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International class
Description of services
Frequently asked questions
General conditions
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DETAILS 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 with reimbursement of expenses.
  • Online services.
  • 20 regional offices and more than 1,000 cheque sales points for you to choose from.
  • A chance to take part in the running of the organisation.
  • 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.
  • Paediatrics.
    • Child care.
      • Monitoring healthy children.
      • Vaccination programme.

 

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
  • Child speech therapy up to a maximum of 20 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
  • Children's and adolescents' clinical psychology (up to 15 sessions a year)
  • Physiotherapy and rehabilitation service. With specialist staff
  • Surgical staples
  • Ventilotherapy and aerosols

 

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.

  • 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.

 

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.


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.

 

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.

 

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:

  • 150,000 € per year.
  • 150,000 € for a single procedure.
  • The established maximum partial limits.

 

Table of reimbursements

Medical care (limit per act)

Paediatrics  150 €
General medicine
 90 €
Qualified nursing
 54 €
Home emergencies
 120 €
Specialists
 150 €
Special diagnostic techniques(annual limit)
 9.000 €

Hospital care:

Hospital emergency  300 €
Day hospital (daily limit)
 240 €
Admission to outpatients
 450 €
Surgical hospitalisation (daily limit)
 450 €
Medical hospitalisation (daily limit)
 360 €
Psychiatric hospitalisation (daily limit)
 210 €
Accompanying person (daily limit)
 2.400 €

Pregnancy and delivery:

Fees per visit  120 €
Attendance at childbirth
 900 €
Anaesthetist
 360 €
Obstetric hospitalisation (daily limit)
 390 €
Midwife
 300 €
Pregnancy and delivery (annual limit)
 4.600 €

Stays in special units:

Neonatology stay per day  360 €
Intensive care (daily limit)
 720 €

Fees for surgical interventions:

Fees  Des de 180 € fins a 10.800 €
Anaesthetic fees Des de 150 € fins a 720 €
Annual limit for medical fees
 90.000 €

For treatment of:

Renal lithotripsy 1.500 €

 

For sessions of:

Orthoptics and pleoptics 30 €
Haemodialysis
 180 €
Physio/rehabilitation (annual limit)
 4.500 €

Ambulance:

Inside the municipal limits 150 €
Outside the municipal limits
 480 €
Annual limit
 900 €

Cancer treatments:

Radiotherapy (annual limit) 9.000 €
Chemotherapy (fees)
 1.500 €
Annual limit
 15.000 €

 

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

  • 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.

 

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.
  • Healthcare following traffic, work or professional accidents.
  • Nursing care.
  • Emergency services.
  • Annual gynaecological check-up.
  • Orthoptics and pleoptics.

 

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.
  • Invasive prenatal diagnosis techniques

 

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.

 

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:

  • Duly completed expense reimbursement form.
  • Original official invoice for the cost of out-of-hospital and hospital healthcare, along with the corresponding receipts confirming payment.
  • Original medical report of the services received.

 

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:

  • 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.
  • The contrast media needed in radiological tests on 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.