Insurance plans covering treatment to achieve the best outcomes
PGH’s insurance plans give financial protection to pay for state-of-the-art medical treatments performed by recognized specialists at the top 1% ranked hospitals in the US.
In partnership with leading insurance companies, the policy of PGH Insured Programs provides comprehensive cover of all medical costs in the US up to $2 million per policy year. They also include a benefit to assist with travel and accommodation costs for the patient and a companion.
Medical bills in the US are paid directly to US hospitals providers, up to the annual limit, with no deductibles, claim forms, or reimbursement hassles.*
All services delivered at home and care in the US are supported by a professional Personal Care Manager who organizes hospital and travel arrangements, ensures quality, helps understand and navigate a foreign hospital system, and advocates on behalf of the patient.
A Personal Care Manager assists patients and their family before, during, and after treatment; from greeting and pick-up at the airport, through any recovery period after being discharged from the hospital, until the return home. They will take care of all logistics and share all details prior to travel.
PGH Insured Programs are available in different countries. Check yours. Plans include PGH Cancer Care, Cancer Specialist Care, Preferred Care, and Preferred Heart & Cancer Care.
If you’re already a member, your membership materials or program issuer can provide all the details you need. And if you’re exploring membership, just contact PGH — we’ll be happy to walk you through your options and help you find the program that’s right for you.
* Please refer to your policy wording to follow the pre-treatment review and approval process and for the full schedule of benefits, definitions, and terms and conditions.
A $2 million treatment solution
The first step and pre-approval for treatment
The first step of your plan, and the necessary process to get approval for treatment, is to undergo the Diagnosis Verification and Treatment Plan (DVTP). This ensures your condition is a covered condition, like malignant cancer, and that you have an accurate and complete diagnosis and knowledge of the best available treatment.
Upon receiving a diagnosis of a covered condition under your policy, notify your insurer. Your insurer will take note of your preferred contact details. Next, a Personal Care Manager will be assigned and reach out to you within 24 hours of notification to get to know you and assist you in the DVTP process.
It is important that the DVTP take place no more than 45 days after receiving your diagnosis and before undertaking any form of treatment. Designed to provide best practice from the start, your policy may not provide cover for treatment if you initiate treatment outside of the plan and then wish to switch.
When the written DVTP report is returned to you, your Personal Care Manager will contact you the following day. They will help make sure all your questions and concerns are addressed and help you and your family to understand your options to determine the right treatment plan and care. If you choose to be treated at a top 1% ranked hospital in the US, as approved by PGH, your Care Management team will make the necessary arrangements prior to your journey.
Getting it right, the first time