Glossary of Attendance terms
Definitions Accident: any event that causes material and / or bodily harm to an affiliate,
caused solely and directly by an external, violent, fortuitous and evident cause (excluding
illness).
Beneficiaries: the holder of the assistance.
Coordination: administrative activity provided by IGS that involves synchronizing different
actions and defining the most appropriate way to group the resources available to fulfill
the affiliate's request in relation to assistance services.
Event: each event that involves an emergency, urgency or provision of an assistance service
and for which a technician, employee, supplier, professional, operator of IGS appears before
an affiliate to proceed with the provision of the requested assistance service.
Effective start date: date from which the assistance services offered by IGS will be
available to the member.
IGS: INTEGRAL GROUP SOLUTION S.A DE C.V.
Validity period: period during which the member is entitled to assistance services, 5 days
from the time of the Trip up to 4 more days.
Country of residence: to provide the service, the user must be within Mexican territory.
Supplier: company or natural person specialized in the items detailed herein, who, on behalf
of IGS, assists the affiliate in any of the services described in these general conditions.
Supplier: company or natural person specialized in the items detailed herein, who, on behalf
of IGS, assists the affiliate in any of the services described in these general conditions.
Reference: up-to-date and reliable information regarding the services, which is provided by
IGS by telephone to the member upon request.
Services: for the provision of the service, the member must provide the ticket number or
folio and date of the trip.
Assistance situation: when the member is faced with a situation involving an emergency,
urgency or demand for assistance and responds to the terms, characteristics and limitations
established in this annex, provided that they have taken place during the period of validity
and in the territorial scope of validity.
Funeral Assistance: In case of death of the member, IGS will provide funeral expenses due to
accident or natural death by contacting the specialized IGS call center.
Funeral Expenses 1 event, up to $ 25,000.00 MXN direct service payment. Funeral service
includes:
• Collection and transfer of the body to the viewing room
• Aesthetic arrangement of the body
• Basic coffin
• 24-hour viewing room
• Legal procedures necessary for the transfer, burial or cremation of the body
• Funeral legal advice
• Cremation (includes urn for ashes) or burial
• Funeral float to the cemetery.
Exclusions:
• Accidents resulting from acts classified as a crime.
• Suicide, attempted suicide, poisoning, or self-inflicted injury, whether in your own right or
mentally alienated.
• The member is under the influence of any narcotic unless it has been administered by
prescription.
• The surplus will be covered by the affiliate or responsible family member. IGS is relieved of
responsibility when due to force majeure it is impossible to provide the assistance actions
prescribed in this clause, without prejudice to any compensation that may arise.
Emergency medical assistance for a serious accident or serious illness: In the event that the
member goes through an emergency situation and requires hospital medical attention for the
reasons already established, IGS will make direct payment to the hospital of up to $ 20,000.00
MXN for in-hospital care.
Exclusions:
• Chronic or pre-existing conditions are not covered.
• Psychiatric illnesses or those derived from the consumption of narcotics, drugs or alcohol are
not covered.
• The member must make the deposit payment for hospital admission. References and medical
discount network: when the affiliate requires, IGS will provide the service through its
specialized call center network, with information on medical consultations, laboratory studies,
cabinet studies, medical equipment, etc. That they have some type of discount according to an
agreement with the IGS network providers.
Exclusions:
• Certain high-tech studies such as PET, Fluoroggiography or Interventional Studies Additional
to this, are also excluded. • Highly specialized consultations are considered.
Physician at home / hotel: if the traveler requires it, IGS will provide the service of doctor
at home / Hotel in order to assist the member from their location, in the event of a medical
emergency or injury that does not require treatment in a healthcare center. The service will be
provided with a limit of one (1) event up to $ 1,000.00 MXN of coverage, any surplus will be
covered by the affiliate.
Exclusions:
• Patients requiring specialized medical assistance are excluded from this coverage.
• Patients with a drug, alcohol or psychiatric dependent history are excluded from this
coverage.
• Patients requiring clinical care are excluded from this coverage.
• The provision of medical services that require procedures is excluded from this coverage.
Emergency ground ambulance: in the event that the member requires an emergency ground medical
transfer within the Mexican territory as a result of a sudden injury or trauma that constitutes
a vital emergency and that requires an ambulance medical transfer, IGS will coordinate and
follow up until the arrival of medical units to transfer the beneficiary to the medical care
center, this assistance will be offered without limit of coverage and without limit of events to
the nearest hospital.
Exclusions:
• Additional transfers are excluded from this coverage.
• Patients with a drug, alcohol or psychiatric dependent history are excluded from this
coverage.
Telephone medical consultation: in situations of medical emergency, the family group has 24-hour
access, 365 days a year, to the medical assistance line service where a doctor will answer the
call and guide which procedure to follow according to the symptoms manifested, will guide the
provisional behaviors that must be assumed while making professional medical-patient contact.
