing care / Chiropody  1,50€
Home nursing care  8€
Major hospital surgery  5€
One-day admission to clinic  5€

Annual co-payment limit: 875 €

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ATTENDANCE WHILE TRAVELLING

In Spain

With more than 650 partner hospitals and 120 branches all over Spain, we guarantee attention to all types of illness or injury covered by the insurance through our national networks.

Abroad

Guaranteed assistance while travelling, including, among others:

  • Dispatch of medicines.
  • Hospitalisation expenses.
  • Medical, surgical and pharmaceutical expenses.
  • Emergency dental expenses.
  • Repatriation of injured and ill.

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ACCIDENT POLICY

Assistència Sanitària, with no additional charge to the premium, makes a gift of free accident insurance.

Features of this policy are as follows:

Accidental death

  • Compensation of 6,000 €.
  • Advance payment of up to 1,800 € for burial expenses.

 

Permanent disability

  •  Insured sum of 6,000 €.
  • The amount paid depends on whether the disability is considered partial or total.

 

Although the initial sums are 6,000 € for both guarantees, you can subscribe to other sums whenever you like. You can also insure special and complementary risks such as:

  • Double indemnity for traffic accidents.
  • Double indemnity in the case of accident abroad.
  • Study grant for children under the age of 21.

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WAITING PERIODS

When you become an Assistència Sanitària insured person, you will have immediate access to the following services:

  • Family doctor and paediatrician.
  • Visits to specialists.
  • Analyses and conventional radiography.
  • Ventilotherapy and aerosols.
  • Healthcare following traffic, work or professional accidents.
  • Nursing care.
  • Emergency services.
  • Annual gynaecological check-up.
  • Orthoptics and pleoptics.
  • Emergency assistance while travelling in Spain or abroad.

 

Except for vital emergency cases, the following services can be used after a waiting period of six months:

  • Ambulance.
  • Blood and plasma bank.
  • Hospitalisation.
  • Oxygen therapy.
  • Artificial kidney.
  • Physiotherapy and rehabilitation.
  • Special diagnostic and therapeutic techniques.
  • Cancer treatments.
  • Renal lithotripsy.
  • Podiatrist.
  • Early diagnosis of breast cancer by mammography.
  • Hyperbaric chamber.
  • Invasive prenatal diagnosis techniques (amniocentesis, etc.).

 

There is a waiting period of ten months for:

  • Assistance at childbirth, except for premature cases and vitally urgent cases of dystocia, for which there is no waiting period.

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USING THE SERVICES

Assistència Sanitària insured persons are free to choose the family doctor, paediatrician or specialist they wish, out of those in the established pool of healthcare professionals.

Each insured person has a personal smart card to accredit their insured status.

For some tests and therapeutic acts and for admission to hospital, prior authorisation is required from Assistència Sanitària.

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EXCLUSIONS FROM THE POLICY

The following services are not covered by this insurance:

  • Illnesses, pathologies, injuries or physical defects already existing or known at the time of taking out the policy, unless declared in the health questionnaire and expressly accepted by Assistència Sanitària.
  • In dentistry: fillings, orthodontic work, prosthesis, etc.
  • Plastic surgery and aesthetic treatments.
  • Contraception, sterility treatments and assisted reproduction techniques.
  • Transplants of organs, tissues and haematopoietic precursors.
  • Tests for early detection of congenital illness (except for amniocentesis).
  • Medication during in-hospital or day hospital cancer treatments and medication for non-hospitalised patients.
  • Any type of prosthesis and anatomical or orthopaedic pieces.

 

Note

Until expressly mentioned, any potential new therapeutic techniques appearing in the field of medical care are not covered by the policy.

Nevertheless, in keeping with its established custom, Assistència Sanitària will try to include them in the policy, so long as their usefulness and effectiveness have been properly demonstrated.

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PRIVATE AREA

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