"2003 óta kezelnek a Mária utcai bőr klinikán nagy sikerrel!"Móka Bálint
Under the insurance policy concluded between Semmelweis University and Generali Biztosító Zrt on September 1, 2017 You are eligible to health care services in Hungary.
Medical Management Company: Europ Assistance Kft.
Designated Health Care Service Provider: Semmelweis Egészségügyi Kft.
Throughout the duration of your studies, your insurance will cover your medical bills of outpatient and inpatient treatments – including surgeries – provided by the designated health care service provider, as well as emergency medical care. Your insurance also covers the costs of medicines and durable medical equipment, as well as the costs of patient transport in medical necessities.
We kindly request you to carefully read the ‘Product Information on the Fee-for-Service Health Insurance of Semmelweis University’ and the ‘Customer Information and General Provisions Governing Insurance Policies’. You may read or download the documents at the following links:
YOU WILL NOT BE PROVIDED MEDICAL MANAGEMENT SERVICES / MEDICAL TREATMENT WITHOUT COMPLETING AND SIGNING THE INSURED’S DECLARATION.
YOUR INSURANCE WILL BE VALID FROM THE DAY FOLLOWING THE DAY WHEN YOU DULY COMPLETE THE INSURED’S DECLARATION. THE INSURANCE COVERS ILLNESS DEVELOPED AFTER THE DATE OF THE SIGNATURE - with the exception of general medical practice which you may visit with pre-existing conditions, as well.
If you are ill and you need medical attention ALWAYS call the Direct Line at +36 1 465 3784 as a first point of call (the telephone number is printed on your Generali Health Insurance Card), whether you need a physician appointment, control examination or diagnostic tests. The English speaking operator of the medical management company will schedule appointments for you (or direct you to an emergency room, if necessary). Please, make sure you arrive on time for the scheduled appointment.
All medical treatments will be provided by Semmelweis Egészségügyi Kft.
If the General Practitioner orders further tests, you have to call +36 1 465 3784 again to request test appointments. Within 1-2 days, Semmelweis Egészségügyi Kft. will send you an email notification with your medical appointment.
If you cannot attend your scheduled medical appointment, you must cancel the appointment with the designated service provider in writing at least 24 hours before the scheduled time.
PLEASE NOTE! If you fail to request an appointment for a recommended medical test or examination within one month, your referral will expire.
If you believe that an acute severe illness or injury is threatening your health and you need emergency medical/trauma treatment (treatment may not be postponed until working hours), you must promptly call the National Ambulance Services at 112, or visit the nearest urgent-care center.
Please, remember that in respect of emergency treatment you always have a prepayment obligation (you will have to prepay the medical bill).
If you are hospitalized as a result of your emergency treatment, please make sure you call +36 1 465 3784 as soon as your medical condition makes it possible, but ideally within 24 hours of your hospital admission, so that you will not be required to prepay presumably huge medical costs. In such a case – whenever possible – the insurance company will pay the medical bills, and you do not have to make advance payments.
If you had to prepay medical bills, please make sure you request the invoice to be issued to YOUR OWN NAME AND ADDRESS, WITH YOUR Generali Health Insurance Card NUMBER ALSO WRITTEN ON THE INVOICE.
You must send the original invoice (medical bill) and the related medical documents as well as a written statement stating your HUF bank account number held in a Hungarian bank (which you may download from http://semmelweis.hu/english/education/english-language-program/official-forms/) where the respective payment will be transferred, to the Generali Biztosító Zrt. Debreceni Személybiztosítási Kompetencia Központ, addressed to 4025 Debrecen, Piac utca 49-51. (Please make sure you keep copies of the documents for future reference.)
The insurance company will pay the costs of the medical treatment – less the deductible and subject to the applicable limit – if the claim is grounded, within 15 days upon receipt of all documents necessary for claim settlement, in local legal currency (HUF), by wire transfer to your bank account held in a bank in Hungary.
The insurance covers the costs of health care treatment/services up to a total of HUF 2 000 000/policy year (academic year), subject to the exemptions and exclusions as well as the annual/semi-annual sublimits and deductibles set out in the table below.
If the insurance company is not at all or only party required to pay the insurance benefit, you are required to pay the part of your medical bill which is not covered under this insurance, directly to the provider of the medical treatment or to the party who has issued the medical bill.
There are some health care treatments which Your insurance does not cover. We have listed some of these treatments in this document, but for details please read the ‘Product Information on the Fee-for-Service Health Insurance of Semmelweis University’:
|Outpatient primary care,
(provided by English-speaking general practitioners)
|Outpatient specialist care||4 events**/year and
maximum HUF 60,000/event
|2 events**/half year and
maximum HUF 60.000/event
|from the 5th event**
maximum HUF 60,000/year
|from the 3rd event**
maximum HUF 30,000/year
(as part of outpatient care)
|10 events/year and
|5 events/half year and
(including emergency care)
|20 days or the current
|10 days or the current
|Patient transport||4 events/year and
|2 events / half year and
|Medication costs||HUF 100,000||HUF 50,000||50%|
|Durable medical equipment costs||HUF 100,000||HUF 50,000||50%|
* If used, the limit is reduced by HUF 12 000 per occasion.
** Event means all medical treatments, diagnostic tests and control examinations related to the same medical problem, and provided as outpatient care.
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