Mondial Travel Euro Plus
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Terms & Conditions - MONDIAL TRAVEL EURO PLUS - www.mondialtravel.com.br INDEX 1. SERVICES AND LIMITS 10. LIMITATION OF ASSISTANCE SERVICES 2. GENERAL PROVISIONS 11. EXTENSIONS OF CERTIFICATE TERM 3. REQUESTING AN ASSISTANCE SERVICE 12. CERTIFICATE CANCELLATION 4. DEFINITIONS 13. SUBROGATION 5. ASSISTANCE SERVICES 14. INSURANCE POLICIES 6. EXTENT OF ASSISTANCE SERVICES 15. LOSS OF LUGGAGE INSURANCE 7. CONVERSION 16. PERSONAL ACCIDENTS INSURANCE 8. EXCLUSIONS OF ASSISTANCE SERVICES 17. TRIP CANCELLATION INSURANCE 9. TERRITORY 18. JURISDICTION 1. SERVICES AND LIMITS The validity and scope of the guarantees described below are subject to the clauses of these Terms and Conditions .SERVIÇOS LIMITES Geographic limit Europe and all other countries, except Brazil € 30,000.00 (within Europe) Medical, surgical and hospital assistance due to accident or disease USD 20.00,00 (other countries) Prescription drugs € 300,00 Dental assistance € 500,00 Hotel costs after patient release (up to 10 days) € 80,00 per day Bedside visit in case of hospitalization Economy Class Hotel costs for companion (up to 10 days) € 80,00 per day Minor’s escort Economy Class Delayed return due to hospitalization Economy Class Return of family members in the event of Client´s death Economy Class Early return due to death of family member or spouse Economy Class Cash Advance for Legal Assistance € 1.200,00 Cash Advance for Bail Payment € 12.000,00 Transportation to an Appropriate Medical Facility € 30.000,00 Medical repatriation € 30.000,00 Repatriation of remains € 30.000,00 Lost luggage search Service Transmission of urgent messages Service Loss of Luggage Insurance R$ 200.000,00 Personal Accidents Insurance R$ 100,00 per kilo, limited to 30 kilos R$ 3.000,00 Trip Cancellation Insurance 2. GENERAL PROVISIONS do that, Client must collect and make available to MONDIAL the MONDIAL TRAVEL EURO PLUS is a set of Assistance services that complement the elements needed to characterize third-party responsibilities, and insurance coverage for clients up to 70 years old in trips abroad. MONDIAL is the send MONDIAL the originals of documents and receipts. coordinating company of the services provided for in these Terms and Conditions, 3.2. In the cities where there are no adequate professional resources to provide which will be provided through a network of qualified professionals. Such services the services hereunder, the Client or family members may arrange such may be requested at an Assistance Center provided by MONDIAL and available 24 resources, provided that MONDIAL has been previously informed in order to hours a day, 365 days a year. authorize such procedure, which will be confirmed through telephone The services will be provided according to the guidelines and as indicated by contact. In case of an emergency where previous contact is impossible, the MONDIAL´s medical team. Therefore, the Client should always contact the Client should communicate with MONDIAL before leaving the place of Assistance Center in order to obtain quick and efficient responses. Exceptionally, in assistance. case the impossibility of any previous contact with MONDIAL is justified, Client may 3.3. If the Client is not able to communicate with the Assistance Center through request on return the reimbursement of the expenses incurred, and will submit collect call, the expenses of communication made by Client will be receipts and medical report to be analyzed by our physicians, who will determine reimbursed after the trip, upon submission of original evidence of the origin of such request. The request of expenses reimbursement will be analyzed telephonic charges, containing the date of call and number dialed. based on these Miscellaneous Provisions, and may be approved totally or partially, 4. DEFINITIONS or even refused. When the expenses are made abroad, the reimbursement will be Personal Accident - the external, sudden, involuntary and violent event in a specific paid in Brazilian Reais, calculated at the commercial dollar exchange rate on the date, which may cause physical damages and requires medical treatment. issuance date of Certificate. Client or Insured - the individual qualified in the Certificate, with residence in Brazil, 3. REQUESTING AN ASSISTANCE SERVICE who has acquired MONDIAL TRAVEL EURO PLUS for trips abroad. ATENTION: THE COVERAGE DOES NOT INCLUDE ANY OCCURRENCES THAT HAVE Disease - an acute and sudden change in the health condition of Client, which is NOT BEEN PREVIOUSLY INFORMED TO MONDIAL, ACCORDING TO THIS SECTION: confirmed by a physician, and has been caused and originated after the Client 3.1. In case of disease or accident, the Client must have the Certificate on hands departed the country. Medical tests and treatment of pre-existing diseases are not before any measures are taken: covered. 