Common use of Refund Amounts Clause in Contracts

Refund Amounts. Refunds per item are described in the Table above (article 2.1): - Medical costs excluding admissions to hospital: without Excess, 100 % of Reasonable Routine Costs, within the limit, per person and claim, defined in the “Table of Coverage”. - Hospitalization costs: 100 % of actual costs within the limit, per person and claim, defined in the “Table of coverage” and Reasonable Routine Costs without Excess, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual costs within the limits, per person and per claim, defined in the "Table of coverage" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance where applicable, • within the limit of the refund indicated in the Table of Coverage communicated with the subscription. The refund amounts in the Table of Coverage are expressed, depending on the case: • in Actual costs (AC), • in amounts in euros. These amounts are the coverage cap per Claim and per beneficiary and cannot be exceeded. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisation, only the costs that have been first covered by the basic health insurance will be refunded.

Refund Amounts. Refunds per item are described detailed in the Table above (article 2.1): - Medical costs excluding admissions to hospitalHospitalization: without Without Excess, 100 % of Reasonable Routine Costs, within the limit, per person and claim, defined in the “Table of Coverage”. - Hospitalization costs: 100 % of actual costs within the limit, per person and claim, defined in the “Table of coverage” and Reasonable Routine Costs Costs, without Excess, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual costs within the limits, per person and per claim, defined in the "Table of coverage" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance where applicable, • within the limit of the refund indicated in the Table of Coverage communicated with the subscription. The refund amounts in the Table of Coverage are expressed, depending on the case: • in Actual Real costs (ACRC), • in amounts in euros. These amounts are cannot be exceeded and represent the coverage cap caps per Claim and per beneficiary and cannot be exceededbeneficiary, except for the Emergency dental care cover which is annual. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisationcover, only the costs that have been first covered by the basic health insurance will be refunded. In all cases, your refunds will be limited to the actual amount of costs incurred. It is explicitly agreed that the Insurer has the legal right to limit or dispute the cover if there is a failure to follow the Medical Ethics Code rules (article 4127-1 of the French Public Health Code).

Refund Amounts. Refunds per item are described detailed in the Table above (article 2.1): - Medical costs excluding admissions to hospital: without Excess, 100 % of Reasonable Routine Costs, within the limit, per person and claim, defined in the “Table of CoverageBenefits”. - Hospitalization Hospitalisation costs: 100 % of actual costs within the limit, per person and claim, defined in the “Table of coverageBenefits” and Reasonable Routine Costs without Excess, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual costs within the limits, per person and per claim, defined in the "Table of coverageBenefits" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. - Medical costs relative to maternity (pregnancy, non-voluntary abortion, childbirth as well as their sequels or pathological complications): 75 % of actual costs within the limits, per person and claim, defined in the “Table of Benefits”. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance refund of other additional health insurance organisations where applicable, • within the limit of the refund indicated in the Table of Coverage Benefits communicated with the subscription. The refund amounts in the Table of Coverage Benefits are expressed, depending on the case: • in Actual costs (AC), • in amounts in euros. These amounts are the coverage cap per Claim and per beneficiary and cannot be exceeded. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisationcover, only the costs that have been first covered by the basic health insurance will be refunded.

Refund Amounts. Refunds per item are described in the Table above (article 2.1): - Medical costs excluding admissions to hospital: without Excess, 100 % of Reasonable Routine Costs, within the limit, per person and claim, defined in the “Table of Coverage”. - Hospitalization costs: 100 % of actual costs within the limit, per person and claim, defined in the “Table of coverage” and Reasonable Routine Costs without Excess, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual costs within the limits, per person and per claim, defined in the "Table of coverage" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance where applicable, • within the limit of the refund indicated in the Table of Coverage communicated with the subscription. The refund amounts in the Table of Coverage are expressed, depending on the case: • in Actual costs Real Costs (ACRC), • in amounts in euros. These amounts are the coverage cap per Claim and per beneficiary and cannot be exceeded. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisation, only the costs that have been first covered by the basic health insurance will be refunded.

