Health Insurance run by doctors
DETAILS OF OUR SERVICES
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:
Specialities
Personalised obstetrics
Special therapeutic techniques
Special diagnostic techniques
Other services
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.
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.
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:
Medical hospitalisation
Hospital admission not requiring surgical operation. This type of hospitalisation includes the following services:
Psychiatric hospitalisation
Assistència Sanitària guarantees you admission to hospital, up to a maximum of 90 days per year, in the following cases:
It includes the following services:
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.
Maternity care
Throughout your pregnancy, the following services will be covered:
Hospitalisation for delivery
For all types of delivery, you will have the following services covered:
Neonatological hospitalisation
The stay for the insured newborn will have no limit to the number of days and will comprise:
SPECIAL TREATMENTS AND PREVENTIVE MEDICINE
Oncology service - cancer diagnosis and treatments
Preventive medicine
REIMBURSEMENT OF EXPENSES
Under our International Class policy you can get medical, surgical and hospital treatment while abroad through a medical expenses reimbursement scheme.
That means you can go to any doctor in the world and Assistència Sanitària will return up to 80% of the expenses arising, so long as they do not exceed:
Table of reimbursements
Medical care (limit per act)
Hospital care:
Pregnancy and delivery:
Stays in special units:
Fees for surgical interventions:
For treatment of:
For sessions of:
Ambulance:
Cancer treatments:
ACCIDENT POLICY
Assistència Sanitària, with no additional charge to the premium, makes a gift of free accident insurance for insured between the ages of 14 and 54.
Features of this policy are as follows:
Accidental death
Permanent disability
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:
WAITING PERIODS
When you become an Assistència Sanitària insured person, you will have immediate access to the following services:
Except for vital emergency cases, the following services can be used after a waiting period of six months:
There is a waiting period of ten months for:
Reimbursement of expenses is subject to these waiting periods.
USING THE SERVICES
Using the services in Spain
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 and as a purse for the e-cheques needed to access care services.
The e-cheques are the patient's contribution to the cost of the service and costs 1.50 euros. They can be purchased at any branch of Assistència Sanitària Col·legial and from the 'la Caixa' ATMs.
To visit the doctor, take your card previously charged with e-cheques. One e-cheque is deducted for each visit to the doctor, and for analytical, radiological or other tests. At the surgery, the card is inserted in a computer terminal to record the healthcare and consume the corresponding e-cheque.
For hospitalised patients, the card is only needed for admission and discharge formalities. On discharge, the e-cheques corresponding to the medical attention received during the stay in hospital are consumed.
For some tests and therapeutic acts and for admission to hospital, prior authorisation is required from Assistència Sanitària.
Reimbursement of expenses incurred outside Spain
The service used must be reported within at most seven days from the moment it occurs.
The report must contain the following information:
Having received these documents and having made the relevant checks, Assistència Sanitària will reimburse the amount guaranteed within 15 working days.
EXCLUSIONS FROM THE POLICY
The following services are not covered by this insurance:
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.