3.1.1. Contact immediately the Assistance Center, describing the Domicile – the address of the Client in Brazil, which was declared by the Client occurrence and providing all necessary information to locate when purchasing MONDIAL TRAVEL EURO PLUS. service providers for requested assistance; Dental emergency – natural teeth broken in an accident or in any event that results 3.1.2. All data contained in the Certificate must be informed correctly in acute pain or compromises teeth. The expenses with prosthesis of any nature are and clearly; not covered. 3.1.3. Follow MONDIAL’s instructions and take all measures needed and Medical Team - a medical team is a group of professionals of the medical area, who possible to restrict the effects of the event, or prevent the are contracted by MONDIAL and are duly qualified to provide monitoring, aggravation of its consequences; coordination and supervision of medical services required due to a disease or an 3.1.4. When necessary, answer to MONDIAL requests of information and accident. immediately submit any notice, original call notice or service of Event - is the occurrence of the fact, accident or disease during the period of the process that you have received to comply with necessary insured trip, which is covered according to definitions described in these Terms & formalities; Conditions. 3.1.5. Cooperate with MONDIAL in order to allow recovery of payments Providers – individuals or corporations selected and contracted by MONDIAL to made to third-party responsible for the events communicated. To provide services to Clients. Mondial Travel EURO TAP English Oct092012 Terms & Conditions - MONDIAL TRAVEL EURO PLUS - www.mondialtravel.com.br 5. ASSISTANCE SERVICES already monitored. The assistance services must always be arranged by MONDIAL. To obtain these 5.5.2. MONDIAL will assume all the expenses with the hotel according to services, the Client must make a collect call to the Assistance Center - 55 11 4126- the plan acquired as shown on the Guarantee Board, initiated on 9411, which is available 24 hours a day, the 7th day of the insured person hospitalization. During the process of assistance, MONDIAL may require the submission of the air 5.5.3. This service is limited to the payment of daily rates, and does not ticket or e-ticket evidencing the dates of trip that were informed when MONDIAL include any additional expenses (refrigerator items, newspapers, TRAVEL EURO PLUS Assistance was bought. meals, parking and others), and will be limited to a maximum specified in contracted plan. The selection of the hotel will be In case of any doubt about our services or the product you have purchased, please made at the exclusive criteria of MONDIAL. call our Client Services, telephone 0800 770 8020 (within Brazil only), which is 5.5.4. This service is only available if the generator event met the available 24 hours a day. general conditions mentioned in this Terms and Conditions, 5.1. Medical, surgical and hospital assistance due to accident or disease observing also the coverage exclusion clauses contained in Section 5.1.1. If, as a result from any accident or disease occurred during the 8. insured trip, the Client needs medical assistance, surgery or 5.6. Hotel costs for companion hospital, MONDIAL is responsible for paying corresponding 5.6.1. MONDIAL will pay for the expenses incurred with hotel for an expenses, up to the limit provided in guarantee table, according to accompanying person up to 10 (ten) non-extendible daily rates, the contracted plan. beginning on the 7th day of Client hospitalization. 5.1.1.1. This service does not guarantee any dental treatment, 5.6.2. This service is limited to the payment of daily rates, and does not which is covered by item 5.3 below. include any additional expenses (refrigerator items, newspapers, 5.1.2. In the cases where the assistant physician of Client MONDIAL meals, parking and others), and will be limited to a maximum TRAVEL EURO PLUS declares that the treatment, both clinical and specified in contracted plan. The selection of the hotel will be surgical, could be performed in Client´s Domicile, the medical made at the exclusive criteria of MONDIAL. team of MONDIAL will decide whether to perform the treatment 5.7. Minor’s escort locally or to return the patient to his/her Domicile. 5.7.1. If the Client is the only adult accompanying one or more 16 year- 5.1.2.1. If is establish that the client is able to return to his minors and is hospitalized due to accident or disease for more domicile, MONDIAL will not be responsible for the than 7 days, according to Medical Team, MONDIAL will provide an costs of this event, although it has not reached the air ticket in the economic class for one family member in order to limit of the plan acquired. accompany minors. 5.1.3. The exceed costs based on the plan acquired will be the Client´s 5.7.2. Optionally, MONDIAL may provide the anticipated return of responsibility. minors to their Domiciles, if this is more convenient for the Client.