the plane tree medical care plan is dedicated to the most

The Plane Tree Medical Care Plan is dedicated to the most demanding Patients who value convenience and their time,

and expect professional care at every stage of contact with LUX MED Group. In addition to access to the most

comprehensive range of medical services offered by LUX MED to Individual Patients, it involves the assistance

of an Individual Patient’s Assistant, who is a personal adviser to help you with:

scheduling consultation and exams in LUX MED Group medical centres and partner facilities, in accordance with your

expectations;

obtaining referrals for exams and prescriptions, in accordance with the provisions of the agreement;

coordinating the annual “Time for Health” Optimal Health Check

The Plane Tree Medical Care Plan may cover adults aged up to 70 and children under 18. It gives access to doctors in more than 70

LUX MED Group’s (LUX MED and Medycyna Rodzinna) modern facilities, listed at www.luxmed.pl and, depending on availability

of services, in a nationwide network of over 700 cooperating facilities, listed at www.luxmed.pl/placowki700.

SCOPE OF Plane Tree Medical Care Plan

Access to Medical Centres of the LUX MED Group (LUX MED and Medycyna Rodzinna) ✔

Country-wide network Partnership ✔

Medical Nationwide booking of appointments and examinations (by phone, 22 33 22 888, or through our

Patient Portal) ✔

Text message reminders of scheduled appointments in LUX MED Group’s own facilities (with a cancellation option) ✔

Psychological and psychiatric consultation ✔

Professor degree physicians available with referral ✔

Consultation outpatient procedures ✔

Non-consultation outpatient procedures ✔

Flu vaccinations/tetanus vaccine ✔

Prevention without a referral ✔

Pregnancy care ✔

Complex diagnostic examinations ✔

Free contrast media for CT, MRI scans and Urography ✔

Health check-up ✔

Prophylactic Vaccinations ✔

Skin allergy tests ✔

Rehabilitation ✔

30% discount for Prophylactic dentistry ✔

30% discount for Dental X-ray, pantomogram ✔

30% discount for Non-invasive dentist ✔

20% discount for Dental Surgery ✔

Home visits ✔

15% discount for One Day Surgery ✔

Hospital adviser ✔

Interventions ambulance team ✔

HELTH BEAUTY HARMONY Programme ✔

10% discount for other services of the LUX MED Group ✔

10% discount for hospital procedures in LUX MED Hospital ✔

10% discount for medical procedures In Carolina Medical Center ✔

http://www.luxmed.pl/

http://www.luxmed.pl/placowki700

We care about the convenience of our Patients, therefore we offer them additional tools and services:

Personal Client Assistant – designated person to handle your current contract.

Individual Patient Counselor– each Premium package holder is assigned a Individual Patient Manager who organizes

research, medical consultation and take individual care of the patient during his stay in LUX MED facilities.

Telephone Medical Information – owing to this solution the patients calling the hotline with a health problem may receive

assistance any time of the day. The TMI Team is composed of experienced physicians, nurses and paramedics who collect

information from the caller and try to advise them what should be done in a given situation. They also have information

on the pharmacy and hospital duty hours;

Text message reminders of examinations and consultations – owing to them, patients may schedule appointments

without worrying about forgetting about them;

Patient Portal - access to an integrated IT platform (managing the Patient’s file, scheduling and cancelling appointments,

access to test and examination results, communication with a physician, etc.).

LUX MED Mobile application – free mobile application, which allows to: booking, viewing and removal of medical visits

and view schedules of doctors. It also contains information about the location of establishments owned by LUX MED Group.

The application is available for iPhone and iPad and other Android device. For owners of devices with other mobile operating

systems we have Patient Portal, available at: m.grupaluxmed.pl.

METHOD OF PAYMENT*/ PACJENT ADULT PERSON

(18–60)

ADULT PERSON

(60–70)

CHILD

(0–18)

Annual payment 4 290 PLN 6 735 PLN 6 195 PLN

Payment in two instalments (every 6 months) 2 x 2 264 PLN 2 x 3 555 PLN 2 x 3 270 PLN

Payment in 4 instalments (every 3 months) 4 x 1 168 PLN 4 x 1 833 PLN 4 x 1 686 PLN

Payment In 12 instalments (etery month) 12 x 397 PLN 12 x 624 PLN 12 x 574 PLN

*The contract is concluded for 12 months.

If you are interested in our offer:

contact our Adviser by calling 22 339 37 33 from Monday to Friday, 8.30 a.m. until 7.00 p.m.;

write to us at the following e-mail address: [email protected].

Scope of the Health Care Plan

Complex specialist consultations

The medical care package gives the patient unlimited

access to consultations of specialists in an event

of a disease, chronic illnesses, in an emergency setting

and in the case of an exacerbation of a chronic condition.

Specialist consultations consist of: medical history taking,

specialist advice and basic procedures necessary

for making a diagnosis, taking an appropriate therapeutic

decision and monitoring of treatment. Contractor assures

no-referral access to the specialization listed below:

allergology

general surgery

dermatology

diabetology

endocrinology

gastroenterology

gynaecology

haematology

internal diseases

cardiology

laryngology

nephrology

neurology

ophthalmology

oncology

orthopaedy

pulmonology

rheumatology

urology

dietician (without individual diet)

duty physician (the internist/the doctor of family medicine)

duty physician – general surgery

duty physician –orthopedics

doctor of family medicine

In the case where the cardholder is a child (up to 18yo)

- Contractor assures no-referral access to the

specialization listed below:

paediatrician;

paediatric surgery;

paediatric orthopaedics;

paediatric neurology;

paediatric ophthalmology

duty physician (the paediatrician/the doctor of family medicine)

doctor of family medicine

gynaecology (from 16yo)

Furthermore, a paediatrician implements prophylactic

programmes.

Consultations upon a referral from a primary care physician

or upon a specialist consultation from LUX MED clinics

include the following areas:

anaesthesiology

angiology

audiology

vascular surgery

surgical oncology

plastic surgery

infectious diseases

phlebology

phoniatrics

geriatrics

gynecologic oncology

hepatology

hypertensiology

immunology

neurosurgery

proctology

In the case where the cardholder is a child (up to 18yo) -

consultations upon a referral from a paediatrician or upon

a doctor of family medicine from LUX MED clinics include

the following areas:

allergology

anaesthesiology

angiology

audiology

vascular surgery

surgical oncology

plastic surgery

infectious diseases

dermatology

diabetology

endocrinology

phlebology

phoniatrics

gastroenterology

gynaecology (up to 16yo)

gynecologic oncology

haematology

hepatology

hypertensiology

immunology

cardiology

laryngology

nephrology

neonatology

neurosurgery

oncology

proktology

pulmonology

rheumatology

urology

dietician (without individual diet)

If the required specialist is not available at a Contractor

Medical Centre, a Contractor physician can refer the

patient for a consultation to a specialist available in Poland,

who is not employed at Contractor.

Note:

This service does not include Proffesor consultations,

dentistry, rehabilitation or psychiatry consultations,

or consultations of other specialists, i.e. for example:

speech therapist, psychologist (also sex therapist).

Psychological and psychiatric

consultation

The subscription patient may benefit from consulting

specialist in the following areas:

psychiatry

psychology

sexology

andrology

logopaedics

In the case where the cardholder is a child (up to 18yo)

in the following areas:

psychiatry

psychology

sexology

andrology

logopaedics

Specialist consultations include: interview, specialist advice

and basic procedures necessary for diagnosis, make

the right decision, and monitoring of therapeutic treatment.

The service is limited - You may use the 3 consultations

per calendar year (combined limit for all consultations).

Consultation with a speech therapist does not include

so-called. Subspecialisation speech therapy, including

surdologopedia, neurologopedia etc.

Professor degree physicians available

without referral

Within the medical care package that includes

the “professors’ consultations” service, Patients can benefit

from specialist consultations, focusing on a diagnostic

or therapeutic problem, given by an independent

academics.

A consultation consists of medical documentation analysis,

as well as subjective and objective examination.

Professors’ consultation does not require a prior referral

from

a specialist, and is not connected with any additional

payment. Professors’ consultations are not limited (except

for psychiatric and psychological consultations).

