INPATIENT and DAYPATIENT BENEFITS
Annual overall benefit maximum - per beneficiary per period of Advantage | $500000 |
Area of Advantage * | |
Condition Limit * | $250000 |
Out of Area 911 Advantage * | $40000 |
Hospital Charges * | In Full |
Pandemics, Epidemics and outbreaks of infectious illnesses * | In Full |
Inpatient Cash Benefit * | $100 |
Intensive Care * | In Full |
Surgeon's & Anesthetists' fees * | In Full |
Specialists' consultation fees | In Full |
Transplant services * | In Full |
Kidney Dialysis * | $5000 |
Pathology, Radiology and diagnostic tests (excluding Advanced Medical Imaging) |
In Full |
Advanced Medical Imaging (MRI, CT and PET Scans) * | $2500 |
Physiotherapy and complementary therapies * | $2000 |
Rehabilitation * | $2000 |
Mental Health Care * | $3000 |
Cancer Care * | In Full |
Cancer Related Appliances * | $125 |
Hospice and Palliative Care * | $2500 |
Internal Prosthetic devices * | In Full |
External prosthetic devices * | $2500 |
Local ambulatory services* | In Full |
Emergency inpatient dental treatment * | $2500 |
OUTPATIENT AND WELLNESS CARE |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$5000 |
Consultations with medical practitioners and specialists * | $650 |
Global telehealth with DigitalClinic* | In Full |
Pathology, radiology and diagnostic tests* (excluding Advanced Medical Imaging) |
$1000 |
Physiotherapy* | $1000 |
Osteopathy and chiropractic treatment* | $650 |
Acupuncture and Chinese medicine* | $650 |
Prescribed drugs and dressings* | $500 |
Rental of durable medical equipment* | $1500 |
Adult vaccinations* | $250 |
Dental accidents* | $500 |
Child wellbeing tests* | $1000 |
Child immunizations* | $1000 |
Annual eye and hearing exams for children under 15* | In Full |
YOUR WELLNESS CARE BENEFITS |
|
Routine adult physical examination* | $100 |
Life Management Assistant Program* | In Full |
Telephonic Wellness Coaching* | In Full |
Cervical cancer screening* | In Full |
Prostate cancer screening* | $400 |
Breast cancer screening* | $400 |
Bowel cancer screening* | $400 |
Skin cancer screening* | $400 |
Lung cancer screening* | $400 |
Bone densitometry* | $400 |
DENTAL CARE AND TREATMENT |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$750 |
Preventative dental treatment* | In Full |
Routine dental treatment* | 80% |
Major restorative dental treatment* | 70% |
Medical care in many international locales is directed and managed through centralized state-controlled care and distribution where the population shares the medical resources. In many of these international destinations, private health care systems have been independently developed by international health care organizations in support of the local, global "ex-pat" labor force that resides in those destinations. Private medical provider networks and other medical services fall outside of the public domain, and their resources are allocated on a first-come, first serve the ability to pay basis.
In China, the following AXA Insurance medical policy benefits* are included in our Personal Wellness Advantage membership at no additional charge for all China-based residents and members. All benefits provided within the AXA Insurance policy are provided without any deductible or co-payment required, provided that all sought treatment is scheduled and managed through EMG's DigitalClinic™. A complete description of the benefits plan is provided on the following pages and delivered directly by AXA Insurance, Incorporated (www.axa.com).
At EMG®, we take great pride in providing the most effective care for our members' health and well-being and will always offer provide our members the finest, most progressive medical care available. For questions or member service, please contact EMG® member support at: support@emgpwc.com, or you can always receive immediate assistance on any of our social media platforms @ EMGPWC.
