Classic Health

Our Classic Individual Health Insurance Plan affords access to healthcare in Bermuda and overseas. You might be interested in this plan if you have children and need the best individual coverage we offer.


Coverage
Premium
$$$

Health Insurance Act (HI)

Room & Board, Psychiatric Ward, Hospice, Hospital Outpatient and Emergency Department, Physicians’ Services, Approved Diagnostic Imaging Facilities, Ground Ambulance, Home Medical Services, Dialysis and Anti-rejection Drugs

As specified under The Health Insurance Act

 
Artificial Limbs

$100,000 lifetime maximum

 

Surgical, Obstetrical, Anaesthetic, Diagnostic and Medical Care
Bermuda Fee Schedule

 
Ground Ambulance to Home
As specified under The Health Insurance Act

 
Chronic Disease Management Programme
80% | $2,880 maximum per policy year

 
Medical Alarm Device
80% | $200 maximum per policy year

 

Medical Nutritional Therapy (Provider must be a registered Dietitian):
  • Initial Consultation: $160, 1 per policy year
  • Subsequent Visits: $65
  • Subsequent Group Session: $35
$745 combined maximum per policy year

 
Diabetes Self-Management Education (Programme must be pre-approved by Argus):
  • Group Session: $30, maximum 12 sessions per policy year
 

Diabetes Reversal Programme:
  • Initial programme: $4,650, 1 per lifetime (Programme must be pre-approved by Argus)
  • Maintenance programme following completion of initial programme:
    • Office visits with physician: $115, 2 visits per policy year
    • Group sessions: $35 per session, 2 sessions per policy year
 

Annual Foot Exam:
$150, maximum 1 exam per policy year
For persons with type I or II diabetes or diabetic neuropathy


 
Allergy testing:
Our Fee Schedule, $600 per lifetime

 
Allergy Injections:
$20 per injection and serum combined

 
Annual Health Exam:
Maximum 1 exam per policy year
  • General Practitioner: $200
  • Pediatric (2-18 years): $195
 

Annual Specialist / Gynaecologist Exam (all ages):
$200, maximum 1 exam per policy year

 
Routine Diagnostic Testing in conjunction with Annual Exams:
Bermuda Fee Schedule

 
Well-Baby Routine Health exam (under 2 years):
$107, maximum 6 exams per policy year

 
Annual Eye Exam:
$115, maximum 1 exam per policy year
Routine Diagnostic Testing in conjunction with Annual Eye Exam (Provider must be approved by the Bermuda Health Council): 
$200 per policy year


 
Immunisations and Injections:
$30 per injection

 
Diagnostic Services in Private Testing Facilities:
Includes Genetic Testing (Must be pre-approved by Argus): covered by approved fee schedule.
 

General Practitioner
  • Office Visit: $115, 9 visits per policy year combined with Specialist
  • Home Visit: $170, maximum 3 per policy year
 

Specialist
  • Consultation: $295, maximum 2 per policy year
  • Office Visit: $115, 9 visits per policy year combined with General Practitioner
 

In Office Medical / Surgical Treatment
Bermuda Fee Schedule

 
Physical & Occupational Therapy/TENS:
  • Individual Visit: $70
  • Group Session: $35
$840 combined maximum per policy year

 
Chiropractic:
$70, maximum 6 visits per policy year

 
Chiropody / Podiatry:
$70, maximum 6 visits per policy year

 
Behavioural Therapies for Autism Spectrum & Attention Deficit Disorders (Must be pre-approved by Argus):
Individual and family applied behavioural therapies 100% of billed charges, $2,500 maximum per policy year

 
Psychiatrist:
$180, maximum 6 visits per policy year

Clinical Psychologist/Group Therapy Session:
$130, maximum 6 sessions per policy year

Counselling Services:
  • Individual Visit: $100
  • Group Session: $45
6 visits/sessions combined maximum per policy year

Smoking Cessation Counselling:
  • Individual Visit: $100
  • Group Session: $45
Combined Maximum, Smoking Cessation $370 per policy year

 
Sclerotherapy:
Bermuda Fee Schedule
$1,000 per policy year


 
Lymphedema Treatment:
$110, 28 visits policy year

 

Major Medical Benefits are applicable to overseas treatment and services.
Eligible Expenses are payable at a percentage of the lesser of Usual and Customary Charges or Discounted Rates.


 
All Insured Persons:
Policy Year: $500,000
Lifetime:
$1,500,000

 
Emergency Treatment:
Insured calls Argus Health within 48 hours of incident: 100% Coinsurance
Insured does not contact Argus Health within 48 hours of incident: 10% Coinsurance for inpatient facility only and all other services will not be eligible.


 
Treatment not Available in Bermuda:
Argus Pre-Approves and treatment is obtained in Argus Network: 100% Coinsurance
Argus does not Pre-Approve / treatment not in Argus Network: 10% Coinsurance for inpatient facility only and all other services will not be eligible.

