Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
INSURANCE PLAN «STUDENT-2016» FOR INTERNATIONAL STUDENTS OF HSE SK VEKTOR (license SL#2664 dated June 25, 2015) shall cover the following medical expenses associated with an acute disease, injury, poisoning or exacerbation of chronic conditions throughout the entire duration of the Insurance Agreement: 1. Outpatient care at the following locations: - “Medsanchast 03” Medical Centre (Sushchevskiy val 5, bld.9, Savyolovskaya metro station), reception: 8-495-664-20-03; - Moscow Outpatient Clinic No.68 (Malaya Yakimanka 22, Polyanka metro station) - “Altamed+”, Odintsovo, Soyuznaya Str., 32Б - “Veramed”, Odintsovo, L.Novoselovoy boulevard, 17 to receive medical treatment at these facilities, contact the 24-hour call centre of SK VEKTOR: 8-925-011-48-82, 8-916-141-36-80 Outpatient services include the following: Physician office visits for consultation, diagnosis or treatment by a general practitioner (GP), surgeon, cardiologist, infectious disease specialist, trauma surgeon, urologist, ear, nose and throat specialist, ophthalmologist, neurologist, dermatologist, specialist for sexually transmitted diseases, obstetrician, gynaecologist and, upon referral, a kidney specialist, proctologist, oncologist (until an oncological disorder is diagnosed), neuropsychiatrist (initial appointment) Issuing medical documents requested by the student Issuing a certificate of fitness for studies and dormitory accommodation based on medical examination (GP, chest X-ray, HIV test and Wassermann test) conducted at Medsanchast 03 (Sushchevskiy val 5, bld.9, Savyolovskaya metro station) no more than once per the coverage period. Function tests: ECG, EEG, echocardiography, pulmonary function testing Holter monitoring and 24-hour blood pressure monitoring, if indicated – once per the coverage period and upon the Insurer’s consent Laboratory tests and instrumental procedures: General laboratory tests, biochemistry, bacteriology, serology and immunologic tests for total IgE levels (if indicated by the allergist) Cytology and histology, biopsy for medical emergencies Full array of radiographic procedures Ultrasound testing CT and MRI scan as a part of emergency treatment and upon the Insurer’s consent Gastrointestinal and pulmonary endoscopy under a local anaesthetic; colonoscopy in emergencies (upon the Insurer’s consent) Minor surgical procedures performed on an outpatient basis in emergencies (upon the Insurer’s consent) Rehabilitation therapy (upon the Insurer’s consent): Therapeutic exercises, group classes (up to 10 classes per the coverage period); rehabilitation treatment options: physical therapy, electrotherapy, light therapy, heat therapy, therapeutic ultrasound, magnet and laser therapy (except intravenous), inhalations – up to two options per one occurrence during the treatment period. 2. Dental treatment (up to 4 teeth). To arrange for dental treatment, call the 24-hour call centre of SK VEKTOR: 8-925-011-48-82, 8-916-141-36-80 Emergency dental treatment and pain relief: Dental therapy and surgery, all means of local anaesthesia, diagnostic X-rays and physical therapy to the extent needed to provide pain relief and prevent any complications (excluding treatment of periodontitis, congenital conditions and developmental anomalies). 3. House calls (within MKAD and in Odintsovo): House calls are made to international students whose state or nature of illness requires bed rest and prevents them from attending a healthcare institution. Requests for house calls should be made before 14.00 of the same day, and the student’s contact phone number should be provided. A house call involves the following procedures: Initial or follow-up examination by a GP (a second follow-up examination requires laboratory testing or determining whether the patient should be admitted to a hospital). 4. Emergency care (within MKAD and in Odintsovo): Emergency care includes the following: dispatch of an ambulance service team; emergency diagnosis; emergency treatment and acute care; emergency transportation to a hospital. 5. Inpatient care at the following locations: - City Hospital No.36 (Fortunatovskaya 1, Partizanskaya metro station) - City Hospital No.64 (Vavilova 61, Akademicheskaya metro station) - City Hospital No.13 (Velozavodskaya 1/1, Dubrovka metro station) - City Hospital No.15 (Veshnyakovskaya 23, Vykhino metro station) - N.A. Semashko Hospital of the Russian Railways (Sportivny proezd 3, Lyublino metro station) and other healthcare facilities selected by the insurance company. Inpatient care involves admission to a healthcare facility (when outpatient treatment is impossible or ineffective) in order to administer conservative or surgical treatment for an acute condition or exacerbation of a chronic illness. Emergency hospital admission: Emergency admission (urgent, without any prior arrangements) to a hospital takes place when there is an immediate threat to the student’s life and health, necessitating emergency medical intervention. Patients are admitted to the nearest hospital, including those assigned by the emergency medical services of the city. Thereafter, if the patient’s condition permits, the Insurer may transfer the patient to a healthcare facility included into the Insurance Plan, subject to the patient’s consent. Inpatient services include the following: Diagnostic and laboratory tests and instrumental procedures for the illness (condition) that has necessitated the hospital admission Surgical and/or conservative treatment administered as per the approved medical standards Counselling and other professional services provided by physicians