Healthcare International Europe

Healthcare International Europe GmbH offers international health insurance plans under the trading name Integra Global. The insurance is underwritten by MGEN, a French insurance company regulated by the provisions of Tome II of the French mutual insurance companies code.

Coverage Tiers & Benefits

Core Components

BenefityourLifeyourFamilyPremierLifePremierFamily
Maximum Annual Medical CoverageSubject to table of
benefits
Subject to table of
benefits
Subject to table of
benefits
Subject to table of
benefits
Inpatient
Coverage
Semi-private room
accommodation,
intensive care,
inpatient ancillary
services, surgical
procedures,
physician visits
Semi-private room
accommodation,
intensive care,
inpatient ancillary
services, surgical
procedures,
physician visits
Private room
accommodation,
intensive care,
inpatient ancillary
services, surgical
procedures,
physician visits
Private room
accommodation,
intensive care,
inpatient ancillary
services, surgical
procedures,
physician visits
Emergency Room CoverageCovered; nonemergency care in emergency room
paid at standard
office visit rate
Covered; nonemergency care in emergency room paid at standard office visit rateCovered; nonemergency care in emergency room paid at standard office visit rateCovered; nonemergency care in emergency room paid at standard office visit rate
Maternity
Coverage
Not coveredCovered after 12month waiting period (mother only); hospital services, obstetrical services, prenatal and postnatal careNot coveredCovered after 12month waiting period (mother only); hospital services, obstetrical services, prenatal and postnatal care

Optional Components

ComponentyourLifeyourFamilyPremierLifePremierFamily
Outpatient CoverageCovered; includes diagnostic services, therapeutic services, physician visitsCovered; includes
diagnostic services,
therapeutic
services, physician
visits
Covered; includes
diagnostic services,
therapeutic
services, physician
visits
Covered; includes
diagnostic services,
therapeutic
services, physician
visits
Emergency & Crisis EvacuationsCovered based on
medical necessity;
pre-authorization
required
Covered based on
medical necessity;
pre-authorization
required
Covered based on
medical necessity;
pre-authorization
required
Covered based on
medical necessity;
pre-authorization
required
Routine Physical ExaminationsCovered after 6 months of waiting
period (waived if
premium paid
annually)
Covered after 6 months of waiting
period (waived if
premium paid
annually)
Covered after 6 months waiting
period (waived if
premium paid
annually)
Covered after 6 months of waiting
period (waived if
premium paid
annually)
Preventive Screening ExaminationsCovered after 6month waiting
period; includes
cancer screening
Covered after 6month waiting
period; includes
cancer screening
Covered after 6month waiting
period; includes
cancer screening
Covered after 6month waiting
period; includes
cancer screening
Telehealth ConsultationsNot specifically
mentioned
Not specifically
mentioned
Not specifically
mentioned
Not specifically
mentioned
Extreme SportsUncovered; excludes professional sports
and hazardous
activities
Uncovered; excludes professional sports
and hazardous
activities
Uncovered; excludes professional sports
and hazardous
activities
Uncovered; excludes professional sports
and hazardous
activities
Dental CoverageOptional; Class I, II,
III dental services
(Class III has 6month waiting
period)
Optional; Class I, II,
III dental services
(Class III has 6month waiting
period)
Optional; Class I, II,
III dental services
(Class III has 6month waiting
period)
Optional; Class I, II,
III dental services
(Class III has 6month waiting
period)
Vision CoverageCovered after 6month waiting
period (waived if
premium paid
annually); includes
eye exams,
eyeglasses,
contacts
Covered after 6month waiting
period (waived if
premium paid
annually); includes
eye exams,
eyeglasses,
contacts
Covered after 6month waiting
period (waived if
premium paid
annually); includes
eye exams,
eyeglasses,
contacts
Covered after 6month waiting
period (waived if
premium paid
annually); includes
eye exams,
eyeglasses,
contacts
Mental Support CoverageCovered for
inpatient and
outpatient care;
psychotherapeutic
treatment and
psychiatric
counseling
Covered for
inpatient and
outpatient care;
psychotherapeutic
treatment and
psychiatric
counseling
Covered for
inpatient and
outpatient care;
psychotherapeutic
treatment and
psychiatric
counseling
Covered for
inpatient and
outpatient care;
psychotherapeutic
treatment and
psychiatric
counseling
VaccinationsCovered as part of
wellness benefits;
includes
immunizations for
infectious diseases
Covered as part of
wellness benefits;
includes
immunizations for
infectious diseases
Covered as part of
wellness benefits;
includes
immunizations for
infectious diseases
Covered as part of
wellness benefits;
includes
immunizations for
infectious diseases

Unique and Special Plan Features

24/7 Customer Service

A 24-hour dedicated emergency telephone and assistance service is provided in the event of a medical emergency. The service includes communication with the insured person and/or close relatives to keep them informed about their condition.