EMG's Core Care™ Medical Benefits Supplement is a continuation of our deep engagement to wellness and healthy lives in collaboration with health care providers committed to delivering coordinated, quality, and affordable care to our members across our international consortium of large national networks and focused more cost-efficient local networks. Our personalized preventative care, whole health approach, and professional guidance help our members to access the appropriate level of quality care at the right time, every time. For a complete schedule of benefits, please request here:
AXA SmartCare Elite China Mainland, Hong Kong, Taiwan |
Axa SmartCare Elite Worldwide |
|
---|---|---|
Inpatient Advantage Annual Limit for Parts 1-7 | 13,000,000 rmb | 28,000,000 rmb |
Part 1 Hospitalization Benefit | ||
Optional Deductible | Nil | Nil |
Daily Room & Board Limit (per day) | Standard Private Room | Standard Private Room |
Intensive Care Unit | Full Advantage (FC) | Full Advantage (FC) |
Hospital Miscellaneous Expenses (Prescription drugs, inpatient diagnostic procedures, Nursing, Operating Theatre Charges) |
Full Advantage | Full Advantage |
Inpatient Physiotherapy*, Ambulance service, Surgeon’s Fees Anesthesiologists’ Fee, Inpatient Physician’s Visit |
Full Advantage | Full Advantage |
Home Nursing* (Max 90 days per disability) | Full Advantage | Full Advantage |
Immediate Family Accommodation* (Max 90 days per disability) | Full Advantage | Full Advantage |
Pre-hospitalization or Pre-day Surgery Specialist Consultation. (Up to 90 days before admission, limited to one time per each condition) |
Full Advantage | Full Advantage |
Pre-hospitalization or Pre-day Surgery Diagnostic Services (Up to 90 days before admission, limited to one time per each condition) |
Full Advantage | Full Advantage |
Post-hospitalization or Post-Day Surgery or Post-day Surgery Treatment: (Within 90 days immediately following the date of the last discharge from hospital) |
Full Advantage | Full Advantage |
Rehabilitation treatment* Up to 28 days per policy year | Full Advantage | Full Advantage |
Inpatient Psychiatric Treatment* Up to 30 days per policy year after 180 days of Continuous Advantage under the plan. |
Not Covered | Not Covered |
Part 2: Major Organ Transplant | Full Advantage | Full Advantage |
Part 3: Artificial Prosthesis (Surgical Implants) | Full Advantage | Full Advantage |
Part 4: Cancer Treatment & Outpatient Kidney Dialysis | Full Advantage | Full Advantage |
Part 5: Outpatient Emergency Dental Treatment (due to accident only) | Full Advantage | Full Advantage |
Part 6: Outpatient Emergency (due to accident only) | Full Advantage | Full Advantage |
Part 7: Usage of High-Cost Provider | Not Covered | Not Covered |
Part 8: Emergency Assistance Service & Benefits |
Full Advantage | Full Advantage |
Outpatient Advantage | ||
Annual Limit (Limit to 1 visit per day per disability) | ||
Deductible / visit | Nil | Nil |
Clinical Consultation, Specialist Consultation, Prescription Drugs & Medicine* | Full Advantage | Full Advantage |
Physiotherapy & Chiropractic Treatment* (Max 10 visits per year) | Full Advantage | Full Advantage |
X-Ray and Laboratory Fees* | Full Advantage | Full Advantage |
Chinese Herbalist, Bonesetter, and Acupuncturist* | 10 visits/yr, 1000 rmb max | 12 visits/yr no limit |
Routine physical examinations, health screening & health check-ups, and vaccinations, optical care* (Benefit limit Per Year) |
3000 rmb max | 5000 rmb max |
Usage of High-Cost Provider | Not Covered | Full Advantage |
Dental Advantage | ||
Annual Limit | 5,000 rmb | 10,000 rmb |
Co-Payment | 25% | 25% |
Nature dental treatment including fillings, build ups, extractions (excluding wisdom teeth) x-rays, root planning, root canal treatment, periodontal treatment and dentures. |
||
Nature dental treatment including fillings, build ups, extractions (excluding wisdom teeth) x-rays, root planning, root canal treatment, periodontal treatment and dentures. |
||
Usage of High-Cost Provider | Not Covered | Covered |
Maternity Advantage | ||
Annual Limit | 80,000 rmb | 140,000 rmb |
Waiting Period | 180 days | 180 days |
Co-Payment | Full Advantage | Full Advantage |
Normal Delivery, Cesarean* termination of pregnancy* Miscarriage* Complications arising during the antenatal period and childbirth* Medically necessary costs for newborn for first 15 days. |
Full Advantage | Full Advantage |
Usage of High-Cost Provider | Not Covered | Full Advantage |
Product availability may vary by location and plan type and is subject to change. All health insurance programs and health benefit plans contain exclusions and limitations. For costs and complete details of Advantage, contact your EMG® program representative.