Medications and other materials required for treatment Physical therapy, classic massage, therapeutic exercises prescribed by a physician to treat the condition that has necessitated the hospital admission Placement in a 4-bed hospital room, meals and nursing care Patients may be admitted on an emergency basis to hospitals that have vacant places and that can provide the relevant medical services. Patients may subsequently be transferred to a healthcare facility included into the Insurance Plan, if their condition permits it. 6. Accident insurance. Insurance policies lasting from 6 to 12 months include an accident insurance cover of 200,000 roubles. Insurable risks: Traumatic injuries caused by an accident — insurance cover of 100,000 roubles with payments as per the payment table. Accidental death — insurance cover of 100,000 roubles. INSURANCE PLAN EXCLUSIONS 1. The following cases, conditions and their complications (once the diagnosis is established) are not covered by this Insurance Plan: Injuries, burns, frostbites, acute poisonings, injuries to internal organs sustained by the student while under the influence of alcohol, drugs or intoxicative inhalants, during a psychotic episode, while engaging in antisocial behaviour or as a result of a terror attack Deliberate self-harm, suicide attempts, deliberate violation of safety requirements Unauthorised rallies and demonstrations, public disorder, military operations, disasters and gun handling Oncological diseases and their complications, nervous system tumours, skin cancer, keloids, photoallergic reaction of post-burn scars, paresis and paralysis Neoplastic diseases of the blood, chronic blood disorders, thrombocytopenia (until the diagnosis is established) Inherited and congenital disorders, iatrogenic disorders Degenerative and demyelinating diseases of the nervous system, epilepsy, cerebral palsy, multiple sclerosis, sensorineural hearing loss Systemic diseases, including connective tissue disorders, such as rheumatoid arthritis and undifferentiated collagen diseases Chronic diseases of the musculoskeletal system (advanced and requiring joint replacement or osteoplasty) Asthma (once the diagnosis is established), chronic skin disorders, psoriasis, disseminated eczema, systemic mycosis, genital herpes, leukoplakia and interstitial nephritis (once the diagnosis is established) Cardiovascular and nervous system disorders requiring reconstructive surgery, including high-tech procedures (angiography, stent insertion, prosthesis, etc.) Sexually transmitted diseases (STD), HIV, confirmed immune deficiency, highly infectious diseases, syphilis Infectious diseases, acute and chronic hepatitis, including drug-induced hepatitis Tuberculosis, sarcoidosis, cystic fibrosis, fibrosing alveolitis regardless of the clinical presentation and stage of progression Type I and II diabetes and its complications (retinopathy, angioedema, eczema, pyogenic skin disorders), gout, metabolic syndrome, obesity, impaired glucose tolerance Diseases accompanied by chronic heart failure and cardiopulmonary insufficiency Diseases accompanied by chronic kidney and liver insufficiency Psychiatric disorders and their complications, behavioural disorders Sleep disorders, snoring Occupational diseases Menstrual disorders Family planning and pregnancy (except for life-threatening conditions during the first 8 weeks of pregnancy) Radiation disease and its complications Disability of category I and II 2. SK VEKTOR does not cover the following medical services: Medical services that were not prescribed by the physician in charge Lipid, hormone, immunology (except for total IgE levels) and allergy profile (including hyposensitization therapy), PCR-based diagnostics for sexually transmitted diseases, genetic testing, DNA tests Scheduled surgeries to treat disorders of refraction and accommodation (short-sightedness, long-sightedness, astigmatism), retinal disorders, physical therapy for eye disorders; medical devices to train the accommodative apparatus of the eye, treat or prevent short-sightedness; complex lens and contact lens fitting Surgical treatment of injuries sustained outside the coverage period All types of prosthesis and endoprosthetic replacement, organ and tissue replacement surgery Diagnosis, treatment (including surgical) and procedures performed for aesthetic and cosmetic purposes or to improve the patient’s psychological well-being, including skin treatment (calluses, papillomas, nevuses, etc.), sclerotherapy for veins, weight loss treatment, sex reassignment surgery Injecting drugs into joints for interstitial fluid replacement Heel spurs, valgus deformity, flat feet (including those presenting with pain) without any signs of acute arthritis and/or bursitis Vaccination (except for emergency tetanus shots), specialised allergen immunotherapy Costs associated with purchasing medications, dressing, medical equipment and devices (eyeglasses, contact lenses, hearing aids, etc.) and with customizing them; customized hardware for treatment of injury Hardware removal after treatment of injury Alternative diagnostic techniques: thermopunctural, electropunctural, pulse methods, iridology, ear acupuncture, electroacupuncutre according to Voll, etc.; all traditional and alternative medicine: chiropractic, phytotherapy and other natural remedies “Medsanchast 03” Medical Centre (Sushchevskiy val 5, bld.9, Savyolovskaya metro station) SK VEKTOR Homeopathy, hirudotherapy, energy therapy, traditional healing techniques, reflexology (except for standard acupuncture), etc., any other experimental or alternative treatment All types of massage (except