Consultation Outpatient Procedures

Services in the form of procedures that can be performed

on medical by a physician or a nurse during medical

consultation appropriate for the procedure or after medical

consultation in an outpatient setting. The scope

of consultation outpatient procedures depends on the

scope of specialist consultations to which you are entitled

for the subscription fee. With the service is available local

anesthesia (application with the drug): infiltration

or superficial if so required by the simultaneous treatment

with medical indications. If access to consultations with all

specialists is ensured, consultation outpatient procedures

include:

Outpatient general medical procedures:

Blood pressure measurement

Height and body weight measurement

Non-surgical tick removal

Outpatient surgical procedures:

Stitching a wound of up to 3 cm (includes wound

disinfection/excision)

Surgical tick removal

Non-surgical tick removal

Application/change/removal of a small dressing (which

does not require the development of surgery)

Removal of another foreign body without incision

Removing sutures after procedures performed

at the Contractor’s own centre’s

Removing sutures after procedures performed outside

the Contractor’s own centre’s – case classification after

assessment by a physician (we do not remove sutures

after delivery)

Outpatient laryngological procedures:

Eustachian tube examination, inflation

Laryngeal mirror examination

Laryngologist consultation – Eustachian tube catheterisation

Laryngologist consultation – ear irrigation

Laryngologist consultation – removal of a foreign body

from the nose / ear

Small laryngological dressing

Laryngological procedure – coagulation of nasal septum

vessels

Laryngological procedure – nasal tamponade removal

Bilateral dressing of nasal haemorrhage

Unilateral dressing of nasal haemorrhage

Suture removal in a procedure room (excluding post-

delivery stitches and stitches applied outside the clinics

indicated by the LUX MED)

Application / change / removal of drain in the ear canal

Intranasal administration of a drug constricting nasal

mucosa.

Outpatient ophthalmologic procedures:

Ophthalmologist consultation – standard fundoscopic

examination

Ophthalmologist consultation – corrective lens selection

(excludes varifocal lenses)

Ophthalmologist consultation – gonioscopy (iridocorneal

angle assessment)

Ophthalmologist consultation – removal of a foreign

body from the eye

Standard intraocular pressure measurement

Standard stereoscopic vision examination

Lacrimal duct irrigation

Standard computerised visual field test

Drug instillation into the conjunctival sac

Autorefractometry

Visual acuity examination

Outpatient orthopaedic procedures:

Adjustment of small orthopaedic devices

Non-complex dislocation or fracture setting

Preparation: traditional cast – tape

Cast application

Intraarticular and periarticular injections;

Joint puncture – sample collection for testing

Cast removal from lower limb

Cast removal from upper limb

Application/change/removal of a small dressing

Outpatient dermatological procedures:

Dermatoscopy

Outpatient allergological procedures:

Desensitisation (patient’s medicine)

Outpatient gynaecological procedures:

Standard pap smear

Outpatient nursing procedures:

Intravenous injection

Subcutaneous/intramuscular injection

Emergency drip administration

Oral drug administration in emergency cases

Body temperature measurement (no referral required)

Height and body weight measurement (no referral

required)

Blood pressure measurement (no referral required)

Application/change/removal of a small dressing

Blood drawing

Note:

The above procedures are performed within the framework

of a complementary consultation if they are available

at the centre. Medical materials and devices, i.e.: traditional

plaster, wound dressings, bandages, cannula, syringes,

cotton swabs, adhesive stripes, needles, disinfection

agents, surgical sutures and threads, used for the above

procedures, are free of charge. Other materials

and medicinal products used in the abovementioned

procedures need to be paid for by the patient

with a 10% discount.

Non-Consultation Outpatient Procedures

Services in the form of procedures that are not an integral

part of the medical consultation. They may be performed

under local anesthesia and do not require hospitalisation

or operating theatre regime. The scope of non-consultation

outpatient procedures depends on their availability

at the given centre of the contractor. With the service

is available local anesthesia (application with the drug):

infiltration or superficial if so required by the simultaneous

treatment with medical indications. Non-consultation

outpatient procedures performed on medical include:

Outpatient surgical procedures:

Fine-needle biopsy – skin / subcutaneous tissue

Fine-needle biopsy – breast

Fine-needle biopsy – thyroid

Fine-needle biopsy – lymph nodes

Stitching a wound up to 3 cm (includes wound

disinfection/excision)

Removal of a boil / small skin abscess (up to 1 cm)

Classic surgical excision of the skin lesion (up to 1,5cm)

for medical reasons (reasons not include: aesthetic

medicine and plastic burgery) with standard

histopathological test

Orthopaedic outpatient procedures:

Selection and application of orthoses – larg joints

Small/large dessault type immobilization;

Application of a traditional plaster corset

Application of a traditional plaster

Dermatological outpatient procedures:

PUVA lamp

Laser - Dermatological procedure

Dermatological procedure – removal and coagulation

of skin fibromas

Dermatological procedure – cryotherapy 1 to 6 changes

Dermatological procedure – electrotherapy 1 to 6

changes

Dermatological procedure – cryotherapy

7 changes and more

Dermatological procedure – electrotherapy 7 changes

and more

Outpatient gynaecological procedures:

Removal of an intrauterine device

Application of an intrauterine device

Cervical procedures – electrocoagulation

Cervical and labial procedures – cryocoagulation

Cervical procedures – cryocoagulation of erosions

Outpatient laryngological procedures:

Laryngeal enema

Lingual frenum incision

Incision of nasal septum haematomas

Incision of ear concha haematomas

Sinus puncture

Coagulation of blood nasal septum

Cryosurgical procedures

Closed nasal bone reposition

Obliteration of tongue base varices

Pretz sinus rinse

Other outpatient procedures:

Application of a catheter

Removal of a catheter

Enema

Elbow crutches – renting

Local anesthesia (application with the drug): infiltration

or superficial

Note:

Medical materials and devices, i.e.: traditional plaster,

wound dressings, bandages, cannula, syringes, cotton

swabs, adhesive stripes, needles, disinfection agents,

surgical sutures and threads, used for the above

procedures, are free of charge. Other materials

and medicinal products used in the abovementioned

procedures need to be paid for by the patient

with a 10% discount.

Flu vaccinations/tetanus vaccine

We offer flu vaccinations and tetanus vaccine as part

of infectious diseases prophylaxis.

The service includes:

Medical consultation before vaccination;

Vaccine (the medicinal product);

Nursing service consisting of giving an injection.

On the flu vaccinations please visit our Medical Centre’s

and our Medical Partnership. We can organize flu

vaccinations in your corporation – for up of 30 employee.

Prevention without a referral

The patient can perform the service once a year without

having referral. The service is available at LUX MED Group

facilities and includes the following tests:

Urine analysis

Blood count + platelet count + automated smear

Total cholesterol

Glucose tolerance test, fasting

Standard gynecological cytology

Pregnancy care

Care of physiological pregnancy in accordance

with the standard procedure in force in the LUX MED

Group includes the care of a gynaecologist, the necessary

consultations, the necessary diagnostic tests and active

health advising related to the physiology of pregnancy.

Pregnancy care include:

Gynaecologist consultation – pregnancy care


75-g oral 1 hour glucose tolerance test


Blood group and Rh factor and antibody immune to red

blood cells

HBs Ab / antibodies

HBs Ag / antigen

Free beta HCG

HCV Ab / antibodies

HIV-1 / HIV-2

Urine analysis


Immune antibodies / alloantibodies (replaces anti-Rh/-/

antibodies)

Rubella antibodies IgG

Rubella antibodies IgM

Basic syphilis serology (VDRL or USR or anti-TP)

Standard* pap smear

Toxoplasmosis IgG

Toxoplasmosis IgM

Total Beta – hCG

Endocervical smear for GC

Rectal smear, Group B Streptococcus (GBS) culture

Vaginal smear for GBS

Vaginal smear for GC

Vaginal smear for GC (GNC) culture

Endocervical smear for GC (GNC) culture

Obstetric ultrasound

Transvaginal obstetric ultrasound

Transabdominal gynaecological ultrasound

Transvaginal gynaecological ultrasound

Note:

Service excludes tests performed using molecular biology

techniques; ultrasound examinations include 2D

presentation and exclude genetic ultrasound. The above-

mentioned range of research do not limit an opportunity

to refocus on research from outside the program

and the contract, but does not cover their costs - even

if a pregnancy patients, medical indications to perform

research, not covered by this program and the scope

of the agreement.

Complex Diagnostic Examinations

Complex diagnostic examinations include of laboratory,

imaging and functional diagnostics specified below.

