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Begin and discover all the advantages of Adeslas GO.

We respond to your most frequent doubts regarding the use and coverage of your insurance policy and to certain frequent doubts that you may have.

Adeslas GO FAQs

 

Is it your first health insurance policy?

If it is it your first health insurance policy and you are not clear how the service works, do not worry, we will guide you in your first steps with us. We recall a series of points to take into account.

DO YOU NEED TO GO TO THE DOCTOR?

You can choose any specialist or medical centre on the healthcare provider list of your Adeslas insurance policy. Call or request an appointment online, attend your appointment and remember to take your Adeslas card with you.

YOUR ADESLAS HEALTH CARD

Remember to take it with you if you are going to use any of the services included in your insurance policy and that with the Adeslas Salud y Bienestar App you always have your digital card with you in your mobile telephone. When you attend a visit or have a diagnostic test, we will ask for your card and your National ID Card to be able to identify you as an insured party of Adeslas.

DO I HAVE TO PAY WHEN I GO TO THE DOCTOR?

The medical visits and tests have an associated cost. But you do not need to worry about paying them at that moment, rather only about taking your Adeslas card with you. Frequently, a statement will be placed in your Customer Area of the services used and the related payments will be taken from the account from which you have your insurance payments directly debited.
And remember that the first three annual medical treatments for each insured party are free! (Consult the conditions of your insurance policy).

AMOUNTS

Amounts charged to you in the event of an appointment or medical test.

Appointments Diagnostic tests and therapeutic treatments Other services
GENERAL MEDICINE €9.00 CLINICAL ANALYSES €16.00 NURSING SERVICE €4.00
PAEDIATRICS-CHILDCARE €10.00 PATHOLOGICAL ANATOMY €16.00 CHIROPODY €5.00
GENERAL MEDICINE (Home surgery) €16.00 DIAGNOSTIC IMAGING €16.00 REHABILITATION AND PHYSIOTHERAPY TREATMENT €6.00 per session
MEDICAL – SURGICAL SPECIALISMS €16.00 REMAINING TESTS AND TREATMENTS €16.00 PSYCHOTHERAPY €16.00 per session
GENETIC TESTS, NUCLEAR MEDICINE, AXIAL TOMOGRAPHY, DIGESTIVE ENDOSCOPY €70.00 BIRTH PREPARATION €70.00
RESONANCE €120.00 CHECK-UP/ MEDICAL EXAMINATION €50.00

The maximum annual limit that you must pay for copayments per insured party under 55 years and insurance annuity will be €260 per year. In the event of insurance periods under one year, this limit will be proportional. The maximum annual limit will not apply when the insured parties that use the healthcare services included in the policy are aged 55 or more.

From the renewal of the insurance policy, aside from the previous free benefit (first three copayments invoiced under €16), a 25% discount will be granted on the remaining copayments.

DO YOU NEED TO HAVE A DIAGNOSTIC TEST?

If the test has been prescribed by a professional on the Adeslas Healthcare Provider List, you can request the performance of the test at any of the centres on the Healthcare Provider List that have this service available. If the professional has not yet prescribed the test, first you must make an appointment with them and then get the test done. Remember that some tests require the prior authorisation of the Company; in this case, please contact us and we will take charge of processing them.

CAN I ALREADY DO THE TEST I REQUIRE?

From the date on which your policy enters into force, you can do most of the tests envisaged in your insurance policy. But remember that for some of them (high technology diagnostic means such as CT-scans or magnetic resonances), you will have to wait three months. If you are not clear whether the test that you have to do is considered to be within this group, you can consult the policy conditions or contact us.

DO I NEED AN AUTHORISATION?

Some diagnostic tests require prior authorisation. You can request this easily through your Customer Area. You can attach a photo of the documentation, indicating at which email address you wish to receive the authorisation and you will have a response in a maximum of 48 hours.

 

Are you not clear about what your insurance policy includes?

Below we summarise the main coverage that you have available in your policy and those that are not included. Remember that to obtain more complete information you can consult the terms and conditions of your contract.

WHAT DOES MY INSURANCE COVER?
Included in your policy Not included in your policy
Primary care (Assistance at home or at the surgery) Emergencies
Specialisms indicated in the conditions (dermatology, endocrinology and nutrition, traumatology, ophthalmology, clinical psychology, among others) Hospitalisation
High technology diagnostic means (clinical analyses, x-rays, among others) Surgery
Prenatal tests and birth preparation, gynaecological check-up in each year Travel assistance
Annual medical check-up adapted to the age and gender of each insured party
Psychotherapy and up to 12 chiropody sessions

 

Do you know that you have an annual check-up included?