EMG's Core Care™ Medical Benefits Supplement is a continuation of our deep engagement to wellness and healthy lives in collaboration with health care providers committed to delivering coordinated, quality, and affordable care to our members across our international consortium of large national networks and focused more cost-efficient local networks. Our personalized preventative care, whole health approach, and professional guidance help our members to access the appropriate level of quality care at the right time, every time. For a complete schedule of benefits, please request here:
INPATIENT and DAYPATIENT BENEFITS
Annual overall benefit maximum - per beneficiary per period of Advantage | $500000 |
Area of Advantage * | |
Condition Limit * | $250000 |
Out of Area 911 Advantage * | $40000 |
Hospital Charges * | In Full |
Pandemics, Epidemics and outbreaks of infectious illnesses * | In Full |
Inpatient Cash Benefit * | $100 |
Intensive Care * | In Full |
Surgeon's & Anesthetists' fees * | In Full |
Specialists' consultation fees | In Full |
Transplant services * | In Full |
Kidney Dialysis * | $5000 |
Pathology, Radiology and diagnostic tests (excluding Advanced Medical Imaging) |
In Full |
Advanced Medical Imaging (MRI, CT and PET Scans) * | $2500 |
Physiotherapy and complementary therapies * | $2000 |
Rehabilitation * | $2000 |
Mental Health Care * | $3000 |
Cancer Care * | In Full |
Cancer Related Appliances * | $125 |
Hospice and Palliative Care * | $2500 |
Internal Prosthetic devices * | In Full |
External prosthetic devices * | $2500 |
Local ambulatory services* | In Full |
Emergency inpatient dental treatment * | $2500 |
OUTPATIENT AND WELLNESS CARE |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$5000 |
Consultations with medical practitioners and specialists * | $650 |
Global telehealth with DigitalClinic* | In Full |
Pathology, radiology and diagnostic tests* (excluding Advanced Medical Imaging) |
$1000 |
Physiotherapy* | $1000 |
Osteopathy and chiropractic treatment* | $650 |
Acupuncture and Chinese medicine* | $650 |
Prescribed drugs and dressings* | $500 |
Rental of durable medical equipment* | $1500 |
Adult vaccinations* | $250 |
Dental accidents* | $500 |
Child wellbeing tests* | $1000 |
Child immunizations* | $1000 |
Annual eye and hearing exams for children under 15* | In Full |
YOUR WELLNESS CARE BENEFITS |
|
Routine adult physical examination* | $100 |
Life Management Assistant Program* | In Full |
Telephonic Wellness Coaching* | In Full |
Cervical cancer screening* | In Full |
Prostate cancer screening* | $400 |
Breast cancer screening* | $400 |
Bowel cancer screening* | $400 |
Skin cancer screening* | $400 |
Lung cancer screening* | $400 |
Bone densitometry* | $400 |
DENTAL CARE AND TREATMENT |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$750 |
Preventative dental treatment* | In Full |
Routine dental treatment* | 80% |
Major restorative dental treatment* | 70% |
Product availability may vary by location and plan type and is subject to change. All health insurance programs and health benefit plans contain exclusions and limitations. For costs and complete details of Advantage, contact your EMG® program representative.