The number of examinations is unlimited. Outpatient

examinations are performed after a referral from

a Contractor physician:

Laboratory diagnosis:

Haematology and coagulology tests with taking test

samples (blood):

Absolute eosinophil count


ESR

Manual blood smear

INR / Prothrombin time / Quick

Thrombin time (TT)

D-dimers

APTT

Fibrinogen

Biochemical and hormonal tests, tumour marker tests with

taking test samples (blood):

CRP – strip test

CRP quantitative

ALT transaminase

AST transaminase

Amylase

Albumin

Total protein

Total bilirubin

Direct bilirubin

Chloride (Cl)

Total cholesterol

Cholesterol strip test

HDL cholesterol

Creatinine kinase (CK)

Lactate dehydrogenase (LDH)

Alkaline phosphatase

Acid phosphatase

Phosphorus (P)

GGTP


Glucose meter test

Glucose 120' / 120' after a meal

Glucose 60' / 60' after a meal

glucose tolerance test (4pkt, 75g, 0, 1, 2, 3 hours)





Creatinine

Uric acid

Lipid profile (CHOL, HDL, LDL, TG)

Magnesium (Mg)

Urea / Blood urea nitrogen

Potassium (K)

Protein profile

Sodium (Na)

Triglycerides

Calcium (Ca)

Iron (Fe)

Immunoglobulin IgE (total IgE)

Immunoglobulin IgA

Immunoglobulin IgG

Immunoglobulin IgM

Folic acid

Vitamin B12

TIBC – total iron binding capacity (alternative to Fe

saturation)

Iron / Fe 120 mins after administration (absorption

curve)


curve)


curve)


curve)

Iron / Fe 60 mins after administration (absorption curve)

Ferritin

Caeruloplasmin

Transferrin

Troponin strip test

Thyroglobulin

Apolipoprotein A1

Lipase

Copper

Serum adrenaline

Cortisol afternoon

Cortisol morning

Prolactin 120’ after administration of 1 MCP tablet



Prolactin

TSH / hTSH

Estradiol

FSH

Free – T3

Free – T4

Total Beta – hCG

LH

Progesterone

Testosterone

Free testosterone

AFP – alpha-fetoprotein

Free PSA

Total PSA

CEA – carcinoembryonic antigen

CA 125

CA 15.3 – breast cancer antigen

CA 19.9 – digestive cancer antigen

Serology tests and infection diagnostics with taking test

samples (blood):

Basic syphilis serology (VDRL or USR or anti-TP)

ASO quantitative

ASO qualitative

RF – rheumatoid factor – quantitative

Waaler-Rose test – number

BTA test

Blood group and Rh factor and antibody immune to red

blood cells

Serological compatibility test (single unit)

Immune antibodies / alloantibodies (replaces anti-Rh/-/

antibodies)

HBs Ag / antigen

Anti-TPO antibodies

Anti-TG antibodies

CMV antibodies IgG

CMV antibodies IgM

EBV / Mononucleosis – latex

EBV / Mononucleosis IgG

EBV / Mononucleosis IgM

HBs Ab / antibodies

HCV Ab / antibodies

Helicobacter Pylori IgG

HIV-1 / HIV-2

Rubella antibodies IgG

Rubella antibodies IgM

Toxoplasmosis IgG

Toxoplasmosis IgM

Chlamydia Trachomatis IgG antibodies

Chlamydia Trachomatis IgM antibodies

HBc Ab IgM

Urine tests with sample (urine) provided:

Urine analysis

Urine vanillylmandelic acid (VMA)

Urine protein

Total protein / Daily urine sample

P-urine

P-urine / Daily urine sample

Urine glucose and ketones

Glucose / Daily urine sample

Creatinine – urine

Creatinine – urine / Daily urine sample

Uric acid – urine / Daily urine sample

Uric acid – urine

Magnesium (Mg) – urine

Magnesium (Mg) – urine / Daily urine sample

Urea / Blood urea nitrogen – urine / Daily urine sample

Urea / Blood urea nitrogen – urine

Sodium (Na) – urine

Sodium (Na) – urine / Daily urine sample

Calcium (Ca) – urine

Calcium (Ca) – urine / Daily urine sample

D-aminolevulinic acid (ALA)

Copper (Cu) – urine / Daily urine sample

Potassium (K) – urine

Potassium (K) – urine / Daily urine sample

Catecholamines (noradrenaline, adrenaline) in a daily

urine sample

Cortisol in a daily urine sample

Metoxycatecholamines in a daily urine sample

Lead (Pb) – urine / Daily urine sample

Lead (Pb) – urine

Bacteriological tests with taking smear (service does not

include tests performed using molecular biology

techniques):

Urine culture

General faeces culture

Pharyngal swab aerobic culture

Tonsil swab aerobic culture

Antibiogram for culture (urine, pharynx, nose, eye)

Antibiogram for culture (material included in the scope)

Antibiogram for pharynx, eye, nose and sputum swab

culture

Ear swab – anaerobic culture

Ear swab – aerobic culture

Eye swab – aerobic culture

Nose swab – aerobic culture

Nasopharynx swab – aerobic culture

Rectal smear, Group B Streptococcus (GBS) culture

Vaginal swab – aerobic culture

Vaginal swab – anaerobic culture

Vaginal smear for GBS

Vaginal smear for GC

Wound swab – aerobic culture

Wound swab – anaerobic culture

Faeces culture for Salmonella and Shigella

Vaginal microbiological test

Semen culture – aerobic

Sputum culture – aerobic

Endocervical smear – anaerobic culture

Endocervical smear for GC

Tonsil swab – anaerobic culture

Faeces culture for pathogenic E.coli in children

up to 2 years

Faeces culture for E.coli O157

Faeces culture for Yersinia enterocolitica

Urethral swab – aerobic culture

Urethral swab – anaerobic culture

Faeces tests with taking swab:

General faeces analysis

Faeces analysis for parasites 1 attempt

Faecal occult blood (FOB)

Faecal ELISA analysis for Lamblia – qualitative

Faecal analysis for rota- and adenovirus

Cytology tests with taking test samples:

Standard pap smear

Standard parietal nasal cytology

Mycological tests with taking smear (service does not

include tests performed using molecular biology

techniques):

Mycological examination – toenail fungal culture

Mycological examination – fingernail fungal culture

Mycological examination – hair fungal culture

Mycological examination – skin swab fungal culture

Mycological examination – skin scraping fungal culture

Mycological examination – nail scraping fungal culture

Faeces culture for yeast-like fungi

Urine culture for yeast-like fungi

Sputum culture for yeast-like fungi

Food culture for yeast-like fungi

Abscess content culture for yeast-like fungi

Secretion culture for yeast-like fungi

Swab culture for yeast-like fungi

Urethral swab culture for yeast-like fungi

Pharyngal swab culture for yeast-like fungi

Endocervical smear culture for yeast-like fungi

Tonsil swab culture for yeast-like fungi

Nose swab culture for yeast-like fungi

Nasopharyngeal swab culture for yeast-like fungi

Eye swab culture for yeast-like fungi

Vaginal smear culture for yeast-like fungi

Wound smear culture for yeast-like fungi

Toxicological tests with taking test samples (blood):

Digoxin

Lead

Diagnostic imaging:

Electrocardiography:

Resting ECG

Exercise ECG

Mounting Holter ECG device in doctor’s room

Mounting Holter ECG device with 12 channels

Mounting Holter RR device in doctor’s room

Mounting Holter EVENT device

X-ray (medium conforming with the standard applicable

in a given clinic):

