GringoPost | Ecuador: Bellgenica Plenitud 20

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Bellgenica Plenitud 20

I need help interpreting my Bellgenica Plenitud 20 medical insurance plan and schedule which has a $20,000 Global Maximum per year. I spent $12,484 to have 2 stents put in. This includes the hospital and operating room costs, medicines, the stents ($2,220 each), special operating tools and the doctors. Is the Bellgenica MMG (maximum Global Amount) per claim, per incident or per schedule line item? They want to pay me only $8,000 (80% Max of 50% MMG). I am not sure this is correct.


Tom Wilbanks: