NESACard

CLOVER PLAN NESACARD

 

Cancer. It's a diagnosis that everyone dreads.

We might have to deal with this illness when a relative, family member, an employee, or maybe ourselves are diagnosed with the illness. The battle is an extreme challenge. Many advances have been made in recent years in developing treatments for cancer and they have resulted in new drugs and therapies with increasing success.

Some of the medical advances are medically promising, but often unaffordable.

You are probably aware, as we are, that for each medical problem there are many types of treatments and different approaches that can be taken.

With this You can easily find yourself in the situation of having a lot of information and also having to choose out of the many options available to You. This can make You feel overwhelmed and lost.

MediSky International together with its insuring partner, LAMP Insurance and in collaboration with The New European Surgical Academy (NESA) have created a plan for You. The NESACard plan will help You to choose which is the best treatment and the best medical provider for You, in this difficult situation All information provided will always be based on the most up-to date current knowledge and supported by evidence-based facts.

The New European Surgical Academy is an international surgical network which includes pan-European and global opinion leaders in oncology and in oncological surgery, having members in 54 countries worldwide.

Benefits

  • Quick cash of 2000 EUR to support any immediate need for help with any medical provider for diagnostics and initial treatment such as:
    • Consultations for diagnostics
    • Diagnostics such as CT scans and MRI scans
    • Genomic Testing in respect of treatment
    • Chemotherapy
    • Homeopathic Consultations
  • "Second opinion and navigation" provided by NESA
  • Recommended treatment for optimum treatment venue: the best medical center that fits with the patient’s needs “in Europe” provided by NESA

Social Contribution

Your yearly payment for a NESA card is a donation made to support the activities of NESA. We hope you will never need to use the benefits of your card and you can be left proud of your contribution to a very important medical enterprise that has a huge social value.

Who can be covered

  1. Any private healthy person
  2. Groups of over 20 participants “unique underwriting”

Activate your NESAcard

Please fill in the Declaration Form below in order to apply for the NESAcard.

Contact Details:


YOUR DECLARATION

By applying to be a member of the NESACARD Scheme, I understand the following:

DECLARATION:

I hereby apply for Clover Plan - NESACARD membership with MediSky International, insured with LAMP Insurance Company Limited. I confirm that I have not seen a doctor or other healthcare professional or have been admitted to hospital, received treatment or undergone any investigations in the last three years for any cancer related condition. I confirm that I have not experienced any signs and symptoms of any medical problem in the last 6 months regardless of whether a healthcare professional has been consulted. I accept the benefits terms conditions and limits provided for in the terms of the insurance policy and I agree to be bound by such terms. I confirm the correctness of the statements and information contained in this application and confirm the correctness of all other documents submitted now or in the future concerning this application. We accept that LAMP Insurance Company Limited will be relying on such statements and information when agreeing to accept this application. LAMP Insurance Company Limited reserves the right to investigate where uncertainty exists about the validity of information provided.

I, the applicant, agrees to being called upon to submit such medical examinations and tests as LAMP Insurance Company Limited deems necessary.

I agree to give LAMP Insurance Company Limited immediate written notice should any changes material to the assessment of this application occur before the date upon which LAMP Insurance Company Limited grants written acceptance. This will give LAMP Insurance Company Limited the opportunity to reconsider the terms of acceptance.

CONSENT FOR PERSONAL DATA PROCESSING OF THE POLICYHOLDER

I, the undersigned, pursuant to Art. 23 paragraph 1 point 1 and art. 27 paragraph 2 point 1 of the Personal Data Protection Act of 29 August 1997 (hereinafter the "Data Protection Act"), express my consent to the processing of my personal data, including my health status, in order to process my application for insurance cover and to execute insurance contracts concluded on this basis.

I declare that I have been informed about the right to access the content of my data, to correct it and to request in written form to cease my data processing as well as to object to its processing. In case of a breach of the provisions on personal data protection I have the right to submit a complaint with the Inspector General for the Protection of Personal Data (GIODO).

The above consent, pursuant to Art. 23 paragraph 2 of the Data Protection Act is also expressed for the future.

We kindly inform you that your personal data will be processed by MEDISKY sp. z o.o. with its registered office in Warsaw, 00-074 ul. Trębacka 4, registered in the register of entrepreneurs of the National Court Register under KRS number: 628122, on the basis of entrusting the processing of such data, pursuant to art. 31 of the Data Protection Act, by the data controller - ie LAMP Insurance Company Limited based in Gibraltar (GX11 1AA) Suite 934 Europort.

We inform that the data submission is voluntary but necessary to present an insurance offer and to conclude insurance contract, which includes insurance risk assessment.

We would like to inform you that your personal data will be processed for the purposes of identifying the application for insurance coverage, the conclusion of an insurance contract and insurance cover.

We inform you that if your insurance contract is concluded, your personal data will be processed for the purpose of performing it, and in the event of refusal to be covered by insurance, it will be deleted.

We would like to inform you that your application for change of personal data, contact information, request for discontinuation of data processing or objection must be sent to the following e-mail address: customer-care@medisky.pl.

I, the undersigned, declare that the information supplied is accurate and up-to-date and I have completed the application myself. I declare that I have read the General Terms and Conditions (Policy Wording) of NESACARD insurance.


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