Cranial X-ray cranial nerve canals

Cranial X-ray orbits

Cranial X-ray PA + lateral

Cranial X-ray PA+lateral+base

Cranial X-ray base

Semi-axial cranial X-ray by Orley

Cranial X-ray sella turcica

Cranial X-ray tangential

Splanchnocranium X-ray

Abdominal X-ray: other

Abdominal X-ray: non-erect

Abdominal X-ray: erect

PA chest X-ray

Chest X-ray – X-ray tomography

Chest X-ray + side

Chest X-ray: lateral with barite

Chest X-ray: other

Chest X-ray PA + lateral with barite

Chest X-ray: thyroid, trachea

Sacrococcygeal X-ray

Lateral nasal X-ray

Lower leg X-ray: AP + lateral

Lower leg X-ray: AP + bilateral

Upper leg and lower leg X-ray

Femoral X-ray: AP + lateral

Shoulder X-ray: axial

Shoulder X-ray: bilateral axial

Shoulder X-ray: AP + lateral

Shoulder X-ray: AP + bilateral – comparative image

Shoulder X-ray: AP

Shoulder X-ray: AP both – comparative image

Forearm X-ray AP + lateral

Bilateral forearm X-ray: AP + lateral

Elbow/forearm X-ray: AP + lateral

Bilateral elbow/forearm X-ray: AP + lateral

Temporal bone X-ray transorbital

Temporal bone X-ray by Schuller/Stevers

Temporal bone pyramid X-ray transorbital

Hand X-ray: lateral

Hand X-ray PA

Bilateral hand X-ray PA

Hand X-ray bone age

Finger(s) X-ray: AP + lateral / angle of hand

Finger(s) X-ray: AP + lateral / angle of both hands

Scaphoid X-ray

Foot X-ray: AP + lateral / angle of the foot

Foot X-ray: AP + lateral / angle of both feet

Foot X-ray: AP (comparative)

Metatarsal X-ray

Toe(s) X-ray: lateral/angle of the foot

Heel X-ray + axial

Lateral heel X-ray

Lumbar X-ray: AP + lateral

Lumbar X-ray: AP + lateral + angle

Lateral lumbar X-ray

Lumbosacral X-ray: angles

Lumbosacral X-ray: AP + lateral

Lumbar functional X-ray

Thoracic X-ray

Thoracic X-ray: AP + lateral

Thoracic X-ray: AP + lateral + angle

Lateral thoracic X-ray

Thoracic X-ray: angles

Cervical X-ray AP

Cervical X-ray: AP + lateral

Lateral cervical X-ray

Cervical X-ray: lateral + angles (3 views)

Cervical X-ray: angles

Cervical functional X-ray

Cervicothoracolumbar X-ray

Spinal X-ray: erect

Spinal X-ray: AP erect (scoliosis)

Spinal X-ray: AP erect + lateral (scoliosis)

Scapular X-ray

Pelvic X-ray

Sternal X-ray: AP

Sternal/lateral chest X-ray

Mandibular X-ray

Paranasal sinus X-ray

Rib X-ray: unilateral at 2 angles

Wrist X-ray: lateral

Bilateral wrist X-ray: lateral

Wrist/palm X-ray: AP + angle

Wrist/palm X-ray: AP + bilateral lateral/angle

Bilateral wrist/palm X-ray PA + lateral/angle

Bilateral patellar X-ray: axial in 2 positions

Bilateral patellar X-ray: axial in 3 positions

Sacroiliac joint X-ray: PA

Sacroiliac joint X-ray: angles

Hip joint X-ray: AP

Bilateral hip joint X-ray: AP

Hip joint X-ray: axial

Knee joint X-ray: AP

Knee joint X-ray: AP + bilateral lateral

Lateral knee joint X-ray

Talocrural joint X-ray: AP

Talocrural joint X-ray: AP + bilateral lateral

Temporomandibular joint functional X-ray

Urography

Nasopharyngeal X-ray

Shoulder X-ray (transthoracic)

Shoulder X-ray: AP + axial

Left clavicular X-ray

Right clavicular X-ray

Ultrasound examination (include 2D presentation; no

genetic ultrasound):

Abdominal ultrasound

Urinary tract ultrasound

Transabdominal gynaecological ultrasound

Obstetric ultrasound

Breast ultrasound

Thyroid ultrasound

Transabdominal prostate ultrasound

Transvaginal gynaecological ultrasound

Transvaginal obstetric ultrasound

Testicular ultrasound

Parotid glands ultrasound

Echocardiography – cardiac ultrasound

Echocardiography – cardiac ultrasound (paediatric

patients)

Echocardiography – cardiac ultrasound (foetal)

Transrectal prostate ultrasound

Ultrasound / Doppler ultrasound of carotid and vertebral

arteries

Ultrasound / Doppler ultrasound of lower limb arteries

Ultrasound / Doppler ultrasound of upper limb arteries

Ultrasound / Doppler ultrasound of lower limb veins

Ultrasound / Doppler ultrasound of upper limb veins

Ultrasound / Doppler ultrasound of the abdominal aorta

and pelvic arteries

Ultrasound / Doppler ultrasound of hepatic vessels

(assessment of hepatic portal circulation)

Ultrasound / Doppler ultrasound of renal arteries

Ultrasound / Doppler ultrasound of intracranial arteries

Hip joint ultrasound

Hip joint ultrasound + orthopaedic consultation

(up to 1 year of age)

Knee joint ultrasound

Elbow joint ultrasound

Ankle joint ultrasound

Shoulder ultrasound

Subcutaneous tissue ultrasound (lipomas, fibromas, etc.)

Post-traumatic muscle hematoma ultrasound

Lymph node ultrasound

Laryngeal ultrasound

Wrist ultrasound

Ligaments, muscles, joints: other ultrasound

Finger and metacarpophalangeal joints ultrasound

Achilles tendon ultrasound

Urinary tract ultrasound + TRUS

Cranial ultrasound

Endoscopic examination (does not include lesion removal):

Anoscopy

Gastroscopy

Rectoscopy

Sigmoidoscopy

Colonoscopy

Taking endoscopic biopsy specimens

Simple anaesthesia for colonoscopy

Local (topical) anaesthesia for endoscopy

Ophthalmic examinations:

Intraocular pressure examination

Field of vision

Eye fundus

Spatial vision examination

Adaptation to darkness

Magnetic resonance imaging (includes 2D presentation

without additional options; imaging result on a medium

conforming with the standard applicable in a given clinic):

MR – Low-field magnetic resonance head

MR – High-field magnetic resonance head

MR – High-field magnetic resonance angiography head

MR – High-field magnetic resonance head

+ angiography

MR – High-field magnetic resonance abdomen

MR – High-field magnetic resonance small pelvis

MR – High-field magnetic resonance abdomen and

small pelvis

MR – High-field magnetic resonance thorax

MR – Low-field magnetic resonance lumbar spine

MR – High-field magnetic resonance lumbar spine

MR – Low-field magnetic resonance thoracic spine

MR – High-field magnetic resonance thoracic spine

MR – Low-field magnetic resonance cervical spine

MR – High-field magnetic resonance cervical spine

MR – Low-field magnetic resonance sacral spine

MR – High-field magnetic resonance orbits

MR – High-field magnetic resonance sinuses

MR – Low-field magnetic resonance pituitary gland

MR – High-field magnetic resonance pituitary gland

MR – Low-field magnetic resonance shoulder

MR – High-field magnetic resonance shoulder

MR – Low-field magnetic resonance elbow joint

MR – High-field magnetic resonance elbow joint

MR – Low-field magnetic resonance knee joint

MR – High-field magnetic resonance knee joint

MR – Low-field magnetic resonance wrist

MR – High-field magnetic resonance wrist

MR – Low-field magnetic resonance ankle joint

MR – High-field magnetic resonance ankle joint

MR – Low-field magnetic resonance hip joint

MR – High-field magnetic resonance hip joint

MR – High-field magnetic resonance sacroiliac joint

MR – Low-field magnetic resonance foot

MR – High-field magnetic resonance foot

MR – Low-field magnetic resonance lower limb

MR – High-field magnetic resonance lower leg

MR – High-field magnetic resonance upper leg

MR – Low-field magnetic resonance upper limb

MR – High-field magnetic resonance forearm

MR – High-field magnetic resonance arm

MR – High-field magnetic resonance hand

Computed tomography (CT) (includes 2D presentation

without additional options; imaging result on a medium

conforming with the standard applicable in a given clinic):

CT – Computer tomography head

CT – Computer tomography head (2 phases)

CT – Computer tomography splanchnocranium

CT – Computer tomography pituitary gland

CT – Computer tomography sinuses

CT – Computer tomography orbits

CT – Computer tomography temporal bones

CT – Computer tomography neck

CT – Computer tomography larynx

CT – Computer tomography thorax

CT – Computer tomography thorax (2 phases)

CT – Computer tomography thorax (HRCT)

CT – Computer tomography abdomen

CT – Computer tomography abdomen (2 phases)

CT – Computer tomography abdomen (3 phases)

