Health insurance 'Health and peace of mind'.
The insurance covers
Per diem during hospital stay
In case of an accident - BGN 70 per day
In case of illness - BGN 35 per day
In case of birth up to 6 days inclusive, a lump sum of BGN 210 (one time) is paid. If the stay lasts more than 6 days, an additional payment of BGN 35 per day is made for each subsequent day
Fractures and fractures resulting from an accident
Light bone fractures - BGN 250 (one time)
Moderately severe bone fractures - BGN 500 (one time)
In case of severe bone fractures - BGN 750 (one time)
Fixed amount for operations
Surgical treatment with payment of fixed sums depending on the category of the operation performed - up to BGN 2 000 (one-time)
insurance does not cover
Congenital anomalies
Cosmetic and plastic surgeries
Chronic diseases that occurred before the conclusion of the insurance
Examinations and examinations without medical necessity
Suicide attempt
Events that occurred while using alcohol, drugs or opiates
Natural disasters
Participation of the insured person as a professional or amateur in high-risk and dangerous activities
Events arising from non-compliance with medical recommendations
Others, detailed in the insurance conditions
Useful information
Insured persons
Healthy individuals between the ages of 18 and 64 on the date of conclusion of the insurance are insured, and upon expiry of the insurance the maximum age of the insured person must not exceed 65 years.
Grace period
The grace period is the period of time during which the insurer is not liable in the event of an insured event occurring, regardless of the fact that the insurance contract is in effect.
- Accidental hospital stay insurance cover is effective immediately.
- The insurance cover for hospital stay in case of illness comes into force after 2 months from the start of the insurance.
- Insurance cover for hospital stay at birth takes effect after 9 months from the start of the insurance.
Requirements for payment of compensation
- Per diem during hospital stay:
For the payment of per diems during a hospital stay, a report (epikrisis) of the discharge from the hospital is required. It should contain the following data of the insured person: first and last name, address, date of birth, diagnosis, course of the disease and length of stay.
- Fixed amount for broken bones: A medical report is required for payment of the fixed amount in case of broken bones. The report must contain the following data of the insured person: first and last name, address, date of birth, diagnosis, conclusion of an X-ray examination or x-ray of the fractured bone, as well as the type of therapy.
- Fixed amount for surgical operations: For the payment of a fixed amount for operations, the submission of the epicrisis by the hospital is required. She must to contain the following data about the insured person: first and last name, address, date of birth, diagnosis, including a description and date of the performed operation as well as length of stay.