EMG's Core Care™ Medical Benefits Supplement is a continuation of our deep engagement to wellness and healthy lives in collaboration with health care providers committed to delivering coordinated, quality, and affordable care to our members across our international consortium of large national networks and focused more cost-efficient local networks. Our personalized preventative care, whole health approach, and professional guidance help our members to access the appropriate level of quality care at the right time, every time. For a complete schedule of benefits, please request here:
INPATIENT and DAYPATIENT BENEFITS
Annual overall benefit maximum - per beneficiary per period of Advantage | $500000 |
Area of Advantage * | |
Condition Limit * | $250000 |
Out of Area 911 Advantage * | $40000 |
Hospital Charges * | In Full |
Pandemics, Epidemics and outbreaks of infectious illnesses * | In Full |
Inpatient Cash Benefit * | $100 |
Intensive Care * | In Full |
Surgeon's & Anesthetists' fees * | In Full |
Specialists' consultation fees | In Full |
Transplant services * | In Full |
Kidney Dialysis * | $5000 |
Pathology, Radiology and diagnostic tests (excluding Advanced Medical Imaging) |
In Full |
Advanced Medical Imaging (MRI, CT and PET Scans) * | $2500 |
Physiotherapy and complementary therapies * | $2000 |
Rehabilitation * | $2000 |
Mental Health Care * | $3000 |
Cancer Care * | In Full |
Cancer Related Appliances * | $125 |
Hospice and Palliative Care * | $2500 |
Internal Prosthetic devices * | In Full |
External prosthetic devices * | $2500 |
Local ambulatory services* | In Full |
Emergency inpatient dental treatment * | $2500 |
OUTPATIENT AND WELLNESS CARE |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$5000 |
Consultations with medical practitioners and specialists * | $650 |
Global telehealth with DigitalClinic* | In Full |
Pathology, radiology and diagnostic tests* (excluding Advanced Medical Imaging) |
$1000 |
Physiotherapy* | $1000 |
Osteopathy and chiropractic treatment* | $650 |
Acupuncture and Chinese medicine* | $650 |
Prescribed drugs and dressings* | $500 |
Rental of durable medical equipment* | $1500 |
Adult vaccinations* | $250 |
Dental accidents* | $500 |
Child wellbeing tests* | $1000 |
Child immunizations* | $1000 |
Annual eye and hearing exams for children under 15* | In Full |
YOUR WELLNESS CARE BENEFITS |
|
Routine adult physical examination* | $100 |
Life Management Assistant Program* | In Full |
Telephonic Wellness Coaching* | In Full |
Cervical cancer screening* | In Full |
Prostate cancer screening* | $400 |
Breast cancer screening* | $400 |
Bowel cancer screening* | $400 |
Skin cancer screening* | $400 |
Lung cancer screening* | $400 |
Bone densitometry* | $400 |
DENTAL CARE AND TREATMENT |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$750 |
Preventative dental treatment* | In Full |
Routine dental treatment* | 80% |
Major restorative dental treatment* | 70% |
Product availability may vary by location and plan type and is subject to change. All health insurance programs and health benefit plans contain exclusions and limitations. For costs and complete details of Advantage, contact your EMG® program representative.
EMG's Core Care™ Medical Benefits Supplement is a continuation of our deep engagement to wellness and healthy lives in collaboration with health care providers committed to delivering coordinated, quality, and affordable care to our members across our international consortium of large national networks and focused more cost-efficient local networks. Our personalized preventative care, whole health approach, and professional guidance help our members to access the appropriate level of quality care at the right time, every time. For a complete schedule of benefits, please request here:
INPATIENT and DAYPATIENT BENEFITS
Annual overall benefit maximum - per beneficiary per period of Advantage | $500000 |
Area of Advantage * | |
Condition Limit * | $250000 |
Out of Area 911 Advantage * | $40000 |
Hospital Charges * | In Full |
Pandemics, Epidemics and outbreaks of infectious illnesses * | In Full |
Inpatient Cash Benefit * | $100 |
Intensive Care * | In Full |
Surgeon's & Anesthetists' fees * | In Full |
Specialists' consultation fees | In Full |
Transplant services * | In Full |
Kidney Dialysis * | $5000 |
Pathology, Radiology and diagnostic tests (excluding Advanced Medical Imaging) |
In Full |
Advanced Medical Imaging (MRI, CT and PET Scans) * | $2500 |
Physiotherapy and complementary therapies * | $2000 |
Rehabilitation * | $2000 |
Mental Health Care * | $3000 |
Cancer Care * | In Full |
Cancer Related Appliances * | $125 |
Hospice and Palliative Care * | $2500 |
Internal Prosthetic devices * | In Full |
External prosthetic devices * | $2500 |
Local ambulatory services* | In Full |
Emergency inpatient dental treatment * | $2500 |
OUTPATIENT AND WELLNESS CARE |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$5000 |
Consultations with medical practitioners and specialists * | $650 |
Global telehealth with DigitalClinic* | In Full |
Pathology, radiology and diagnostic tests* (excluding Advanced Medical Imaging) |
$1000 |
Physiotherapy* | $1000 |
Osteopathy and chiropractic treatment* | $650 |
Acupuncture and Chinese medicine* | $650 |
Prescribed drugs and dressings* | $500 |
Rental of durable medical equipment* | $1500 |
Adult vaccinations* | $250 |
Dental accidents* | $500 |
Child wellbeing tests* | $1000 |
Child immunizations* | $1000 |
Annual eye and hearing exams for children under 15* | In Full |
YOUR WELLNESS CARE BENEFITS |
|
Routine adult physical examination* | $100 |
Life Management Assistant Program* | In Full |
Telephonic Wellness Coaching* | In Full |
Cervical cancer screening* | In Full |
Prostate cancer screening* | $400 |
Breast cancer screening* | $400 |
Bowel cancer screening* | $400 |
Skin cancer screening* | $400 |
Lung cancer screening* | $400 |
Bone densitometry* | $400 |
DENTAL CARE AND TREATMENT |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$750 |
Preventative dental treatment* | In Full |
Routine dental treatment* | 80% |
Major restorative dental treatment* | 70% |
Product availability may vary by location and plan type and is subject to change. All health insurance programs and health benefit plans contain exclusions and limitations. For costs and complete details of Advantage, contact your EMG® program representative.