CT – Computer tomography small pelvis

CT – Computer tomography abdomen and small pelvis

CT – Computer tomography thorax and abdomen

CT – Computer tomography thorax, abdomen, small pelvis

CT – Computer tomography neck, thorax, abdomen,

small pelvis

CT – Computer tomography cervical spine

CT – Computer tomography thoracic spine

CT – Computer tomography lumbar spine

CT – Computer tomography cervical + lumbar spine

CT – Computer tomography cervical + thoracic spine

CT – Computer tomography cervical + thoracic +

lumbar spine

CT – Computer tomography thoracic + lumbar spine

CT – Computer tomography hip joint

CT – Computer tomography knee joint

CT – Computer tomography ankle joint

CT – Computer tomography wrist

CT – Computer tomography shoulder

CT – Computer tomography elbow joint

CT – Computer tomography foot

CT – Computer tomography upper leg

CT – Computer tomography lower leg

CT – Computer tomography arm

CT – Computer tomography forearm

CT – Computer tomography hand

Other diagnostic examinations and tests:

Standard spirometry without the drug

Standard spirometry with the drug

Tonal audiometry

Densitometry lumbar spine (trabecular bone

assessment) – screening

Densitometry femoral bone (cortical bone assessment)

– screening

Uroflowmetry

Standard histopathological examination – fine-needle

biopsy material

Standard mammography

Standard mammography – targeted image

Note:

As technology advances, the names of methods of specific

diagnostic tests may be subject to change, which shall not

limit the scope of services provided for in this agreement.

If as a result of the application of a new method, the above

scope of services is extended, then the services resulting

from the scope extensions shall not be covered

by the agreement.

"Time for Health" Optimum Health

Check-up

"Time for Health" Optimum Health Check-up is an annual

health check, tailored to individual needs, age and sex

of the patient's, including the expanded range of research

and consulting for over 18 years of age.

"Time for Health" Health Check-up is dedicated to patients

occupying managerial positions and burdened with great

responsibility. Overview begins with a visit internist which

will be conducted during the medical history of issuing

referrals for research tailored to the needs of the Patient.

Overview

of internal medicine consultation ends, in which the patient

obtains recommendations for the future regarding your

health.

For Women scope of the review includes:

Consult internal medicine - health intelligence gathering

Consultation gynecological

Cardiac Consultation

Consultation optical

Consult a dermatologist with dermatoscopy standard

Laboratory tests:

o Urine - examination

o Occult blood / F.O.B.

o Morphology + plate + smear automatic

o OB . / ESR

o Transaminase GPT / ALT

o Transaminase, GOT / AST

o TSH / hTSH

o Creatinine / Creatinine

o Uric acid / Uric Acid

o Urea / Urea Nitrogen / BUN

o T3 Free / Free - T3

o Free T4 / Free - T4

o HBs Ag / antigen

o HCV Ab / antibody

o Standard cervical cytology

o Lipids ( CHOL, HDL, LDL, TG )

o Glucose / Fasting Glucose

Imaging studies:

o A mammogram - women over 40 years of age

o Chest X-ray PA

o Breast ultrasound - a woman to 40 years of age

o Abdominal ultrasound

o thyroid ultrasound

o Gynecological ultrasound abdominal or transvaginal

gynecological ultrasound

Functional studies:

o Echocardiography - ultrasound of heart

o ECG - Resting

Internal medicine consultation - consultation closing

program

For Men The review includes:

Consult internal medicine - health intelligence gathering

Cardiac Consultation

Consultation Urology -

Consultation optical

Consult a dermatologist with dermatoscopy standard

Laboratory tests:

o Urine - examination

o Occult blood / F.O.B.

o Morphology + plate + smear automatic

o OB . / ESR

o Transaminase GPT / ALT

o Transaminase, GOT / AST

o Panel PSA (PSA , FPSA , rate FPSA / PSA)

o TSH / hTSH

o Creatinine / Creatinine

o Uric acid / Uric Acid

o Urea / Urea Nitrogen / BUN

o T3 Free / Free - T3

o Free T4 / Free - T4

o HBs Ag / antigen

o HCV Ab / antibody

o Lipids ( CHOL, HDL, LDL, TG )

o Glucose / Fasting Glucose

Imaging studies:

o Chest X-ray PA

o Transrectal ultrasound of the prostate

o thyroid ultrasound

o testicular ultrasound

o Abdominal ultrasound

Functional studies:

o ECG - Resting

o Echocardiography - ultrasound of heart

Internal medicine consultation - consultation closing

program

Note:

Overview implemented in facilities owned LUX MED Group.

To make an appointment to review the implementation

of this fact should be reported by phone by calling the Call

Center 22 33 22 880 Contact details can be found

on the websites of the LUX MED Group.

Prophylactic Vaccinations

Within the framework of prophylaxis of infectious diseases,

we perform vaccinations against the following diseases:

viral hepatitis B

tick borne meningoencephalitis

viral hepatitis A

viral hepatitis A and B

rubella, mumps, measles

The service includes:

medical consultation before vaccination

vaccine (product)

performing the nursing service in the form of injection.

Note:

All vaccinations are performed on the basis of a letter

of referral issued by a physician LUX MED

Skin allergy tests

The service includes performance of skin prick allergy

tests. The solution for allergy testing is included in the

service.

epicutaneous allergy tests – 1 spot

epicutaneous allergy tests – food allergy panel

epicutaneous allergy tests – inhaled allergens panel

Rehabilitation

The service is intended for Patients:

after orthopaedic traumas;

with osteoarthritis;

with occupational disorders;

with neurological pain syndromes.

The service consists of movement therapy (kinesitherapy)

and/or using the therapeutic activity of energy

(physiotherapy). The scope and type of rehabilitation

procedures is determined by the LUX MED physician

referring to these procedures in the case of specialist

services, and depends on the technical and equipment

potential of the given centre.

Rehabilitation performed at Contractor clinics includes

the following services:

