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New Essential Plan

Essential

Plan

Everything essential for your health, all in one plan.

₡2,690 (approx.)

per person - VAT included

$5.65 (based on the exchange rate)

Here are some of the benefits we have for you!

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3 free specialist appointments per year: Pediatrics, Gynecology, Dentistry, and Psychology.

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80% savings on unlimited general practitioner consultations, including laboratory tests, imaging, and medications, in accordance with pre-established care protocols (Primary Medical Care).

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Unlimited and free telemedicine.

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Use the plan 24 hours after requesting enrollment.

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No restrictions for pregnancy, age, or pre-existing conditions.

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Up to 7 beneficiaries at a price of ₡2,152 per person ($4.52 at the exchange rate), and they will enjoy the same benefits as the primary plan holder.

What can you treat with the plan?

Ideal for frequent consultations and common conditions, such as:

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Cough

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Bronchitis

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Flu

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Rhinitis

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Asthma

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Migraine

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Abdominal pain

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Urinary tract infection

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Diarrhea

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Gastritis

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Joint pain

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Muscle spasms

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And much more...

Additional services with 80% Savings

If it is part of the care protocol and deemed necessary by the physician, the following may be included:

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Intramuscular injections

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Nebulizations

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Electrocardiograms

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Basic clinical lab tests

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Basic X-rays

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Medications

Frequently Asked Questions

What is the Essential Plan (Plan Esencial)?

The Essential Plan is a prepaid medical plan designed to provide access to basic healthcare at an affordable cost. This plan includes unlimited general practitioner consultations with 80% savings on appointments and procedures, as well as unlimited access to telemedicine and three free specialist visits per year in Pediatrics, Gynecology, Dentistry, and Psychology. Additionally, general practitioner consultations include medications, laboratory tests, and X-rays, all with 80% savings, according to the care protocol and medical judgment, allowing for comprehensive care in a single visit.

What is Primary Medical Care? (PMC)

Primary Medical Care (PMC) is the first level of healthcare focused on preventing, diagnosing, and timely treating the most common medical conditions through a General Practitioner. Under the MediSmart Essential Plan, Primary Medical Care includes medical consultations based on established care protocols, which may include medications, laboratory tests, and X-rays according to medical criteria, with the purpose of providing comprehensive, accessible, and timely care to relieve common illnesses or medical conditions. View the full list of Essential Plan protocols on the MediSmart Regulations page, under the Terms and Conditions section.

What benefits are included in the Essential Plan?

The Essential Plan includes the following benefits: - Unlimited general practitioner consultations with 80% savings, including medications, laboratory tests, X-rays, and other procedures according to the care protocol and medical evaluation. - Three (3) specialist visits per year in Pediatrics, Gynecology, Dentistry, and Psychology. - Unlimited telemedicine at no additional cost. - Accessible medical care within the network of Hospital Metropolitano and Metropolitano Medical Centers.

What types of conditions can I treat with the Essential Plan?

The Essential Plan allows treatment for various common conditions, including: flu, cough, bronchitis, rhinitis, asthma, migraines, abdominal pain, urinary infections, diarrhea, gastritis, sprains, joint pain, muscle contractures, among other common conditions. Additionally, the general practitioner may evaluate other symptoms or conditions and determine the necessary treatment or diagnostic tests depending on each case.

Does the Essential Plan include telemedicine?

Yes. The plan includes unlimited telemedicine appointments at no additional cost, allowing you to receive virtual medical care without needing to travel.

What happens if I need a specialist?

The Essential Plan includes 3 specialist visits per year in total, specifically in Pediatrics, Gynecology, Dentistry, and Psychology. If you need care from another type of specialist or additional consultations, the general practitioner will assess your case and guide you on the available options. You can also call us at 2528-5400 to explore all of our medical plans.

Where can I use the Essential Plan?

The Essential Plan can be used at Hospital Metropolitano locations and Metropolitano Medical Centers, excluding Hospital Metropolitano Lindora, San José, and Plaza del Sol. Available locations include: Hospital Metropolitano: Lincoln Plaza – Liberia – Huacas – Quepos – San Carlos. Metropolitano Medical Centers: Escazú – LHS Belén – Cariari C3, as well as Clínica Santa Catalina. For specialist consultations included in the Plan, the entire MediSmart Network and its respective locations are available.

How do I schedule a medical appointment?

Appointments must be scheduled in advance through MediSmart service channels or directly with Hospital Metropolitano. Medical service hours are Monday to Saturday from 7:00 a.m. to 6:00 p.m. In case of an emergency, members may go directly to the medical center, where they will be attended according to availability and the center’s operating hours. MediSmart Phone: 2528-5400 WhatsApp: 8720-8347 Hospital Metropolitano Phone: 2521-9595 WhatsApp: 6477-8810

When can I start using the Essential Plan?

You may start using the plan 24 hours after completing the enrollment process.

Can I add beneficiaries to the Essential Plan?

Yes. You can add up to 7 beneficiaries to your plan, and there is no requirement for a family relationship between the primary plan holder and the beneficiaries. The cost per beneficiary is $4.52 per month, or $3.39 per month if they are already enrolled in the MediSmart Standard Plan.

Are there restrictions related to age or pregnancy?

No. The Essential Plan has no restrictions related to age, pregnancy, or pre-existing conditions, allowing more people to access the service.

How much does the Essential Plan cost?

The Essential Plan has a monthly fee of $5.65 IVI for the primary member and $4.52 IVI for each beneficiary. Prices may vary depending on promotions or plan conditions and are subject to the corresponding tax. If the person is already a MediSmart member, the cost is $4.52 for the primary member and $3.39 for each beneficiary. Upon enrollment, a virtual membership card will be charged at a cost of $1.13. This charge is made only once. If the person is already a MediSmart member, they will not have to pay the card fee.

How much does it cost if I am already a MediSmart standard member?

If a person is already enrolled in MediSmart, the plan costs $4.52 per month for the primary member and $3.39 per month for each beneficiary.

Do I need a membership card?

Yes. Upon enrollment, a virtual membership card will be charged at $1.13. This is a one-time charge. If the person is already a MediSmart member, they will not have to pay for the membership card.

What is the difference between the Essential Plan and other MediSmart plans?

The Essential Plan is designed to provide basic, timely private healthcare at an affordable cost, focusing primarily on general practitioner consultations and telemedicine. It is centered on addressing the majority of common medical conditions through quick and accessible private care and includes 3 specialist visits per year in specific areas. This plan is ideal for individuals seeking fast access to primary medical care and disease prevention at a more economical price.

Does the Essential Plan work like insurance?

No. The Essential Plan is not medical insurance, but rather a prepaid medical plan. This means you pay a monthly fee to access medical consultations and healthcare services within a medical network at preferential rates, without indemnification processes, deductibles, or reimbursements as found in traditional insurance.

Can I purchase the Essential Plan without having a MediSmart plan?

Yes. The Essential Plan can be purchased independently, without the need to have another MediSmart plan.

How do I enroll in the MediSmart Essential Plan?

You can enroll in the Essential Plan by contacting our call center at 2211-4444 or by messaging us on WhatsApp at 8720-8347.

Important Information

• The 80% benefit applies to General Medicine consultations (Primary Medical Care – PMC). • We recommend scheduling your appointment in advance to help reduce waiting times. • If no appointments are available, you may visit a participating PMC location without an appointment. Patients are seen on a first-come, first-served basis. • Prescribed medications, laboratory tests, X-rays, and any other covered procedures are subject to the physician's evaluation and the applicable clinical care protocol. • If you have any questions about appointment availability or participating locations, please contact MediSmart before your visit.

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