Attendance is done without limit of events and without limit of coverage 24 hours, 365 days a
year.
Exclusions:
• The telephone doctor will not modify medical treatments for chronic and / or specialized use.
• Controlled use medications will not be prescribed.
Funeral transfer: If an accident occurs and the member dies, IGS will guide the relative in
charge of the legal process for the transfer of the body, necessary documentation, procedure and
will coordinate its journey, covering up to $ 20,000.00 MXN.
Exclusions:
• Accidents resulting from acts classified as a crime.
• Suicide, attempted suicide, poisoning, or self-inflicted injury, whether in your own right or
mentally alienated.
• The member is under the influence of any narcotic unless it has been administered by
prescription.
Transfer of a family member by bus: In the event that the member is hospitalized due to injury
or accident and is forced to a disability of more than 5 days, and in the event that the member
is alone or whose sole company is a person over the age of 70 or younger than 15 years, IGS will
offer a family member 1 bus ticket from the main city to the city where the hospitalized person
is with a limit of 1 event.
Exclusions:
• In order to provide the service, the member must submit a report from the treating physician
that justifies a situation of serious or acute illness. Hotel expenses due to convalescence: if
the member due to hospitalization in Mexico requires the accommodation of the spouse or a family
member up to the first degree of consanguinity where he must interrupt his trip, IGS will be
responsible for the hotel payment for up to 7 days, this coverage only will apply with a limit
of 1 event and coverage of up to $ 2,000.00 MXN of the final account.
Exclusions:
• In order to provide the service, the member must submit a report from the treating physician
that justifies a situation of serious or acute illness. Transmission of urgent messages: in case
the affiliate requires it, IGS will be in charge of transmitting the urgent messages derived
from any emergency situation that appears to the affiliate.
Telephone legal assistance: For this service and at the request of the affiliate, IGS will
provide, by telephone, the reference and consulting services in the event of a vehicle accident,
in the event of theft or assault of belongings, death of a family member who is traveling with
the affiliate, etc. The assistance will be provided 24 hours a day, these services will be
provided without limit of cost and events.
Exclusions:
• IGS will only assume responsibility for the management of the professionals assigned by it
within the described limits of the assistance provided, but will not be responsible for the
final results, understanding in any case, that it is an obligation of means and not of result.
Legal assistance for robbery of the person: in case of robbery or assault on the affiliate, the
latter may contact IGS to have face-to-face assistance for the management and coordination of
procedures derived from the theft. The affiliate may request assistance to process the reports
corresponding to the theft or theft. This service will be provided with a limit of 1 event and
will only be the presence of a first instance lawyer.
Exclusions:
• Any third party membership is excluded from this coverage.
• IGS will only assume responsibility for the management of the professionals assigned by it
within the described limits of the assistance provided, but will not be responsible for the
final results, understanding in any case, that it is an obligation of means and not of result.
This service will be provided.
• IGS will not be responsible for the result of the efforts and defenses carried out by the
lawyer that the affiliate directly hires. Taxi service: In case of accident or emergency, IGS
will coordinate the service to where the affiliate requests it within the main cities of the
country, the cost of the service will be borne by the affiliate and IGS will be responsible for
making the refund up to $ 200.00 MXN under voucher 1 event.
Exclusions:
• IGS will not have any responsibility, regarding the service received from the taxi service
providers.
Affiliate obligations (guarantees)
The affiliate will be obligated in all cases and for all the services that will be provided to:
A) Obtain the express authorization of the service provider, through the operating center in
Mexico, before committing any type of service on its own initiative.
B) The affiliate must always accept the recommendations and solutions indicated by the provider,
compared to the services requested.
C) identify yourself as an affiliate before the provider's officials or before the people that
the latter company hires for the purpose of providing the services contemplated in this
document.
D) it is implicit that when using the "assistance" service, the member authorizes the clinic to
deliver all documentation (medical history) required by the provider and IGS.
General exclusions:
In addition to the exclusions indicated in some of the coverage, the company will not cover the
following cases:
The services will be provided in the cities defined in the “territorial scope” of this document,
as long as the area is not framed as a territory of internal conflict (red zones) or tolerance
zones or zones with difficult vehicular, pedestrian and free transit access. .
Damage caused by bad faith of the owner.
Exceptions are those places where there is an inconvenience or risk of security of resources by
any force outside the law, guerrillas, self-defense groups or any other.
Those that had origin or were a direct or indirect consequence of war, civil war, armed
conflict, uprising, rebellion, sedition, malicious acts of third parties, mutiny, strike,
popular disorder, terrorism and other events that alter the internal security of the state or
public order. Acts or actions of the armed forces or security forces. Derivatives of radioactive
nuclear energy.
If a fraudulent or misleading claim is filed; or supported by false evidence.