 
Treatment Available in Bermuda:
10% for inpatient facility only, and all other services will not be eligible.

 
Neonatal Treatment:
Charges related to neonatal, congenital birth defects and high-risk pregnancy will only be payable at 100% if they are pre-approved and treatment is obtained within the Canadian Argus Network; otherwise, benefits will be payable at 10% for inpatient facility only, and all other services will not be eligible.

 
Spinal Treatment:
Charges related to spinal care, services and treatment will only be payable at 100% if they are pre-approved and obtained within the Argus Spinal Care Network; otherwise, no benefits will be payable.

 
Paediatric Assessment of Autism Spectrum & Attention Deficit Disorders:
Charges related to paediatric assessment of autism spectrum and attention deficit disorders will only be payable at 100% if they are pre-approved and obtained within the Argus Preferred Provider Network; otherwise, benefits will be payable at 10% for inpatient facility only, and all other services will not be eligible.
 
   

The following services are eligible for airfare and accommodation and must be pre-approved by Argus in order to receive maximum reimbursement. Airfare and accommodation are only eligible for Psychiatric and Substance Abuse services, Emergency Treatment and Treatment which is not available in Bermuda:

Inpatient Care:
Semi-private accommodation

 
Intensive Care, Outpatient and Emergency Care:
Unlimited

 
Surgical, Obstetrical, Anaesthetic, Diagnostic and Medical Care:
Unlimited

 
Physician Services - Home or Office Visit:
Unlimited

 
Rehabilitation / Skilled Nursing Facility:
Semi-private up to 60 days per policy year

 
Home Health Care
Unlimited

 
Transplant Services:
Unlimited

 
Psychiatric Hospital or Substance Abuse Treatment Facility (must be pre-approved by Argus in order to be eligible):
$850 x 45 days
$38,250 maximum per policy year

 
Psychiatric Professional Services (must be pre-approved by Argus in order to be eligible):
$1,200 per policy year

 
Hotel or Rental Accommodation:
  • In the ‘Preferred Provider’ Network:
    • Insured Person or Insured Minor and Parent/Guardian jointly: $250 per day
    • Without Hotel or Rental Accommodation: 50% of above amount
  • All other facilities and providers:
    • Insured Person or Insured Minor and Parent/Guardian jointly: $180 per day
    • Without Hotel or Rental Accommodation: 50% of above amount
Combined Maximum with commercial Economy Airfare: $14,500 per policy year

Commercial Economy Airfare per Insured Person or per Insured Minor and Parent/Guardian jointly:
Excludes preferred/priority seating and baggage fees
Combined Maximum with Hotel or Rental Accommodation: $14,500 per policy year

 
   

The following services must be pre-approved by Argus in order to be eligible:

Ground Ambulance and Air Ambulance:
Unlimited

 
Behavioural Therapies for Autism Spectrum & Attention Deficit Disorders:
Individual and family applied behavioural therapies 100% of billed charges, $2,500 maximum per policy year

 
Genetic Testing:
Unlimited

 
Cardiac Rehabilitation/Exercise Programme:
$2,000 per policy year

 
Repatriation of remains:
$10,000 for return of remains
 

Vision Care Benefits are applicable Worldwide.**

Prescription Eye Glasses or Contact Lenses:
$400 per policy year payable at 100%

 
Elective Surgical Treatment for Vision Correction:
$2,000 per lifetime payable at 100%

**Airfare and accommodation do not apply to Worldwide Treatment and Services


 

Dental Benefits are applicable Worldwide.**
Benefits are payable in accordance with the Bermuda Dental Fee Schedule. Please obtain a pre-estimate of benefits from your dentist prior to undergoing extensive dental procedures.


Basic Dental Services (DE01):

Preventive and Diagnostic:
100% of Fee Schedule
Policy Year: Unlimited
Lifetime: Unlimited


 
Exams, Consultations, Polishing, Scaling or Root Planing, Fluoride:
100% of Fee Schedule
Policy Year: $1,400
Lifetime: Unlimited


 
Surgical and Minor Restorative:
100% of Fee Schedule
Policy Year: Unlimited
Lifetime: Unlimited


 
Endodontics: 
100% of Fee Schedule
Policy Year: Unlimited
Lifetime: Unlimited


 
Periodontics:
50% of Fee Schedule
Policy Year: $2,000
Lifetime: Unlimited
 
   

Major Restorative Services (DE02):
50% of Fee Schedule
Policy Year: $4,000
Lifetime: Unlimited
 

Prescription Benefits are applicable Worldwide.**

Prescription Drugs, Birth Control, Medicines and Sera available only by prescription:
80% for brand name drugs
100% for generic drugs
$7,500 maximum per policy year

**Airfare and accommodation do not apply to Worldwide Treatment and Services
 
Benefits explained on this website provide a brief summary of our standard Individual Health Plan and are subject to limitations and policy maximums. Full terms and conditions are provided in the Master Policy.