for classic massage – up to 10 procedures per the coverage period), physical therapy (over 10 procedures per one occurrence), preventive procedures, shockwave therapy, training devices, sunbeds, swimming pool, sauna, individual sessions of therapeutic gymnastics, colon hydrotherapy, etc. Fertility treatment and contraception, including in vitro fertilization, IUD insertion and removal, diagnosis and treatment of infertility or erectile dysfunction, complications from any contraceptive methods Orthopaedic surgery and other procedures Medical examination to receive a certificate of fitness for a driving license, gun license, travelling abroad, admission to educational institutions (except for a certificate of fitness for studies and dormitory accommodation – only once per year), purchasing bank and other insurance services Vaccination for adults (except for tetanus shots after an injury) Extracorporeal treatment, blood irradiation therapy (laser and ultraviolet), normobaric and hyperbaric oxygen therapy, radio-wave therapy, haemodialysis Procedures, examination or treatment that require hospital admission on a day patient basis, if the insurance policy does not cover a scheduled hospital admission; inpatient stay for nursing care and rehabilitation at early treatment centres, health resorts, preventive healthcare facilities, rehabilitation centres and other specialised healthcare institutions (unless otherwise provided for in the Insurance Plan) If the Insurance Agreement has expired but an acute condition still persists, the Insurer will cover the cost of medical services as follows: supervision by the physician in charge until an acute phase of the underlying condition is over (for outpatient care) or until hospital discharge (for inpatient care). All scheduled hospital admissions (if they are included into the Insurance Plan) must take place at least 14 days before the expiry of the Insurance Agreement. For conditions that were diagnosed before conclusion of the Insurance Agreement and require a mandatory non-urgent surgery, no hospital admission will be scheduled 3. SK VEKTOR does not cover the following dental services: Treatment of periodontal diseases (periodontitis, periodontosis) Services provided for preventive, aesthetic and curative purposes (cleaning the oral cavity, counselling in oral hygiene, applying protective substances to the teeth, determining oral hygiene indices, plaque removal, Air Flow teeth whitening) Dental prosthesis insertion and preparation Dental implants Treating teeth fitted with orthopaedic and orthodontic appliances, teeth under a crown and filled root canals Panoramic radiograph “Termofil”, parapulpar, anchor and fiberglass dental pins Aesthetic and restorative dental surgery, restoration of over ½ of a tooth Applying fluoride varnish to the teeth for preventive purposes Orthodontic treatment Surgical interventions aimed at salvaging the teeth: apicoectomy, dental cyst removal, flap surgery, open flap debridement using biomembranes, osteotropic materials, intradental splinting, wisdom tooth extraction, extraction of impacted and misplaced teeth Treatment of non-carious lesions, chipped teeth, fissure sealing Removal of old dental fillings without digital imaging 4. If during the coverage period the student develops any of the conditions listed in Section 1 of these Exclusions or has a disability of category I or II officially confirmed, the Insurer will cover medical services provided to the student up to the point when the diagnosis or disability of category I or II has been established (confirmed). STUDENT HEALTH INSURANCE Outpatient care can be obtained at the following locations: - “Medsanchast 03” Medical Centre (Sushchevskiy val 5, bld.9, Savyolovskaya metro station) This Medical Centre is by appointment only. To book an appointment, call 8-495-664-20-03. Don’t forget to bring your passport, insurance policy and insurance card to the appointment. - Moscow Outpatient Clinic No.68 (Malaya Yakimanka 22, Polyanka metro station) – without medical examination - “Altamed+”, Odintsovo, Soyuznaya Str., 32Б - “Veramed”, Odintsovo, L.Novoselovoy boulevard, 17 To book an appointment, contact the 24-hour call centre of SK VEKTOR: 8-925-011-48-82, 8-916-141-36-80. Don’t forget to bring your passport, insurance policy and insurance card to the appointment. Moscow Outpatient Clinic No.68 (Malaya Yakimanka 22, Polyanka metro station) All requests for house calls should be made from 08.00 to 14.00 by phone: 8-925-011-48-82, 8-916-141-36-80. Your insurance plan includes 24-hour emergency services that can be requested at the call centre of SK VEKTOR: 8-925-011-48-82, 8-916-141-36-80. Your insurance plan also includes emergency dental treatment and pain relief (up to 4 teeth), subject to referral from the physician of the Insurer’s call centre and at selected facilities only. To arrange for emergency dental treatment, contact the 24-hour call centre of SK VEKTOR: 8-925-011-48-82, 8-916-141-36-80. Apart from outpatient care, you are also entitled to ambulance services and emergency hospital admission. To request an ambulance or arrange for an emergency hospital admission, contact the 24-hour call centre: 8-925-011-48-82, 8-916-141-36-80. Tell the contact centre operator your name, insurance policy (card) number, location and reason for phoning. Passing your insurance policy and insurance card on to others is prohibited. Failure to comply will result in termination of the Insurance Agreement without any compensation. CONTACT US IF YOU HAVE ANY FURTHER QUESTIONS SK VEKTOR, Personal Insurance Department Telephone: 8-925-011-48-82, 8-916-141-36-80