Since our priority is prevention, your policy includes an annual medical check-up (at certain designated centres), which includes the explorations and tests that you need.

Call us on 900 50 50 40 40 or on 91 919 18 98 to request the authorisation and indicate the centre closest to you where you can have the check-up. Find out further information regarding your annual medical check-up here.

DO YOU WANT TO KNOW WHAT TESTS THEY WILL DO IN THE CHECK-UP?
CHECK-UP 1 (FROM 18 TO 30 YEARS)
Medical history and general examination Electrocardiogram
Blood test
  • Red blood cell series study: Red blood corpuscles, HB, HTC, MCV, MCHC
  • White blood cell series study: Formula and VSG
  • Platelets
  • Glucose
  • Uric acid (urea)
  • Cholesterol
  • GOT-GPT
  • Triglycerides
  • Iron (women)
  • Urine
Thorax x-ray at the doctor’s discretion
Gynaecological examination with vaginal smear test (for women)
Visual acuity
Audiometry and spirometry

 

CHECK-UP 2 (FROM 31 TO 45 YEARS)
Medical history and general examination Electrocardiogram
Blood test
  • Red blood cell series study: Red blood corpuscles, HB, HTC, MCV, MCHC
  • White blood cell series study: Formula and VSG
  • Platelets
  • Glucose
  • Uric acid (urea)
  • Cholesterol
  • GOT-GPT
  • Triglycerides
  • Iron (women)
  • Urine
Thorax x-ray at the doctor’s discretion
Abdominal ultrasound scan
Gynaecological examination with vaginal smear test Breast scan at doctor’s discretion and mammography (bi-annually or annually at doctor’s discretion, from the age of 40) (for women).
Visual acuity
Audiometry and spirometry

 

CHECK-UP 3 (FROM 46 TO 65 YEARS)
Medical history and general examination Electrocardiogram
Blood test
  • Red blood cell series study: Red blood corpuscles, HB, HTC, MCV, MCHC
  • White blood cell series study: Formula and VSG
  • Platelets
  • Glucose
  • Uric acid (urea)
  • Cholesterol
  • GOT-GPT
  • Triglycerides
  • Iron (women)
  • HDL
  • Alkaline phosphatase
  • Occult bleeding
  • Urine
Thorax x-ray at the doctor’s discretion/td>
Abdominal ultrasound scan
Gynaecological examination with vaginal smear test Breast scan at the doctor’s discretion and mammography (bi-annually or annually at the doctor’s discretion, from the age of 40) (for women).
Visual acuity
Gynaecological scan (for women)
Prostatic scan (for men)
Audiometry and spirometry

 

Do you know you can have a remote appointment?

Do you know you can have remote medical advice? Remember that this service does not replace a medical visit if needed, but it may be useful to resolve any doubts or obtain certain recommendations from your holidays abroad.

How can you connect? In your Customer Area, we give you three options:

Telephone call

Video call

Online appointment

 

Do you need to consult receipts or make changes?

From your Customer Area you can carry out many dealings regarding your policy, including:

Consult your receipts

Modify your personal or bank details

Request a duplicate card

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Legal information and data protection
Legal information: Remember that you may discontinue the contract without the need to indicate the motives and without incurring any penalties, during the first 30 calendar days following the date on which the Insurer provides you with the documentation corresponding to your policy.  

Basic data protection information: SegurCaixa Adeslas, S.A. de Seguros y Reaseguros, as data controller, will process your personal data to provide the insurance simulation and carry out the profiling required to calculate the amount of the premium. If the policy is not taken out, once ten working days have elapsed since the expiry date of this simulation, the data contained therein will be cancelled. Likewise, your contact data will be used to provide you with information regarding your request, and you may receive a telephone call to the telephone number provided and be sent said information to the email provided.  
The data provided will not be transferred to third parties, unless a legal obligation exists or to supply the service. You can consult further information on SegurCaixa Adeslas’s data protection policy and, especially, on how to exercise your rights of access, rectification, deletion and others, by visiting the following web page: https://www.segurcaixaadeslas.es/en/data-protection