INGO ARMENIA ICJSC Medical Insurance Program Tariffs and coverage. Programs. Insurance cover. (prices are in AMD) 1.Classic 2. Global 3.

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1 INGO ARMENIA ICJSC Medical Insurance Program Tariffs and coverage Insurance cover Programs (prices are in AMD) 1.Classic 2. Global 3. Exclusive Insurance limit Emergency ambulance services 24/7 assistance hot-line Acute primary diseases, personal accidents Out-patient consultations and therapy Continuous health supervision plans (on the basis of own ambulatory center) Out-patient surgery Out-patient diagnostics Prescribed out-patient medications 50 % 70% 100% /compensation limits/ Vaccinations Оphthalmology/Optometry Planned in-hospital treatment Dentistry /compensation limits/ 50% 60% 70% Gynaecology Pregnancy/Delivery -/+ +/+ +/+ Chronic diseases 1exacerbation 2 exacerbations 5 exacerbations Hospital accommodations /compensation limits/ up to up to up to Oncology (surgical treatment) Alternative medicine Rehabilitation therapy (1 course) Oncology (course of chemotherаpy or radiotherapy) Travel insurance Insurance premium * * * * Family members (husband/wife) have up to 20% discount, children - up to 40% discount 1

2 Medical Providers Network Hospitals and Specialized Centers Medical center Armenia 6 Margaryan phone Medical center St. Nerses Metc 19 Nersesyan phone Medical Center Griqor Lusavoritch 10 Gyurjyan phone Surgery Institute aft. Miqaelyan 9 Hasratyan phone Medical center Norq Marash 13 Amaranocayin phone Medical center Shengavit 9 Manandyan phone Medical center St. Astvacamayr 46 Artashisyan phone Medical center Arabkir 35 Mamikonyants phone Research and Development Center of Mother and 22 Mashtotci phone Child Health Protection The Institute of Obstetrics and Perinatology 6 Margaryan phone Ambulatory and Primary Health Care Centers Medical center Medassist 18 Vardanants phone

3 THE LIST OF EXCLUSIONS FROM THE INSURANCE COVER Tuberculosis, poliomyelitis, neuroinfection and their consequences regardless of clinical form and stage of the process; Infectious diseases spreading mostly by sexual relations (syphilis, gonorrhoea, clamidiosis, trichomoniasis, mycoplasmosis, anal, genital herpes and zoster, vaginal candidosis, etc.); AIDS-infection; confirmed immunodeficit conditions; Onykhomycosis, psoriasis; eczema; Systemic diseases of connective tissue (Systemic Lupus erythematosus, rheumatic arthritis, dermatomyositis, etc.), systemic vasculitis (nodulated periarteritis, hemorrhagic vasculitis, etc.); Congenital anomaly and developmental defects; Correction of posture abnormalities; osteochondrosis, osteoporosis and other age related health problems; Acute and chronic radiation injuries; Radio and chemotherapy of malignant tumors and their complications; any form of central nervous system's tumor; haemophilia, circle-cell disease; Diabetes mellitus (I and II type); Treatment and diagnostics of hepatitis B, C; Chronic renal failure when dialysis is required; Diagnostics and treatment of reproductive health problems, impotence, choice of contraceptive methods (including insertion/removal of IUD); artificial ovum fertilization; abortion (excluding forced artificial abortion due to an accident). The Insurer does not compensate charges for the following medical services: Orthopedic shoes; food additives; Cosmetic surgery unless required for an accidental injury suffered while insured hereunder; reconstructive pelvic floor surgery; Mental or nervous disorders or psychiatric treatment, unless necessitating hospital or institutional confinement. 3

4 List of Dental Services Services Diagnostics Consultations X-ray Intraoral camera Viziograph Therapy 1. Caries treatment simple medium complex 2. Root canal treatment one root tooth two root tooth three root tooth four root tooth root canal retreatment 3. Periodontitis treatment and prophylaxis scaling teeth polish laser physiotherapy Air-Flow course Surgery simple tooth extraction complex tooth extraction wisdom tooth extraction replantation apexectomy abscess drainage gum incision Orthopedic moulded post esthetic post metallic crown metalloceramic crown service, repair, relocation of dentures All times exclusions orthopedic services not included in coverage orthodontic services dental bleaching and other cosmetic procedures implantation 4

5 Programs of Annual Prophylactic Examination Services General blood count Fat balance Urine test Ophthamologist ECG Consultation of general practitioner, pediatrician Ultrasound of abdominal cavity Cardiologist Spirometry Lungs X-Ray Biochemical blood examination Dentist Mammography PAP-smear (prices are in AMD) Programs Program 1 Program 2 Program 3 Insurance premium

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