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The MA Program in Spanish

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“Multisanitas” coverage with SANITAS SANITAS provides medical care in all cities and towns where it has duly authorized centers and/or participating physicians. When services included in the contract are not available in a given area, you are entitled to receive them in another area upon authorization from SANITAS. The policy includes free access to the services of participating specialists. Upon receipt of any service, persons insured must present their SANITAS card and may be asked to provide another form of identification (i.e., passport). In general, prior authorization will be required from SANITAS for surgery, hospitalization, referral of physician services, and certain types of therapy and laboratory tests. In the event of an emergency, patients must obtain notification by notifying SANITAS within 72 hours of their admission to a hospital. Sanitas provides home care in case of emergencies for patients that cannot be moved, and for patients who require special care but not hospitalization. Included in the policy Primary Care: General Practice and Pediatrics Emergencies Medical and Surgical Specialities - Allergy and Immunology (autovaccinations not included) - Laboratory Tests - Pathological Anatomy - Anesthesiology and Recovery - Angiology and Vascular Surgery - Digestive Tract. - Cardiology - Cardiovascular Surgery - General and Digestive Tract Surgery - Oral and Maxillofacial Surgery - Pediatric Surgery - Plastic and Reconstructive Surgery - Chest Surgery - Dermatology - Endocrinology - Geriatrics - Hematology and Hemotherapy - Internal Medicine - Nuclear Medicine - Nephrology - Neonatal Care - Pneumology - Neurosurgery - Neorology - Obstetrics and Gynecology - Dentistry (only extractions by a participating dentist) - Ophthalmology (general ophthalmological surgery, laser photocoagulation and cornea transplants included – the cornea to be transplanted shall be paid by the patient) - Oncology (autologous bone marrow or peripheral blood parent cell transplants for oncological treatment only and continuous administration devices used in chemotherapy and peripheral infusion catheters) - Otorhinolaryngology (ears, nose and throat specialists) - Proctology - Psychiatry - Diagnostic Radiology (usual diagnostic imaging techniques) - Therapeutic Radiology - Rheumatology - Traumatology and Orthopedic Surgery - Urology Diagnostic Methods (subject to prior written prescription from a participating physician) Treatment - Aerosol Therapy and Respiratory Therapy (medication not included) - Hemodialysis (chronic conditions are expressly excluded) - Radioactive Isotopes. For the treatment of ailments that require this procedure, the product used shall be charged to the insured - Lithotrity of the urinary tract - Speech Therapy. Provided only in association with physical disorders, for a maximum of 6 months per year - Oxygen Therapy - Chemotherapy (maximum of 50 days per year – as far as medication is concerned, the insured will only defray the costs of specific cytostatic drugs dispensed on the domestic market and authorized by the Ministry of Health) - Radiation Therapy - Rehabilitation (solely for conditions involving the motor system) - Transfusions - Pain Treatment Other Services - Ambulance (excluding intercity service and transportaion to rehabilitation facilities) - Chiropody (limited to three yearly sessions) - Special home care (excluding those derived from social nature) Risks not covered by the policy Any kind of pre-existing and/or congenital disease, defect or malformation resulting from accidents or diseases occuring before the date insured. Health care services for disease or injury occurring as a result of civil, international or colonial wars, invasions, insurrections, rebellions, revolutions, riots, uprisings, suppressions and military maneuveurs, even in peacetime, as well as oficially declared epidemics. Disease or accidents directly or indirectly relating to nuclear radiation or radioactive pollution, and any arising from natural disasters such as earthquakes, floods, volcanic eruptions and other seismic or meteorological phenomena, except lightning. Health care required to treat work or occupational disease or accidents occurring as a result of athletic competition or the use of motor vehicles (covered by mandatory motor vehicle insurance). Health care needed as a result of chronic alchoholism, drug addiction and intoxication due to substance abuse; suicide attempts and self-inflicted injuries. Medication except in the event of hospitalization. Any diagnostic and treatment method that has not been scientifically proven to be safe and effective. Treatment, including surgery, intended to overcome sterility or infertility and voluntary interruption of pregnancy. Organ, tissue, cell or cell component transplants, with the exception of autologous bone marrow or peripheral blood parent cell transplants for hematological tumors and cornea transplants. Health care for Human Immunodeficiency Virus (HIV), AIDS and AIDS-related diseases. Operations and treatments of a strictly aesthetic or cosmetic nature. Hospitalization for problems of social nature. General medical check-ups of a preventive nature not listed as “included.” Everything related to psychology, psychoanalysis, hypnosis, individual or group therapy, psychological tests, narcolepsy and educational therapy. Endodonic treatments, fillings, dental prostheses, orthodontic and periodontal treatment and implants. Prostheses of any kind. Chronic dialysis and hemodialysis treatments. Travel and transportation expenses and repatriation of deceased. Surgery or therapy involving the use of laser techniques (except photocoagulation in ophthalmology and the devices used in musculoskeletal rehabilitation). Genetic mapping for determining future predisposition to suffer certain diseases associated with genetic alterations.