Therapist (physiotherapist) consultation

Medical rehabilitation consultation

Medical rehabilitation consultation - children

Physical therapy – electrical stimulation of lower limb

muscles

Physical therapy – electrical stimulation of upper limb

muscles

Physical therapy – phonophoresis lumbar spine

Physical therapy – phonophoresis thoracic spine

Physical therapy – phonophoresis cervical spine

Physical therapy – phonophoresis wrist

Physical therapy – phonophoresis lower leg

Physical therapy – phonophoresis forearm

Physical therapy – phonophoresis arm

Physical therapy – phonophoresis hand

Physical therapy – phonophoresis shoulder joint

Physical therapy – phonophoresis hip joint

Physical therapy – phonophoresis knee joint

Physical therapy – phonophoresis elbow joint

Physical therapy – phonophoresis ankle joint

Physical therapy – phonophoresis foot

Physical therapy – phonophoresis upper leg

Physical therapy – galvanisation lumbar spine

Physical therapy – galvanisation thoracic spine

Physical therapy – galvanisation cervical spine

Physical therapy – galvanisation wrist

Physical therapy – galvanisation lower leg

Physical therapy – galvanisation forearm

Physical therapy – galvanisation arm

Physical therapy – galvanisation hand

Physical therapy – galvanisation shoulder joint

Physical therapy – galvanisation hip joint

Physical therapy – galvanisation knee joint

Physical therapy – galvanisation elbow joint

Physical therapy – galvanisation ankle joint

Physical therapy – galvanisation foot

Physical therapy – galvanisation upper leg

Physical therapy – iontophoresis lumbar spine

Physical therapy – iontophoresis thoracic spine

Physical therapy – iontophoresis cervical spine

Physical therapy – iontophoresis wrist

Physical therapy – iontophoresis lower leg

Physical therapy – iontophoresis forearm

Physical therapy – iontophoresis arm

Physical therapy – iontophoresis hand

Physical therapy – iontophoresis shoulder joint

Physical therapy – iontophoresis hip joint

Physical therapy – iontophoresis knee joint

Physical therapy – iontophoresis elbow joint

Physical therapy – iontophoresis ankle joint

Physical therapy – iontophoresis foot

Physical therapy – iontophoresis upper leg

Physical therapy – local cryotherapy lumbar spine

Physical therapy – local cryotherapy thoracic spine

Physical therapy – local cryotherapy cervical spine

Physical therapy – local cryotherapy wrist

Physical therapy – local cryotherapy lower leg

Physical therapy – local cryotherapy forearm

Physical therapy – local cryotherapy arm

Physical therapy – local cryotherapy hand

Physical therapy – local cryotherapy shoulder joint

Physical therapy – local cryotherapy hip joint

Physical therapy – local cryotherapy knee joint

Physical therapy – local cryotherapy elbow joint

Physical therapy – local cryotherapy ankle joint

Physical therapy – local cryotherapy foot

Physical therapy – local cryotherapy upper leg

Physical therapy – laser therapy lumbar spine

Physical therapy – laser therapy thoracic spine

Physical therapy – laser therapy cervical spine

Physical therapy – laser therapy wrist

Physical therapy – laser therapy lower leg

Physical therapy – laser therapy forearm

Physical therapy – laser therapy arm

Physical therapy – laser therapy hand

Physical therapy – laser therapy shoulder joint

Physical therapy – laser therapy hip joint

Physical therapy – laser therapy knee joint

Physical therapy – laser therapy elbow joint

Physical therapy – laser therapy ankle joint

Physical therapy – laser therapy foot

Physical therapy – laser therapy upper leg

Physical therapy – magnetic field therapy lumbar spine

Physical therapy – magnetic field therapy thoracic spine

Physical therapy – magnetic field therapy cervical spine

Physical therapy – magnetic field therapy wrist

Physical therapy – magnetic field therapy lower leg

Physical therapy – magnetic field therapy forearm

Physical therapy – magnetic field therapy arm

Physical therapy – magnetic field therapy hand

Physical therapy – magnetic field therapy shoulder joint

Physical therapy – magnetic field therapy hip joint

Physical therapy – magnetic field therapy knee joint

Physical therapy – magnetic field therapy elbow joint

Physical therapy – magnetic field therapy ankle joint

Physical therapy – magnetic field therapy foot

Physical therapy – magnetic field therapy upper leg

Physical therapy – diadynamic currents therapy lumbar

spine

Physical therapy – diadynamic currents therapy thoracic

spine

Physical therapy – diadynamic currents therapy cervical

spine

Physical therapy – diadynamic currents therapy wrist

Physical therapy – diadynamic currents therapy lower leg

Physical therapy – diadynamic currents therapy forearm

Physical therapy – diadynamic currents therapy arm

Physical therapy – diadynamic currents therapy hand

Physical therapy – diadynamic currents therapy

shoulder joint

Physical therapy – diadynamic currents therapy hip joint

Physical therapy – diadynamic currents therapy knee joint

Physical therapy – diadynamic currents therapy elbow joint

Physical therapy – diadynamic currents therapy ankle joint

Physical therapy – diadynamic currents therapy foot

Physical therapy – diadynamic currents therapy upper leg

Physical therapy – interferential currents therapy lumbar

spine

Physical therapy – interferential currents therapy

thoracic spine


cervical spine

Physical therapy – interferential currents therapy wrist

Physical therapy – interferential currents therapy lower leg


forearm

Physical therapy – interferential currents therapy arm

Physical therapy – interferential currents therapy hand


shoulder joint

Physical therapy – interferential currents therapy hip

joint

Physical therapy – interferential currents therapy knee joint

Physical therapy – interferential currents therapy elbow

joint

Physical therapy – interferential currents therapy ankle

joint

Physical therapy – interferential currents therapy foot

Physical therapy – interferential currents therapy upper leg

Physical therapy – TENS currents therapy lumbar spine

Physical therapy – TENS currents therapy thoracic

spine

Physical therapy – TENS currents therapy cervical

spine

Physical therapy – TENS currents therapy wrist

Physical therapy – TENS currents therapy lower leg

Physical therapy – TENS currents therapy forearm

Physical therapy – TENS currents therapy arm

Physical therapy – TENS currents therapy hand

Physical therapy – TENS currents therapy shoulder

joint

Physical therapy – TENS currents therapy hip joint

Physical therapy – TENS currents therapy knee joint

Physical therapy – TENS currents therapy elbow joint

Physical therapy – TENS currents therapy ankle joint

Physical therapy – TENS currents therapy foot

Physical therapy – TENS currents therapy upper leg

Physical therapy – ultrasound therapy lumbar spine

Physical therapy – ultrasound therapy thoracic spine

Physical therapy – ultrasound therapy cervical spine

Physical therapy – ultrasound therapy wrist

Physical therapy – ultrasound therapy lower leg

Physical therapy – ultrasound therapy forearm

Physical therapy – ultrasound therapy arm

Physical therapy – ultrasound therapy hand

Physical therapy – ultrasound therapy shoulder joint

Physical therapy – ultrasound therapy hip joint

Physical therapy – ultrasound therapy knee joint

Physical therapy – ultrasound therapy elbow joint

Physical therapy – ultrasound therapy ankle joint

Physical therapy – ultrasound therapy foot

Physical therapy – ultrasound therapy upper leg

Physical therapy – ultrasound (in water)

Physical therapy – Trabert’s current therapy lumbar spine

Physical therapy – Trabert’s current therapy thoracic spine

Physical therapy – Trabert’s current therapy cervical spine

Physical therapy – Trabert’s current therapy wrist

Physical therapy – Trabert’s current therapy lower leg

Physical therapy – Trabert’s current therapy forearm

Physical therapy – Trabert’s current therapy arm

Physical therapy – Trabert’s current therapy hand

Physical therapy – Trabert’s current therapy shoulder joint

Physical therapy – Trabert’s current therapy hip joint

Physical therapy – Trabert’s current therapy knee joint

Physical therapy – Trabert’s current therapy elbow joint

Physical therapy – Trabert’s current therapy ankle joint

Physical therapy – Trabert’s current therapy foot

Physical therapy – Trabert’s current therapy upper leg

Kinesitherapy – exercises (instruction) lumbar spine

Kinesitherapy – exercises (instruction) thoracic spine

Kinesitherapy – exercises (instruction) cervical spine

Kinesitherapy – exercises (instruction) wrist

Kinesitherapy – exercises (instruction) lower leg

Kinesitherapy – exercises (instruction) forearm

Kinesitherapy – exercises (instruction) arm

Kinesitherapy – exercises (instruction) hand

Kinesitherapy – exercises (instruction) shoulder joint

Kinesitherapy – exercises (instruction) hip joint

Kinesitherapy – exercises (instruction) knee joint

Kinesitherapy – exercises (instruction) elbow joint

Kinesitherapy – exercises (instruction) ankle joint

Kinesitherapy – exercises (instruction) foot

Kinesitherapy – exercises (instruction) upper leg

Kinesitherapy – exercises redressing lumbar spine

function

Kinesitherapy – exercises redressing thoracic spine function

Kinesitherapy – exercises redressing cervical spine

function

Kinesitherapy – exercises redressing wrist function

Kinesitherapy – exercises redressing lower leg function

Kinesitherapy – exercises Redressing forearm function

Kinesitherapy – exercises redressing forearm function

Kinesitherapy – exercises redressing arm function

Kinesitherapy – exercises redressing hand function

Kinesitherapy – exercises redressing hand function

Kinesitherapy – exercises redressing shoulder joint

function

Kinesitherapy – exercises redressing hip joint function

Kinesitherapy – exercises redressing knee joint function

Kinesitherapy – exercises redressing elbow joint

function

Kinesitherapy – exercises redressing ankle joint

function

Kinesitherapy – exercises redressing foot function

Kinesitherapy – exercises redressing upper leg function

Kinesitherapy – lumbar spine traction

Kinesitherapy – cervical spine traction

Kinesitherapy – individual therapy lumbar spine

Kinesitherapy – individual therapy thoracic spine

Kinesitherapy – individual therapy cervical spine

Kinesitherapy – individual therapy wrist

Kinesitherapy – individual therapy lower leg

Kinesitherapy – individual therapy forearm

Kinesitherapy – individual therapy arm

Kinesitherapy – individual therapy hand

Kinesitherapy – individual therapy shoulder joint

Kinesitherapy – individual therapy knee joint

Kinesitherapy – individual therapy elbow joint

Kinesitherapy – individual therapy ankle joint

Kinesitherapy – individual therapy foot

Kinesitherapy – individual therapy upper leg

Myorelaxant Therapy - Therapeutic Massage Spine

Note:

The subscription fee does not include the costs

of rehabilitation in the case of congenital malformations

and their consequences, perinatal traumas, chronic

connective tissue diseases and their consequences,

rehabilitation after surgical procedures within 1 month after

the procedure, after coronary events, after neurological

and cerebrovascular events, and fitness and corrective

gymnastics services.

