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This page is designed to answer some of your most frequently asked questions.
If you don’t find the answer to your question here, please send us a message and we will respond as soon as possible.
What is a MediSmart medical plan and what is the cost?
MediSmart is a prepaid medical plan that, via affiliation and monthly, semi-annual or annual payments, grants access to private healthcare services, at a much lower cost than regular market prices.
Plan holders must be of legal age and pay $14.50 monthly; beneficiaries (secondary plan holders) pay $7.25 a month, each. A single charge will be made in the first monthly payment of $3.39 to cover administrative fees for your virtual card.
If you would like to add the OncoSmart cancer treatment benefit, you will be charged an additional $2.26 per person, per month.
Who can I include as a beneficiary?
You can include up to 7 beneficiaries in your plan for only $7.25 per month each. They do not necessarily have to have a degree of consanguinity, you can affiliate your: spouse, common-law partner, minor or unmarried children, parents, cousins, grandparents, grandchildren, among others. In addition, you can include your pet! (dog or cat) for only $3.39 per month.
What are the benefits and service prices?
MediSmart provides a benefit percentage, which varies according to the specialty or medical service you require. We currently serve more than 65 specialties and +1000 medical services, including X-rays, ultrasounds, and laboratory exams.
See full Benefits and Savings table »
Where can I use my MediSmart plan?
MediSmart operates its own Medical and Dental network, with specialists located around the country. You may use your plan at any of the clinics and specialists affiliated with our network.
Are there any plan restrictions?
- There are no restrictions on the number of beneficiaries or on your relationship to them.
- There are no restrictions based on age, pregnancy, or pre-existing conditions.
- There is no restriction or limit on the number of covered events or plan usage. You may use your MediSmart plan and covered services as many times as you need to.
- Maximum 7 beneficiaries per holder.
Do I have to pay anything when I go to a medical appointment?
Yes. MediSmart covers a percentage of the cost of your medical appointment or health service (laboratory, X-rays, etc.). You will pay the remaining percentage, to account for the full cost of your consultation or service.
How can I request an appointment with a specialist?
You can request an appointment via:
Doctor’s Calendar: Click here »
Call Center: 2528-5400
Note: Appointments are subject to specialist availability and appointment openings.
How do I cancel my plan?
You can cancel your membership at any time, with two months’ advance notice. During the notice period, you will be charged the monthly fee and may continue to benefit from your plan savings.
Important: Please note that you will not be able to rejoin MediSmart for 12 months following cancellation.
How does the emergency benefit work?
Your MediSmart plan includes coverage for the Urgent Care department at Metropolitan Hospital (Hospital Metropolitano), including an 80% benefit for a General Practitioner visit at Urgent Care. Note: Depending on the case and its diagnosis, an urgent care visit may require additional supplies and services, including nursing services, urgent care observation, and medical supplies (ex. gauze, I.V. fluids, gloves, syringes, etc.) required during your visit to Urgent Care. MediSmart covers 15% of the cost of these additional Urgent Care supplies and services, and does not cover the cost of any required on-call specialist. See Details.
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