AF Portada CUADRO MEDICO A4 Pontevedra
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Caser Salud Healthcare medical team T ¡ ¢£¤¥ ¦§¥§¨ © ¥ § ¥ ¤ ¥¨ M 8 Caser 24-Hour Medical Helpline: 902 190 191 Medical and Paediatric Advice online at: caser.es 24 hours a day 365 days a year CAJA DE SEGUROS REUNIDOS, Compañía de Seguros y Reaseguros, S.A. – CASER – Company Register of Madrid Volume 2245, folio 179, page M39662 Legal ID: CIF A-28013050 2018 EDITION This edition supersedes and replaces any previous editions 1 2 PONTEVEDRA Office A!" A. GARCIA BARBÓN, 9-11 , ENTRESUELO 36201 VIGO Tel. 986 22 12 31 Fax. 986 22 48 74 PLAZA DE LA PEREGRINA, 6 Piso 2 Pta IZD 36001 PONTEVEDRA Tel. 986 44 15 65 Fax. 986 86 59 12 3 4 2# -HOUR MEDICAL EMERGENCIES: CASER HEALTH’S MEDICAL HELPLINE OFFERS YOU: 24-HOUR MEDICAL ADVICE COORDINATION OF EMERGENCY, HOSPITAL, OUTPATIENT AND HOME CARE SERVICES All medical and nursing home care services must be requested by phone. How the system works: · The insured calls 902 190 191. · A qualified operator will take your details. · A doctor from our team will talk to you to gain information about your symptoms and determine the best course of action. · We will provide you with advice on the most suitable medical care. 24-HOUR PAEDIATRIC MEDICAL EMERGENCIES: 902 109 833 A service specially designed for families with children. A team of doctors will resolve all of your health concerns and, if necessary, provide you with advice on the most suitable medical care. If your child is sick, before going to Accident and Emergency, call us and we will help you. 5 6 SECOND MEDICAL OPINION Description of the service: · The Second Medical Opinion service enables you, in the event of any of the serious illnesses described in the terms of your policy, to obtain a second opinion about your case from leading national and international experts. For each case, the most qualified doctors are selected to make the assessment. · The Second Medical Opinion service is coordinated by a team of doctors and is performed remotely, making a visit to the doctor unnecessary. To request this service, call 902 190 191 7 8 Denta5 C5inics HEALTH ON OUR SMILE ;) Book your appointment at citaclinicadental.es Our main objective is to provide you with the best dental services with: Personalized treatments provided by a team of highly qualified professionals from all different dental specialities. Latest technology on equipment and X-ray diagnosis. Payment facilities: financing meeting your needs and our flat rate. 9 Denta5 C5inics BARCELONA HERE WE Avda. Diagonal 363 ARE ;) 935 029 550 Avda. Madrid 179 937 932 093 MADRID C/ Costa Rica 12 915 955 211 C/ Doctor Calero 17 (Majadahonda) 915 955 285 C/ Canarias 1 (Móstoles) 915 955 345 Check our new openings for 2018 LAS PALMAS DE GRAN CANARIA at citaclinicadental.es C/ Pío XII 928 853 339 VIGO MALAGA C/ Urzáiz 23 986 617 441 C/ Gabriel Celaya 7 951 323 639 ZARAGOZA TENERIFE Paseo de la Constitución 10 Rambla de Pulido 54 976 695 217 922 445 465 Avda. San José 38 976 596 623 VALLADOLID C/ Miguel Íscar 4 983 709 663 Book your appointment at citaclinicadental.es 10 SERVICES GUIDE GENERAL INFORMATION 13 + *' , *-I). / *-01 '% I $%&'()&I *$% 17 SERVICES THAT REQUIERE AUTHORISATION 19 EXCEPTIONAL CIRCUMSTANCES 21 ,*$&1 10 ' P 3 EMERGENCIES 23 HOSPITALS, CLINICS AND CENTRES 24 PRIMARY