EMG's Core Care™ Medical Benefits Supplement is a continuation of our deep engagement to wellness and healthy lives in collaboration with health care providers committed to delivering coordinated, quality, and affordable care to our members across our international consortium of large national networks and focused more cost-efficient local networks. Our personalized preventative care, whole health approach, and professional guidance help our members to access the appropriate level of quality care at the right time, every time. For a complete schedule of benefits, please request here:
INPATIENT and DAYPATIENT BENEFITS
Annual overall benefit maximum - per beneficiary per period of Advantage | $500000 |
Area of Advantage * | |
Condition Limit * | $250000 |
Out of Area 911 Advantage * | $40000 |
Hospital Charges * | In Full |
Pandemics, Epidemics and outbreaks of infectious illnesses * | In Full |
Inpatient Cash Benefit * | $100 |
Intensive Care * | In Full |
Surgeon's & Anesthetists' fees * | In Full |
Specialists' consultation fees | In Full |
Transplant services * | In Full |
Kidney Dialysis * | $5000 |
Pathology, Radiology and diagnostic tests (excluding Advanced Medical Imaging) |
In Full |
Advanced Medical Imaging (MRI, CT and PET Scans) * | $2500 |
Physiotherapy and complementary therapies * | $2000 |
Rehabilitation * | $2000 |
Mental Health Care * | $3000 |
Cancer Care * | In Full |
Cancer Related Appliances * | $125 |
Hospice and Palliative Care * | $2500 |
Internal Prosthetic devices * | In Full |
External prosthetic devices * | $2500 |
Local ambulatory services* | In Full |
Emergency inpatient dental treatment * | $2500 |
OUTPATIENT AND WELLNESS CARE |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$5000 |
Consultations with medical practitioners and specialists * | $650 |
Global telehealth with DigitalClinic* | In Full |
Pathology, radiology and diagnostic tests* (excluding Advanced Medical Imaging) |
$1000 |
Physiotherapy* | $1000 |
Osteopathy and chiropractic treatment* | $650 |
Acupuncture and Chinese medicine* | $650 |
Prescribed drugs and dressings* | $500 |
Rental of durable medical equipment* | $1500 |
Adult vaccinations* | $250 |
Dental accidents* | $500 |
Child wellbeing tests* | $1000 |
Child immunizations* | $1000 |
Annual eye and hearing exams for children under 15* | In Full |
YOUR WELLNESS CARE BENEFITS |
|
Routine adult physical examination* | $100 |
Life Management Assistant Program* | In Full |
Telephonic Wellness Coaching* | In Full |
Cervical cancer screening* | In Full |
Prostate cancer screening* | $400 |
Breast cancer screening* | $400 |
Bowel cancer screening* | $400 |
Skin cancer screening* | $400 |
Lung cancer screening* | $400 |
Bone densitometry* | $400 |
DENTAL CARE AND TREATMENT |
|
Annual overall benefit maximum - per beneficiary per period of Advantage |
$750 |
Preventative dental treatment* | In Full |
Routine dental treatment* | 80% |
Major restorative dental treatment* | 70% |
Product availability may vary by location and plan type and is subject to change. All health insurance programs and health benefit plans contain exclusions and limitations. For costs and complete details of Advantage, contact your EMG® program representative.