Specialists with assistance

Quick access to diagnosis and treatment.

Availability

Quick access to specialists

Specialist examinations, diagnostic tests, psychological help, selected surgeries and physiotherapy.

Advantages

Remote video consultation with a doctor

Solve health problems faster and without visiting a doctor's office.

Benefits

Avoid long queues

At the specialist examination in the self-paying outpatient clinic in 10 days **.

SPECIALISTS WITH ASSISTANCE FEATURES

Don’t leave your health or the health of your children to chance. Choose insurance Specialists with Assistance, which provides easy access to a remote medical consultation with a general practitioner of family medicine.

Do you know the waiting queues in public health system?

  • cardiological examination: on average 162 days
  • knee surgery: on average 287 days
  • heart MRI: on average 315 days
  • varicose vein surgery: on average 730 days
Often, a timely diagnosis is key
for successful treatment!

With insurance Specialists with assistance by Generali you can take action quickly, take care of your health and save. Insurance makes your path to diagnosis and treatment easier.

Source: National Institute of Public Health, National Monitoring of Waiting Times. Report on February 1, 2021.
**Applies to self-paying health services to specialists who are contractors of the insurance company. This period may also be longer in individual cases if there are reasons for this on the part of the contractor.

Packages by
age group
of the
insured person

PACKAGE/
COVERAGE

OPTIMALNI**

STANDARDNI

OSNOVNI+

OSNOVNI

HEALTH ASSISTANCE

  

✓ 

HALO DOCTOR

HEALTH SERVICES

Specialist treatment/
Demanding diagnostic examination

2.000 EUR/year

2.000 EUR/year

2.000 EUR/year

  

2.000 EUR/year

Second medical opinion *

   

Preventive check-ups and examinations**

-        

-        

-        

Medications with white prescription

200 EUR/year

200 EUR/year

200 EUR/year

 

-        

Rehabilitation:

- Treatment plan

- Physiotherapy

- Psychological help

 

800 EUR/year

700 EUR/year

400 EUR/year

700 EUR/year

 

400 EUR/year

700 EUR/year

 

-        

Surgeries – Extended package

8.000 EUR/year

8.000 EUR/year

-        

-        

* Coverage for the insured person and for close family members (partner, children up to the age of 27, parents).

** The OPTIMALNI package and coverage Preventive check-ups and examinations can only be selected by persons who have reached the age of 15.

 

PACKAGE/
COVERAGE

DISEASES

AND ACCIDENTS

 

ACCIDENTS

 

 SENIOR OPTIMALNI

SENIOR+

SENIOR

SENIOR NEZGODA+

SENIOR NEZGODA

HEALTH ASSISTANCE

 

✓  

✓ 

✓ 

✓ 

HALO DOCTOR

    

 

    

 

    

HEALTH SERVICES

 

   

    

    

    

Specialist treatment/
Demanding diagnostic examination

    

1.000 EUR/year

    

1.000 EUR/year

    

1.000 EUR/year

    

1.000 EUR/year

    

1.000 EUR/year

Second medical opinion*

 

  

 

 

 

Medications with white prescription

    

200 EUR/year

    

200 EUR/year

-        

-        

-        

Rehabilitation

- Treatment plan

- Physiotherapy

- Psychological help

 

    

400 EUR/year

700 EUR/year

-        

-        

 

    

400 EUR/year

700 EUR/year

 

    

400 EUR/year

700 EUR/year

Surgeries

   Smaller

4.000 EUR

-        

-        

   Extended

8.000 EUR

-        

* Coverage for the insured person and for close family members (partner, children up to the age of 27, parents).

Make an appointment with an individual relationship officer

Your individual relationship officer will wait for you in the outlet on the agreed upon date and time. 
With his help, you will be able to arrange everything quickly and easily.

Make an appointment or Send an inquiry

Table of monthly
insurance premiums in EUR

 

AGE GROUP OSNOVNI OSNOVNI + STANDARDNI OPTIMALNI
From 1 to 15 years 7,04 9,82 13,40 x
From 16 to 25 years 8,22 11,34 15,82 21,77
From 26 to 35 years 8,68 12,02 15,83 21,92
From 36 to 45 years 9,88 14,64 20,52 27,65
From 46 to 55 years 11,86 19,52 27,68 36,82
From 56 to 65 years 13,49 24,71 32,26 43,26

 


AGE GROUP
DISEASES AND ACCIDENTS ACCIDENTS
SENIOR OPTIMALNI SENIOR + SENIOR SENIOR NEZGODE + SENIOR NEZGODE
From 66 to 75 years 27,72 17,11 12,85 6,48 4,97
From 76 to 85 years 31,23 19,80 14,69 7,54 5,74
Above 86 37,24 24,66 18,01 9,05 6,97

Frequently asked questions

Who can take out insurance Specialists with assistance?

Persons from the age of 1 to 85 can be insured.

When does insurance Specialists with assistance come into force?

At the time of taking out insurance, the waiting period is three months, except in the case of treatment of the consequences of an accident. The entry into force of the additional coverage of Halo Doktor is the day after the signing of the offer. Halo Doktor and the Second Medical Opinion do not have a waiting period.

What is the waiting period and what are the limitations of the insurance guarantee?

At the first conclusion of the insurance, the waiting period of 3 months applies for a new disease or condition, except for injuries resulting from an accident that occurred after the start of the insurance. If the insurance policy holder renews the contract within one month after the expiration of the contract, the insurance has no waiting period.

A 24-month waiting period applies to all existing medical conditions at the time of conclusion. Liabilities from the insurance contract for existing conditions will be assumed by the insurance company after the expiration of the waiting period, if the insured has not been treated for these health conditions during this period. If the insured person has been treated during the waiting period, the waiting period for existing medical conditions will be counted from the end of the treatment.

The coverages Halo Doktor and Get a second opinion have no waiting period and also apply to existing medical conditions and chronic diseases.

How long does insurance last?

The insurance is concluded for one year.

At the end of the agreed duration period, the insurance is automatically extended for the same period of time for which it was concluded, unless the insurance policy holder cancels such an agreement. In case of cancellation, the contract terminates at the end of the current insurance year.

Before the end of the insurance year, in which the person reaches the age of 66, they receive an offer for transformation into insurance or conclusion of new insurance, which is adjusted to the age group of persons after the age of 66.

The insurance lasts for a maximum of the end of the insurance year in which the insured person reaches the age of 100, unless otherwise stipulated by the insurance contract.

The contract terminates prematurely with the death of the insured person, its cancelation or termination.

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