HEALTH CARE GENERAL MEDICINE 4 5 PAEDIATRICS - NEONATOLOGY 4 5 NURSING 4 5 PHYSIOTHERAPY 4 6 PODIATRY 4 6 MEDICAL AND SURGICAL SPECIALITIES ALLERGOLOGY 4 7 CLINICAL ANALYSES-CLINICAL BIOCHEMISTRY-LABORATORY 4 7 PATHOLOGICAL ANATOMY 4 7 ANGIOLOGY AND VASCULAR SURGERY 4 9 DIGESTIVE APPARATUS 4 9 CARDIOLOGY 4 9 GENERAL AND DIGESTIVE APPARATUS SURGERY 4 : PLASTIC AND RECONSTRUCTIVE SURGERY 4 : DERMATOLOGY 4 : ENDOCRINOLOGY AND NUTRITION 4 : GYNAECOLOGY AND OBSTETRICS 4 : INTERNAL MEDICINE ; < PNEUMOLOGY ; < CLINICAL NEUROPHYSIOLOGY ; < NEUROLOGY ; < OPHTHALMOLOGY ; < ; OTORHINOLARYNGOLOGY = ; PSYCHOLOGY 4 ; PSYCHIATRY 4 ; RADIODIAGNOSIS 4 11 SERVICES GUIDE RHEUMATOLOGY ; ; TRAUMATOLOGY AND ORTHOPEDIC SURGERY ; ; UROLOGY ; > PONTEVEDRA PROVINCE A ESTRADA 35 BAIONA 35 BUEU 35 CALDAS DE REIS 36 CAMBADOS 36 CANGAS DE MORRAZO 37 CESANTES 38 CHAPELA 38 GONDOMAR 38 GROVE, O 39 GUARDA, A 39 LALIN 41 MARIN 44 MOAÑA 45 MORAÑA 46 NIGRAN 46 PONTEAREAS 47 PONTE-CALDELAS 49 PORRIÑO, O 49 POYO (SAN SALVADOR) 53 REDONDELA 54 SALCEDA DE CASELAS 55 SALVATIERRA DO MIÑO 55 SANXENXO 55 TOMIÑO 57 TUI 58 VIGO 59 VILA DE CRUCES 86 VILAGARCIA DE AROUSA 86 VILANOVA DE AROUSA 88 TRAVEL ASSISTANCE 89 TRAVEL ASSISTANCE 89 DOMESTIC ASSISTANCE 103 ) %1'C% $1&? *'@ *+ *++I )1 % 3 105 0I '1)& *'. 109 12 GENERAL INFORMATION HGJK L BDEFG Caser Group has been operating and innovating in the Spanish insurance market for over 75 years, offering a wide range of insurance products: Home, Car, Health and Life, among others. The company stands out for its customer- centred approach, quality of service and professionalism in delivery. This enables it to meet the insurance needs of its more than 2.3 million customers through more than 10,000 outlets in Spain. Caser Health offers a wide range of medical insurance policies tailored to the needs of each person with different characteristics and coverage. All of this on the basis of a prestigious Medical Directory consisting of 1,500 centres and 45,000 professionals nationwide. In an effort to innovate and offer distinctive products, the Company, on an annual basis, provides its products with new types of insurance cover and numerous health benefits and advantages, which can be viewed at casermasbeneficios.es CASER HEALTH CARD The personal and non-transferable Caser Health Card entitles customers to immediately access any medical service from doctors and/or hospitals with which the Group is affiliated. To request a service, the insured need only present their Caser Health Card and any other form of identification requested. 13 GENERAL INFORMATION QFO NFOFL QJRF PLINE Through Caser Group’s telephone helpline, Caser Health customers can easily and conveniently call the Telephone Management and Processing Service and/or 24-Hour Medical Advice and Emergency Service. MEDICAL SERVICES GUIDE Caser Health’s Medical Directory is a document that lists the professionals and health centres with which the Company is affiliated for the provision of the services covered by its insurance policies. Remember to check your cover before visiting a medical professional or centre listed in the Medical Directory, and make sure that the selected professional or centre offers the specialisation, treatment or specific diagnostic test arranged with the Company. 