Prophylactic dentistry (30% discount)

The service is performed at the place indicated

by the Contractor and include the following services

with 30% discount:

Teeth fluoride treatment;

Prophylactic fissure sealing

Painting of teeth

Periodontal scaling

Air polishing

Deposit removal – sandblasting

Dental screening one a year free of charge

Dental X-ray (30% discount)

– imaging result on a medium

conforming with the standard applicable

in a given clinic:


by the Contractor and include the following services

with 30% discount:

Single tooth X-ray

Standard orthopantomogram

Non-invasive dentist (30% discount)

The scope of dental care available in a subscription:

Specialist consultations with 30% discount:

Periodontologist

Prosthodontist

Orthodontist

Dentist

Dental surgeon

Services with the necessary materials with 30%

discount:

Examination of tooth vitality

Treatment of sensitive teeth

Impregnation of dentin

Indirect pulp capping - setting up a double liner

Direct pulp capping

Medicinal dressing in the tooth fixed

Dressing therapeutic milk tooth

Fill a milk tooth crown loss

Fill cavity of a tooth crown

Trepanation dead tooth loss with the supply of dressing

Devitalization of pulp cavity with dressing supplies

Amputation of the performance test in the tooth pulp

with unformed roots

Extirpation of the performance test of the pulp

Extirpation of the devitalizated pulp

Amputation of a milk tooth devitalizated pulp

Total preparation and disinfection of the channel

Re-filled channel unblocking

The temporary canal filling

Filling the channel

The total development and reconstruction of the defect

The total development and reconstruction of damaged

teeth incisal angle

Cosmetic cover enamel hypoplasia

Cover cosmetic discoloration of dentin in the anterior

Internal tooth whitening method

Gingival pocket lavage and drug application

Treatment of the oral mucosa

Simple curettage

Open curettage

Local anesthesia in dentistry surface

Local anesthesia in dentistry infiltration

Local anesthesia in dental intraoral wire

Local anesthesia in dental extraoral wire

Treatment of sensitive teeth

Fill cavity of a tooth crown

Treatment of dental pulp gangre

Treatment of primary tooth pulp gangrene

Direct pulp capping pulp-exposure

Direct pulp capping-perforation coverage

Rinse the channel

Cauterization papilla

Flowing capacity enhancement channel-mechanical,

ultrasound

Fill glass ionomer

Depending on the potential of the specific medical centre,

the dental service includes also night-time dental

assistance (emergency aid) at 20.00-8.00, during which

services

in the case of pain and in emergency cases will be

provided free of charge, for the subscription fee. The

physician

on duty will classify the case as eligible for such emergency

aid.

Note:

The discount does not cover orthodontic, prosthetic

and periodontal treatment or implants. Root canal

treatment without using a microscope. Orthodontic and

prosthodontic services are covered by a 15% discount,

while implantology services – a 10% discount. Discounts

may not be combined.

Dental surgery (20% discount)

The price of services provided by dental surgeons includes

20% discount. Dental surgery services include the

following:

Tooth extraction

Tooth extraction by intooth scaling

Tooth extraction by outtooth scalingwith muco-

periosteal panel forming

Surgical removal of impacted tooth

Surgical removal of tooth partially retained

Surgical removal of tooth buds

Closing sinus opened due to removing the tooth

Apicectomy front tooth

Resection of the root side

Hemisection tooth

Surgical supplies small wounds

Alveolar surgery within half jaws

Frenulum surgery, cheek, tongue dentistry

Surgical exposure of impacted tooth

Surgical supplies a large wound

Establishment of dental surgical dressing

Cut sulcus

Surgery call or oro-antral fistula

Odontogenic abscess incision - including the brain

Removal of stitches in the mouth

Odontogenic abscess incision - including drainage

emergency assistance

Oral Surgery undercut frenulum

Cauterization papilla

Home visits

The service encompasses internal diseases, paediatrics

or family medicine exclusively in situations where the

patient is unable to get to the outpatient clinic indicated

by the Insurer, i.e. in cases of sudden onset of an illness

or sudden exacerbation, including exacerbation of chronic

conditions, excluding direct life-threatening situations.

Reasons making it impossible for the patient to get

to the clinic do not include inconvenient access to the clinic,

obtaining a prescription or a medical certificate. A home

visit is an emergency service provided solely on the visit

request day and aimed at making a diagnosis and starting

treatment whereas treatment continuation and follow-up

visits take place at the outpatient clinics indicated by the

Contractor.

It is not possible to freely choose a physician for a home

visit.

A home visit request is accepted or refused by a physician

based on the information provided. Home visits are

available within administrative limits of cities as indicated

for the service by the Contractor.

One-day Surgery (15% discount)

The price of services provided by dental surgeons includes

20% discount. Dental surgery services include the

following:

Consultation qualification for surgery

Appropriate/typical anesthesia for surgery

Taking and histopathological evaluation

Consultation controls up to 30 days after surgery


by the Contractor in the following towns: Warsaw, Kraków,

Katowice, Poznań, Wrocław, Gdańsk, Łódź, Bydgoszcz,

Olsztyn.

Range of treatments covered by the discount:

Operation of the penis dorsal-lateral incision preputial

Penis circumcision surgery under local anesthesia

/ general anesthesia

The operation kernel, hydrocele

Lengthening penile surgery penile frenulum

Crushing stones ESWL extracorporeal shock wave

Transurethral crushing stones in the urethra / bladder

Removal of stones from the renal pelvis and calyx

Removal of stones from the bladder

Removal of stones from the upper ureter

Removal of stones from the lower part of the ureter

Transurethral resection of bladder tumor

Endoscopic resection of bladder lesion

Endoscopic destruction of bladder lesion

Transurethral resection or aortic stenosis of the urethra

Excision of urethral polyp

Excision of cysts paraurethral

Endoscopic cut / incision of the urethra

Endoscopic urethral extension

Endoscopic removal of stone or foreign body from

ureter

Endoscopic removal of lesions in the ureters

Operation epididymal cysts

Cut the kernel

Excision of the epididymis

The operation of varicocele laparoscopic or classical

Nose Surgery polipectomia - unilateral, bilateral,

bilateral under general anesthesia

Nose Surgery Septoplasty

Konchoplast

Functional endoscopic sinus surgery (FESS / FEOZ)

