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Union Krankenversicherung Auslandsreise-Krankenversicherung: the policy wording in full

Allgemeiner Bedingungsteil der Auslandsreise-Krankenversicherung AK-16 nach deutschem Recht; Abschluss nur vor Reiseantritt, Verlängerung bei Transportunfähigkeit, Leistungsumfang und Höchstdauer laut Tarif.

German market: tariffs for people living in Germany.

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Everything about this policy

What the policy covers: 66 points, each with its clause

Quotes are shortened. The full German wording of each point is on the German page for Union Krankenversicherung Auslandsreise-Krankenversicherung.

Basics and territorial scope

PointRuleWording (German)Clause
Benefit limit per claim (unlimited or fixed maximum)as stated in the policy schedule
Worldwide cover (excluding country of residence)not addressed
USA and Canada included without surcharge or special rulenot addressed
Cover also within the home country away from the place of residence (common in Spain)no„jedoch nicht vor Abschluss des Versicherungsvertrages und nicht vor Grenzüberschreitung …“Ziffer 3, page 1
Maximum duration per trip (days or weeks)not addressed
Annual contract for any number of trips in the insurance yearnot addressed
Long stays over one year insurable (work and travel, study, emigration)not addressed
Maximum entry age or age limit for covernot addressed
Residence in the home country required (Germany, Austria, Spain)not addressed
Purchase possible after departureno„Der Versicherungsvertrag muss vor Antritt der Reise abgeschlossen werden.“Ziffer 2.1, page 1
Cover continues beyond the maximum duration if unfit to travelyes„ist eine Rückreise wegen nachgewiesener Transportunfähigkeit nicht möglich, verlängert …“Ziffer 4.2, page 1
Family tariff (partner and children in one contract)not addressed

Medical treatment and hospital

PointRuleWording (German)Clause
Outpatient medical treatmentnot addressed
Inpatient hospital treatmentnot addressed
Free choice of hospital and doctor at destinationnot addressed
Private doctor or senior physician, single roomnot addressed
Prescribed medicines and dressingsnot addressed
Medical aids after accident or illness (crutches, bandages, splints)not addressed
Therapeutic remedies such as massage, physiotherapy, radiationnot addressed
Pain relieving dental treatmentnot addressed
Simple dental fillingsnot addressed
Repair of dentures and temporary dental worknot addressed
Treatment of pregnancy complications and premature birthnot addressed
Acute unexpected worsening of a pre-existing condition coverednot addressed
Acute mental illness (initial care, inpatient)not addressed
Transport to the nearest doctor or hospitalnot addressed
Accommodation of a parent when a child is hospitalisednot addressed
Daily hospital allowance in lieu of costsnot addressed

Repatriation and assistance

PointRuleWording (German)Clause
Repatriation as soon as medically sensible and justifiableyes, up to the sum insured„aus der hervorgeht, dass der Rücktransport medizinisch sinnvoll und vertretbar ist“Ziffer 5.4, page 1
Repatriation only if medically necessarynone„aus der hervorgeht, dass der Rücktransport medizinisch sinnvoll und vertretbar ist“Ziffer 5.4, page 1
Cost limit for repatriationnot addressed
Search, rescue and recovery costsnot addressed
Repatriation of mortal remainsnot addressed
Burial at the place of death abroadnot addressed
24 hour emergency hotlinenot addressed
Cost guarantee to the hospital (direct billing)not addressed
Visit of a close person during a longer hospital staynot addressed
Return of accompanying minor childrennot addressed
Additional return travel costs after illness (replacement ticket)not addressed
Shipping of medicines to the destinationnot addressed
Interpreter and translation costsnot addressed

Exclusions and restrictions

PointRuleWording (German)Clause
Exclusion: treatment as the purpose of the tripnot addressed
Exclusion: treatment known or foreseeable at departurenot addressed
Passive war risk and terrorism covered (sudden outbreak)not addressed
Illness during an epidemic or pandemic coverednot addressed
Exclusion or reduction if a government travel warning existsnot addressed
Exclusion of dangerous or extreme sportsnot addressed
Exclusion of motor sport and racesnot addressed
Exclusion under the influence of alcohol or drugsnot addressed
Exclusion of spa, sanatorium and rehabilitationnot addressed
Exclusion for long term care or custodial carenot addressed
Exclusion of intentionally caused illness and accidentsnot addressed

Deductible and benefit rules

PointRuleWording (German)Clause
Deductible per claim or tripnot addressed
Subsidiary to statutory health insurance or other contractsnot addressed
Waiting period after purchasenot addressed
Obligation to notify before hospital admission, otherwise reductionnot addressed
Benefits only through the assistance company (no reimbursement of self paid costs)not addressed
Deadline for submitting receiptsnot addressed
Receipts in foreign languages accepted without certified translationyes„Kosten für die Überweisung der Versicherungsleistungen in das Ausland und für …“Ziffer 5.9, page 1
Continued cover beyond contract end during a hospital stayyes„ist eine Rückreise wegen nachgewiesener Transportunfähigkeit nicht möglich, verlängert …“Ziffer 4.2, page 1

Contract and term

PointRuleWording (German)Clause
Tacit renewal of the annual contractnot addressed
Premium refund on early return (long stay)not addressed
Contract extension possible while abroadnot addressed
Premium changes with age bandsnot addressed
Insurer may cancel after a claimnot addressed
Meets Schengen visa requirements (at least 30,000 euros, no deductible)not addressed

Evaluated by NAMMERT from published policy wordings.

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legally only the wording of your own contract in the edition stated there applies.

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Policy wordings and provider

Legal entity
UNION KRANKENVERSICHERUNG AKTIENGESELLSCHAFT
Distribution
through tied agents

Full text of the wording

The full text exists only in German. It is printed on the German page for Union Krankenversicherung Auslandsreise-Krankenversicherung and available as plain text.

Volltext Union Krankenversicherung Auslandsreise-Krankenversicherung · As text (Markdown) Union Krankenversicherung Auslandsreise-Krankenversicherung