14 GENERAL INFORMATION NSUSVWXY S Z[Y[\ S]SY^ [ Y_ L` Xa SbbcY\ Service 901 332 233 Monday to Friday - 8 am to 9 pm. 24-Hour Advice and Medical Emergency Service 902 190 191 24 hours a day, 365 days a year 24-Hour Advice and Paediatric Emergency Service 902 109 833 24 hours a day, 365 days a year Psycho-Emotional Advice Service 902 190 191 Monday to Friday, 9 am to 8 pm. Medical Care Abroad 34 915 955 049 24 hours a day, 365 days a year SERVICES ON THE INTERNET Caser Group makes available to its customers its corporate website caser.es , where information can be found about the Company’s wide range of products. 15 GENERAL INFORMATION g h i hj k e g eik fj l efm nopk q lo def caser.es to find doctors, clinics and hospitals listed in our national Medical Directory, and access its e-customer area, where all aspects of your policy can be managed. You can also download free of charge the Caser App, which, among other services, enables you to easily consult our Medical Directory. caser.es 16 INSTRUCTIONS FOR POLICY HOLDERS INSTRUCTIONS FOR ACCESSING THE SERVICE · You are required to provide identification as a CASER policyholder by presenting your membership card (for personal and non-transferable use) and identification document. · To request any service, you must present your medical card. · You can visit any CASER doctor who appears in the Catalogue of Services – Medical Directory, with freedom of choice subject to the conditions of each policy. · All tests must be prescribed by your CASER doctor on the Company’s prescriptio n cheques. Consult the list of services that require prior authorisation. · GP or paediatrician home care services can be requested from 9 am to 5 pm only when the illness prevents a visit to the doctor’s surgery. · In the event of emergency , you can call the 24-hour medical advice and emergency service on 902 190 191 . · The A.T.S. service [registered nurses] will require a prescription from a CASER doctor. · For hospital admissions, interventions and some diagnostic tests, shown as an example on the next page, prior authorisation will be required. In the case of emergencies, they can be obtained by calling the phone numbers made available. · The use of an ambulance will require a written prescription from a CASER doctor. · The excluded services are included in the general, special and particular terms of each policy. · CASER doctors are not required to prescribe the medications or examinations (tests, X-rays, etc.) prescribed by other doctors from outside the Company. 17 18 INSTRUCTIONS BY POLICY HOLDERS rstuvwsr x yzx t s{|vt s z| x y}t vrzx v}~ Medical Admissions Surgical Psychiatric ¡ ¢ £ ¤ ¥ ¡ ¢ £ ¥ ¡ ¢ £ § ¢ ¥ ¦ ¥ high resolution CAT NMR Radiology Densitometry Angiography Urodynamic testing PET PET/CT Karyotypes. Genetics Clinical tests Helicobacter pylori Tumour markers Ergometry Holter Cardiology Doppler Haemodynamics Electrophysiology studies Pacemaker ¤ ¢ ¥ ¡ ¢ £ ¢ ¥ ¥ ¡ ¢ £ ¨ © ¢ ¥ « ª 19 INSTRUCTIONS BY POLICY HOLDERS ¬ Chemotherapy ¥ Radiotherapy Transplants Physiotherapy Rehabilitation Speech therapy Psychology Ventilation therapy Oxygen therapy CPAP BiPAP Sleep studies ¢ ¢ ¥ ¥ ¢ ¢ ® ¯ ¥ ¥ ¨ ° ¯ ¥ ± ¥ ¥ ¢ ¡² ¥ « ¡ ¢ £ ¡ reproduction ¨ -partum home care ¬ ¬ ³´ This chart lists all services that require authorisation but not all are necessarily covered by your medical policy. Consult the General, Special and Particular Terms of your policy.