COVERAGES

We want you to enjoy the good moments of life, in

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Weknowyourneedsandadapttothem,becauseyou
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Includesupto796additionalprocedurestothePDSS.
Your family is your best project and we take care of it.
With theSeNaSa MAXIMUM Planyou will have the tranquility that
WiththeSeNaSa PREMIUM Planyou will enjoy a wide
coverageinexclusivehealthcentersnationwide,
just what you need. ofersexclusivecoverageforyourpeaceofmind. you need to enjoy life to the fullest. providing you with the peace of a healthy and balanced life.
Outpatient Coverage % Coverage / Limit Outpatient Coverages % Coverage / Limit Outpatient Coverages %Coverage/Limit Refund Outpatient Coverages %Coverage/Limit Refund
Medical Consultations Unlimited. (Difference payment applies) Medical Consultations Unlimited. (Applies to payment of the difference) Unlimited. (Payment applies 80% (Tope Unlimited. (Payment applies 90% (Top
MedicalConsultations MedicalConsultations
of difference) RD$1,500 of difference RD$4,500
psychiatric consultations and Unlimited. (Difference payment applies) Psychiatric consultations and
Unlimited. (Applies to payment of the difference)
psychological psychological Psychiatric consultations and Unlimited. (Payment applies 80% Psychiatric consultations and Unlimited. (Payment applies 90% (Tope
psychological of difference) RD$1,500 psychological of difference) RD$4,500)
Vaccines 100% (About LHM) Vaccines 100% (About LHM)
Vaccines 100% (About LHM) N/A Vaccines 100% (About LHM) N/A
Laboratories 80% (Unlimited) Laboratories 80% (Unlimited)
Laboratories 90% (Unlimited) Laboratories 90% (Unlimited)
X-rays 80% (Unlimited) X-rays 80% (Unlimited)
X-rays 90% (Unlimited) 80%about X-rays 90% (Unlimited) 90%about
Outpatient Procedures 80% (About LHM) Outpatient Procedures 80% (About LHM)
Outpatient Procedures 90% (About LHM) (LHM) Ambulatory Procedures 90% (About LHM) (LHM)
Special Studies 80% (Unlimited) Special Studies 80% (Unlimited)
Special Studies 90% (Unlimited) Special Studies 90% (Unlimited)
Emergency Services 100% Emergency Services 100%
100%about 100%about
Hospitalization Coverage % de Cobertura / Límite Emergency Services 100% Emergency Services 100%
Hospitalization Coverage % Coverage / Limit (LHM) (LHM)
Room 100% (RD$3,000 daily, unlimited) Room 100% (RD$5,200 daily, unlimited) Hospitalization Coverages %Coverage/Limit Refund Hospitalization Coverage %Coverage/Limit Refund
Medications in Hospitalization 100% (Unlimited) Medications in Hospitalization 100% (Unlimited) Room 100% (RD$7,000 daily, unlimited) Room 100% (RD$9,000 daily, unlimited)
Operating Room 100% (About LHM) Surgery Room 100% (About LHM) MedicationsinHospitalization 100% (Unlimited) MedicationsinHospitalization 100% (Unlimited)
Anesthesia, Disposable Materials 100% (About LHM) Anesthesia, Consumable Material 100% (About LHM) Operating Room 100% (About LHM) Surgery Room 100% (About LHM)
80%about 90%about
Medical Fees 100% (About LHM) Medical Fees 100% (About LHM) Anesthesia, Disposable Material 100% (About LHM) (LHM) Anesthesia,DisposableMaterials 100% (About LHM) (LHM)

Laboratories and X-rays 100% (About LHM) Laboratories and X-rays 100% (About LHM) Medical Fees 100% (About LHM) Medical Fees 100% (About LHM)
Limit per Case/Disease: Unlimited Limit by Case/Disease: Unlimited LaboratoriesandX-rays 100% (About LHM) LaboratoriesandX-rays 100% (About LHM)
Maternity Covers % Coverage / Limit Maternity Covers % Coverage / Limit Limit perCase/Disease: Unlimited Limit by Case/Disease: Unlimited
Normal Birth 100% (About LHM) Normal Delivery 100% (About LHM) Maternity Coverage %deCobertura/Límite Refund Maternity Coverage %deCobertura/Límite Refund
Cesarean 100% (About LHM) Cesarean 100% (About LHM) Normal Birth 100% (About LHM) Normal Birth 100% (About LHM)
Curettage 100% (About LHM) Dilation and curettage 100% (About LHM) Cesarean 100% (About LHM) Cesarean 100% (About LHM)
80%on 90%about
Medical Fees 100% (About LHM) Medical Fees 100% (About LHM) D&C (Dilation and Curettage) 100% (About LHM) (LHM) Curettage 100% (About LHM) (LHM)

Limit per Case Unlimited Limit per Case Unlimited Medical Fees 100% (About LHM) Medical Fees 100% (About LHM)
High-Cost Coverage % Coverage / Limit High-Cost Coverages % Coverage / Limit Limit by Case Unlimited Limit by Case Unlimited
Catastrophic Diseases RD$2,000,000 (Basic Plan Coverage) Catastrophic Diseases RD$2,350,000(IncludesPlanCoverage) High-CostCoverage %Coverage/Limit High-CostCoverages %ofCoverage/Limit
Basic)
Rehabilitation Coverages % Coverage / Limit Catastrophic Diseases RD$2,500,000(IncludesBasicPlanCoverage) Catastrophic Diseases RD$3,500,000(IncludesBasicPlanCoverage)
Rehabilitation Coverages % Coverage / Limit
Rehabilitation Consultations Unlimited. (Differences payment applies) Rehabilitation Coverages %Coverage/Limit Refund Rehabilitation Coverages %deCobertura/Límite Refund
Rehabilitation Consultations Unlimited. (Difference payment applies)
Rehabilitation Therapies 100% (About LHM) Unlimited. (Payment applies for Unlimited. (Payment applies for
Rehabilitation Consultations Rehabilitation Consultations
Rehabilitation Therapies 100% (About LHM) difference) difference
Devices and Prosthetics 100% (About LHM) 80%over 90%about
Devices and Prosthetics 100% (About LHM) Rehabilitation Therapies 100% (About LHM) (LHM) Rehabilitation Therapies 100% (About LHM) (LHM)
Hemotherapy % Coverage / Limit
Hemotherapy % Coverage / Limit DevicesandProsthetics 100% (About LHM) DevicesandProsthetics 100% (About LHM)
Blood and derivatives 100% (About LHM)
Blood and derivatives 100% (About LHM) Hemotherapy %Coverage/Limit Refund Hemotherapy %Coverage/Limit Refund
Other Coverages % Coverage / Limit
Other Coverages % Coverage / Limit 80%on 90%about
Dentistry 100% (Essential Plan included) Blood and derivatives 100% (About LHM) Blood and derivatives 100% (About LHM)
LHM (LHM)
Dentistry 100% (Essential Plan included)
LHM: List of Medical Fees
OtherCoverages %Coverage/Limit OtherCoverages %Coverage/Limit
N/A: Not applicable
Odontology 100% (Essential Plan included) Dentistry 100% (Essential Plan included)