Professional Documents
Culture Documents
S/. 1,500,000
Perodo de Carencia
Periodo de Espera
SERVICIOS ESPECIALES
Emergencia accidental o mdica ambulatoria
Medicos a domicilio en Lima (Medicina general, medicina interna y
pediatria) HASTA 5 VECES POR AO
Mdicos en linea
Al 100%
S/.40 al 100%
las 24 horas del da, los 365 das del ao
S/.40 al 100%
GASTOS DE HOSPITALIZACIN
RED DE CLINICAS DE PACIFICO
Clnica San Borja
Clnica El Golf
AL 100%
Rango Edad
De 0 a 5 aos
De 6 a 18 aos
S/. 72.00
S/. 72.00
S/. 812.99
S/. 812.99
19 aos
20 aos
21 aos
22 aos
23 aos
24 aos
25 aos
26 aos
27 aos
28 aos
29 aos
30 aos
31 aos
32 aos
33 aos
34 aos
35 aos
36 aos
37 aos
38 aos
39 aos
40 aos
41 aos
42 aos
43 aos
44 aos
45 aos
46 aos
47 aos
48 aos
49 aos
50 aos
51 aos
52 aos
53 aos
54 aos
55 aos
56 aos
57 aos
58 aos
59 aos
60 aos
61 aos (con exmen de asegurabilidad)
62 aos
63 aos
64 aos
65 aos
66 aos
67 aos
68 aos
69 aos
70 aos
71 aos a ms (solo renovaciones)
S/. 76.00
S/. 78.00
S/. 80.00
S/. 83.00
S/. 85.00
S/. 88.00
S/. 91.00
S/. 93.00
S/. 96.00
S/. 99.00
S/. 102.00
S/. 104.00
S/. 107.00
S/. 110.00
S/. 113.00
S/. 116.00
S/. 118.00
S/. 121.00
S/. 124.00
S/. 127.00
S/. 130.00
S/. 133.00
S/. 136.00
S/. 140.00
S/. 143.00
S/. 147.00
S/. 151.00
S/. 156.00
S/. 161.00
S/. 166.00
S/. 171.00
S/. 177.00
S/. 184.00
S/. 191.00
S/. 199.00
S/. 208.00
S/. 227.00
S/. 247.00
S/. 268.00
S/. 290.00
S/. 313.00
S/. 338.00
S/. 365.00
S/. 388.00
S/. 408.00
S/. 428.00
S/. 444.00
S/. 466.00
S/. 491.00
S/. 536.00
S/. 566.00
S/. 623.00
S/. 667.00
S/. 858.16
S/. 880.74
S/. 903.32
S/. 937.20
S/. 959.78
S/. 993.65
S/. 1,027.53
S/. 1,050.11
S/. 1,083.99
S/. 1,117.86
S/. 1,151.73
S/. 1,174.32
S/. 1,208.19
S/. 1,242.07
S/. 1,275.94
S/. 1,309.82
S/. 1,332.40
S/. 1,366.27
S/. 1,400.15
S/. 1,434.02
S/. 1,467.90
S/. 1,501.77
S/. 1,535.65
S/. 1,580.81
S/. 1,614.69
S/. 1,659.85
S/. 1,705.02
S/. 1,761.48
S/. 1,817.93
S/. 1,874.39
S/. 1,930.85
S/. 1,998.60
S/. 2,077.64
S/. 2,156.68
S/. 2,247.01
S/. 2,348.64
S/. 2,563.17
S/. 2,789.00
S/. 3,026.13
S/. 3,274.54
S/. 3,534.24
S/. 3,816.53
S/. 4,121.40
S/. 4,381.11
S/. 4,606.94
S/. 4,832.77
S/. 5,013.43
S/. 5,261.85
S/. 5,544.13
S/. 6,052.25
S/. 6,391.00
S/. 7,034.61
S/. 7,531.44
SANNA
S/. 1,500,000
30 das calendario hasta 60 aos
90 das calendario para mayores de 60 aos
90 das para atencin hospitalaria hasta 60 aos para CANCER
120 das para atencin hospitalaria mayores de 60 aos para
120 das de espera para chequeos preventivos
24 meses transplante de mdula
18 meses para maternidad
10 meses para diagnsticos y atenciones especificadas en pliza
Al 100%
S/.40 al 100%
las 24 horas del da, los 365 das del ao
S/.40 al 100%
AL 100%
DA
al 100%
al 100%
al 100%
al 100%
como amb
al 100%
ontar en todo momento para programar citas, hacer consultas, solicitar ambulancias en
hasta S/. 9,000
D DE SU HOGAR
de espera 120 das
Prima
Prima fraccionada a 12 cuotas*
S/. 858.16
S/. 880.74
S/. 903.32
S/. 937.20
S/. 959.78
S/. 993.65
S/. 1,027.53
S/. 1,050.11
S/. 1,083.99
S/. 1,117.86
S/. 1,151.73
S/. 1,174.32
S/. 1,208.19
S/. 1,242.07
S/. 1,275.94
S/. 1,309.82
S/. 1,332.40
S/. 1,366.27
S/. 1,400.15
S/. 1,434.02
S/. 1,467.90
S/. 1,501.77
S/. 1,535.65
S/. 1,580.81
S/. 1,614.69
S/. 1,659.85
S/. 1,705.02
S/. 1,761.48
S/. 1,817.93
S/. 1,874.39
S/. 1,930.85
S/. 1,998.60
S/. 2,077.64
S/. 2,156.68
S/. 2,247.01
S/. 2,348.64
S/. 2,563.17
S/. 2,789.00
S/. 3,026.13
S/. 3,274.54
S/. 3,534.24
S/. 3,816.53
S/. 4,121.40
S/. 4,381.11
S/. 4,606.94
S/. 4,832.77
S/. 5,013.43
S/. 5,261.85
S/. 5,544.13
S/. 6,052.25
S/. 6,391.00
S/. 7,034.61
S/. 7,531.44
MODULAR
Mujeres
FASE 1
FASE 2
X
X
X
X
X
X
X
X
EXAMENES
X
X
X
HEMOGRAMA COMPLETO
CREATININA
EXAMEN DE ORINA
GLUCOSA
TGP
FOSFATASA ALCALINA
COLESTEROL TOTAL
PSA
EKG
RADIOGRAFA DE TORAX
PAPANICOLAU
MAMOGRAFA CONVENCIONAL
de 18 a 39
aos
De 40 a 49
aos
de 50 a 59
aos
de 60 a
aos
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
MODULARES
Mujeres
40 a 49
aos
Hombres
de 50 a 59
aos
d
de 60 a 69
De 40 a 49
e
aos
aos
1
8
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
de 50 a 59
aos
de 60 a
69 aos
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x