Refund Amounts. Refunds per item are described in the Table above (article 2.1): - Medical costs excluding admissions to hospital: without Excess, 100 % of Reasonable Routine Costs, within the limit, per person and claim, defined in the “Table of Coverage”. - Hospitalization costs: 100 % of actual real costs within the limit, per person and claim, defined in the “Table of coverage” and Reasonable Routine Costs without Excess, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual real costs within the limits, per person and per claim, defined in the "Table of coverage" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance where applicable, • within the limit of the refund indicated in the Table of Coverage communicated with the subscription. The refund amounts in the Table of Coverage are expressed, depending on the case: • in Actual Real costs (ACRC), • in amounts in euros. These amounts are the coverage cap per Claim and per beneficiary and cannot be exceeded. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisation, only the costs that have been first covered by the basic health insurance will be refunded.

Refund Amounts. Refunds per item are described detailed in the Table above (article 2.1): - Medical costs excluding admissions to hospitalHospitalization: without Excess, 100 % of Reasonable Routine Costs, within the limit, per person and claim, defined in the “Table of Coverage”. - Hospitalization costs: 100 % of actual costs within the limit, per person and claim, defined in the “Table of coverage” and Reasonable Routine Costs without Excess, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual costs within the limits, per person and per claim, defined in the "Table of coverage" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance where applicable, • within the limit of the refund indicated in the Table of Coverage communicated with the subscription. The refund amounts in the Table of Coverage are expressed, depending on the case: • in Actual Real costs (ACRC), • in amounts in euros. These amounts are cannot be exceeded and represent the coverage cap caps per Claim and per beneficiary and cannot be exceededbeneficiary, except for the Emergency dental care cover which is annual. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisationcover, only the costs that have been first covered by the basic health insurance will be refunded.

Refund Amounts. Refunds per item are described detailed in the Table above (article 2.1): - Medical costs excluding admissions to hospitalHospitalization: without ExcessExcess per claim 30€, 100 % of Reasonable Routine Costs, within the limit, per person and claim, defined in the “Table of Coverage”. - Hospitalization costs: 100 % of actual costs within the limit, per person and claim, defined in the “Table of coverage” and Reasonable Routine Costs without ExcessCosts, Excess per claim 30€, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual costs within the limits, per person and per claim, defined in the "Table of coverage" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance where applicable, • within the limit of the refund indicated in the Table of Coverage communicated with the subscription. The refund amounts in the Table of Coverage are expressed, depending on the case: • in Actual costs Real Costs (ACRC), • in amounts in euros. These amounts are cannot be exceeded and represent the coverage cap caps per Claim and per beneficiary and cannot be exceededbeneficiary, except for the Emergency dental care cover which is annual. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisationcover, only the costs that have been first covered by the basic health insurance will be refunded.

Refund Amounts. Refunds per item are described detailed in the Table above (article 2.1): - Medical costs excluding admissions to hospitalHospitalization: without Excess, 100 % of Reasonable Routine Costs, within the limitlimit and with no Excess, per person and claim, defined in the “Table of Coverage”. - Hospitalization costs: 100 % of actual costs within the limit, per person and claim, defined in the “Table of coverage” and Reasonable Routine Costs without Costs, with no Excess, when the Policy holder is hospitalised in an establishment approved by the Assistance. - Emergency dental care (see detail further in this document): 100 % of actual costs within the limits, per person and per claim, defined in the "Table of coverage" and Reasonable Routine Costs incurred for urgent dental care (that cannot be postponed, due to the pathological condition of the Policy holder) and for the following dental care: dressing, filling, pulp removal, or tooth extraction. The refunded amounts are those: • remaining after deduction of the amount refunded by the European Health Insurance where applicable, • within the limit of the refund indicated in the Table of Coverage communicated with the subscription. The refund amounts in the Table of Coverage are expressed, depending on the case: • in Actual costs Real Costs (ACRC), • in amounts in euros. These amounts are cannot be exceeded and represent the coverage cap caps per Claim and per beneficiary and cannot be exceededbeneficiary, except for the Emergency dental care cover which is annual. • in amounts per procedure expressed in euros. The applicable price we use to calculate services is the price on the date the healthcare was received. In the case of complementary cover over the European Health Insurance Organisationcover, only the costs that have been first covered by the basic health insurance will be refunded.