Prepaid payment card provided by the insurer

Not mentioned in the policy documents.

Mobile App

Not specifically mentioned in the policy documents

Medical Case Management Service

PremierLife and PremierFamily members have access to medical concierge services, including
diagnosis verification and treatment program. This service provides access to specialists from
top-rated hospitals who can review medical reports to confirm diagnoses and advise on
treatment options.

Other unique features

The plan provides access to an eHealth records account in partnership with Medelinked,
allowing insured persons to store their health records securely and access them 24 hours a day
from anywhere. Additionally, PremierLife and PremierFamily plans include a “Travel for family
emergency” benefit covering travel costs if the insured needs to return home due to a close
relative’s illness or death.

Plan Rules

Minimum and Maximum Acceptance Age

There is no explicitly stated minimum age, but coverage extends to dependent children under 19
years of age (or under 23 if in school full-time). The maximum age limit is 69, as coverage
terminates at the end of the insurance period in which the insured person turns 69.

Plan is for individuals who live away from their home country for how long

The plan requires the insured person to reside outside the United States of America, with no
specific minimum duration mentioned. However, spending 180 or more consecutive days, or
more than 180 total days in any 12-month period in the USA may result in termination of
coverage.

Geographic Zones of Coverage

The policy covers treatment outside the insured person’s home country and within the selected
region of coverage. For medical treatment in the USA (Region 1 coverage only), the policy
provides access to a Preferred Provider Organisation (PPO) network.

Coverage in my home country

The policy is designed for those residing outside their home country, but specific details about
home country coverage are not explicitly stated in the provided documents.

Minimum duration of policy

The policy covers a 12-month period, with renewal by tacit agreement on each anniversary date
for another year.

Plan cancellation policy

The insured person can cancel within the first 14 days after receiving the policy documents
(within the first year of insurance) and receive a full premium refund, provided no claims have
been made. The insurer reserves the right to deduct an administrative charge of US$30. The
policy can also be terminated with a two-month notice before the renewal date.

Can they exclude my new health conditions at renewal time?

This information is not explicitly mentioned in the provided policy documents.

The Claim Process

When do I need to pre-approve medical expenses, and when I don’t

Pre-authorization is required for hospitalization, outpatient surgery, medical transportation
(except local emergency transportation), and high-cost claims such as MRI, CT, and PET scans.
The insurer must be contacted at least two weeks before scheduled procedures. For emergency
hospitalizations, notification within 48 hours of admission is required. Failure to obtain preauthorization may result in a 25% reduction in benefits payable.

Deductible and Cost-Share Options

The policy includes a deductible, which is the amount the insured person must pay before
benefits become payable. After meeting the deductible, the insurer pays at the percentage
specified in the table of benefits until the out-of-pocket maximum is reached, after which
benefits are payable at 100% of allowable charges.

Pros & Cons

Pros:
  • Comprehensive inpatient coverage with private room accommodation for Premier plans
  • 24-hour emergency medical assistance and evacuation services
  • Maternity care benefits for family plans (after a waiting period)
  • Extensive wellness and preventive benefits including cancer screenings
  • Vision care benefits covering eye examinations, eyeglasses, and contact lenses
  • Mental health coverage for both inpatient and outpatient treatment
  • eHealth records account for secure storage and access to health records
  • Medical concierge services and second opinions for Premier plan members
  • Coverage for hospice care and home healthcare expenses
  • Waiting periods waived for certain benefits when premium is paid annually
Cons:
  • 12-month waiting period for maternity and newborn care benefits
  • 24-month waiting period for organ transplant benefits
  • Exclusion of professional sports and hazardous activities coverage
  • Dental implants and cosmetic surgery not covered
  • Strict pre-authorization requirements with potential 25% benefit reduction
  • Coverage terminates for extended stays in the United States
  • Age limit of 69 years for continued coverage
  • Learning disabilities and developmental delays treatments excluded
  • Over-the-counter medications not covered even with prescription
  • No coverage for fertility/infertility treatments or resulting pregnancies

Insurer Details

Plan Name: yourLife, yourFamily, PremierLife, and PremierFamily

Who is the insurer? MGEN

Insurer’s Country: France

Insurance Plan main website: http://www.integraglobal.com/

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