Removal of the lateral neck cyst

Removal of cyst anterior neck

Excision of cyst of the larynx

Excision of cyst of language

Removal of stones from the digestive glands

Excision of parotid gland

Excision of submandibular gland

Plastic surgery of the ossicular

Plastic surgery of the tympanic membrane

Reconstructive surgery of the eardrum

Reconstructive surgery of the tympanic membrane

ossicles with fine arts, the removal of the mastoid

Incision of the eardrum and the assumption

by the tympanic membrane drain on local or general

anesthesia

Treatment of otitis media with suction

Incision of the tympanic membrane under local

anesthesia

Excision of benign tumor / middle ear cholesteatoma

Excision of polyps in the middle ear

Incision of the eardrum and a biopsy of the lesion

in the middle ear

Treatment of snoring by koblation/ artist of the soft

palate

Removal of adenoid classical method

Removal of adenoid endoscopic

Removal of tonsils by classical

Removal of tonsils endoscopic

Intraoperative insertion of drainage tubes

in the eardrums

Breast Surgery Gynecomastia Unilateral / bilateral

under general anesthesia

Breast Surgery - Breast local excision under local

anesthesia

Breast Surgery - Breast tumorectomia under local

anesthesia

Miniflebectomia varicose vein surgery - one leg under

local anesthesia

Action varicose spider injection

Operation varicose veins injection

Operation nail / bearing / shaft nail - cleaning, removal

Incision cellulitis, abscess of the brain under local

anesthesia

Radical excision of skin

Radical diathermy excision of skin lesions, diathermy -

the eye area

Radical excision of the skin: atheroma, lipoma

Radical excision of skin art

Radical excision of skin lesions, removal of foreign body

Unilateral inguinal hernia operation

Bilateral inguinal hernia operation

Unilateral scrotal hernia operation

Bilateral scrotal hernia surgery

Operation of umbilical hernia

Hernia operation in the range of white

Operation of recurrent hernia

Operation incisional hernia

Operation of hiatal hernia

Hernia surgery with mesh prolen

The operation of hemorrhoids by classical

The operation of hemorrhoids by LONGO

Open excision of rectal lesion

Cut back the Crypt

Transrectal removal of rectal lesion

The operation of anal fissure

The operation anal fistula

Colonoscopes removal of colorectal polyps

Partial thyroidectomy

Total thyroidectomy

Excision of laparoscopic gallbladder

Excision of the gallbladder by the classical method

Excision of the gallbladder by the classical method

of revision of the common bile duct

Excision of skin from his finger calluses młotkowatego

Hammer finger surgery

Trigger finger operation

Achilles tendon surgery

Upper extremity tendon graft

Sewing fresh hand tendon

Sewing fresh quadriceps tendon

Reconstruction / suturing the tendon

Surgical removal of carpal tunnel syndrome

Excision of Baker's cyst

Excision of bursa

Operation hand ganglions

Surgical treatment of Dupuytren

Secondary correction of limb fractures

Uniting the material removal

Excision of bone changes

Removal of cartilage and bone necrosis

Surgical removal of loose bodies because of

chondromatosis

Operating arthroscopy of the knee - the removal

of the meniscus or loose body, shaving

Operating arthroscopy of the knee - the anterior

cruciate ligament reconstruction of knee

Operating arthroscopy of the knee - a reconstruction

of the posterior cruciate ligament knee

Arthroscopic excision of intraarticular fibrosis

Arthroscopic release of the patella retinacula

Arthroscopic excision of knee synovitis

Arthroscopy of the shoulder

Arthroscopy of the hip

Ankle Arthroscopy

Treatment of the cervix - conization, destruction

or excision of the polyp

Marsupialization Bartholine'a gland

Plastic surgery of the vulva

Vulvar surgery under local anesthesia

Enucleation of uterine fibroids classical method

Enucleation of uterine fibroids laparoscopically

Enucleation of uterine fibroids by hysteroscopic

Uterine curettage

Amputation of the cervix

Amputation of the vaginal uterus

Removal of the uterus complete with appendages

Removal of the uterus without adnexal total

Removal of the uterus through the vagina

Removal of the uterus through the vagina with perineal

plasty

Diagnostic Hysteroscopy

Hysteroscopy Treatment

Cut-sided ovarian

Cut the ovary and fallopian tube excision of a unilateral

Cut the ovary and fallopian tube excision of bilateral

Laparoscopic removal of ovarian cysts

Procedures in the area of the eye - chalazion, tufts of

yellow.

Removal of pterygium

Laser antiglaucoma

Surgical treatment of glaucoma by trabeculectomy

Surgical treatment of glaucoma with the use of implant

Surgical treatment of glaucoma with the use of mitral

Uncomplicated cataract surgery cataract method

without implant lens

Cataract surgery uncomplicated method of cataract lens

implant

Cataract surgery complicated by cataract without a lens

implant

Cataract surgery complicated by cataract of lens

implant

Uncomplicated cataract surgery by phacoemulsification

without lens implantUncomplicated cataract surgery by

phacoemulsification with lens implant

Cataract surgery complicated by phacoemulsification

without lens implant

Cataract surgery complicated by phacoemulsification

with lens implant

Laser focal retinal

Hospital adviser

Based on the possessed knowledge on the healthcare provider market and the many-year experience in organising hospital

treatment for our patients, we offer the persons referred to the hospital consultancy in obtaining hospital benefits. We have

24-hour specialised hotline kept by medical professionals, providing information concerning the organisation of hospital

admissions, under both benefits funded publicly and those financed commercially. Owing to the knowledge base of hospitals

and one-day-surgery centres, we provide current information on the possibilities of receiving treatment funded by the National

Health Fund – NFZ (waiting time, essential requirements for referrals) and the available alternative commercial options

(approximate treatment costs). The above provide the basis for rational selection of recommended hospital treatment

performance.

In cases of possessed right to procedures or hospital treatment under the contract, the hotline staff checks what procedures

may be performed under the possessed contract, and then helps to set the qualification consultation and the therapeutic

procedure itself.

The service is performed in partner facilities of LUX MED Group situated in the main polish agglomeration

SERVICE DESCRIPTION

Professional 24-hour medical

hotline for hospitalisations

24/7 medical hotline servicing patient reports, maintained by experienced medical

professionals (nurses/paramedics/ dispatchers)

Information, history taking

The hotline employee takes from the caller the medical history of medical need,

complaint and treatment requirements. It is determined what medical documentation

the patient possesses, in particular whether the patient has a referral.

Information on possible

approaches

Based on the obtained information, the hotline employee informs the patient,

in a comprehensible manner, of the possible mode of receiving benefits

(e.g. the hospital treatment requires a valid referral from specialist clinic

or qualification consultation). They also provide information on the most likely needed

additional consultations preceding hospital treatment, and give answers to questions.

If needed, the hotline employee consults with a physician on the recommendations

for further approach.

In case of doubts – assistance in

determining the medical

examination

In the event of need for assessment of patient’s health condition in medical

examination for the purposes of precise determination of the scope of the treatment

required,

the hotline employee suggests a visit at a specialist of appropriate field of medicine

at LUX MED.

Information on hospitals

Information on approximate

treatment costs

Information on recommendations

before procedures

The hotline employee provides information on possible sites of providing

the benefits, at a convenient place close to patient’s place of residence, under benefits

funded publicly (under an NFZ contract) and in a chargeable mode.

In the case of choosing the treatment for a fee, the hotline employee informs

the patient on the approximate treatment costs possible to estimate based

on the provided information.

The hotline employee informs the patient of the typical recommendations preceding

the planned procedures (e.g. the need for vaccinations or diagnostic tests).

Emergency cases

In the event where the medical history indicates the need for emergency medical

intervention. The hotline employee may suggest a home visit by a physician

or may inform the patient of the need for calling an ambulance or immediate reporting

to the hospital emergency department.

Knowledge base of medical

facilities providing given

treatment

The LUX MED experts monitor on an ongoing basis the hospitals in the whole country

in terms of provided treatment, used methods, and innovations and implemented

improvements. Owing to the above, we may professionally suggest a facility

particularly specialised in the treatment of a given complaint or in the performance of a

given type of procedure.

We have a current and professionally verified knowledge base of hospital services

and specialists who will help to suggest the most appropriate centre for a given

medical problem.

Treatment under NFZ and

commercially

We provide information on facilities offering given treatment or diagnostics,

and on whether the benefits are provided commercially, under an NFZ contract

or in both modes.

We provide information on the availability of overstandard benefits, such as single

rooms, availability of childbirth anaesthesia, etc.

Availability of extra-standard

benefits

Waiting time in the public system

In the event of benefits for which electronic registration / queuing forms exist

in the system of benefits funded publicly, we provide information on the time limits

for the availability of services under the treatment funded by NFZ.

Information on the hospital facility

offer

We provide information on the price offers of commercial facilities for individual types

of procedures. We provide information whether the price list of a facility includes full-

scope treatment costs, or whether it provides the procedure costs and additional

benefit costs (e.g. hospitalisation or examinations) separately.

Ambulance Intervention

Using the services of the emergency ambulance team

is possible in the case of sudden illnesses or accidents.

A sudden illness is a condition characterised by sudden

or imminent appearance of health deterioration symptoms

the direct consequence of which may be serious damage

to a body function or bodily injury or death, requiring

immediate medical rescue intervention and treatment.

The decision of dispatching the sanitary ambulance is

made each time by the Dispatcher after a conversation

with the Patient or his/her family. Depending

on the circumstances, the service may be provided

by an internal intervention team, a cooperating team,

or a team of the State Emergency Medical Service System.

The medical team, equipped with specialist means

of transport, medical equipment and drugs enabling

the initiation of medical emergency procedures in the case

of a health emergency, provides medical aid (depending

on the Agreement provisions) at the Client’s registered

office, at locations agreed with the Client or/and within

the area precisely described at www.luxmed.pl,

and if examinations or tests are necessary, transports

the Patient to a LUX MED centre or to the nearest hospital

in the case of a life-threatening condition. This service does

not replace the services provided within the State

Emergency Medical Service System, this service

is unlimited.

HEALTH BEAUTY HARMONY Programme

A healthy life style is a universal tool for maintaining good

physical and mental condition. Each year, we participate

in various prevention actions, support many sport

and recreational events, are familiar with the latest

achievements in the field of medicine, and through

our quarterly deliver about the LUX MED Group, we try

to explain even the most complex problems related to

health. We are convinced that satisfaction in life of each

one

of us primarily depends on our body’s overall condition

to which many aspects of what is referred to as healthy

lifestyle contribute. Patients may participate in our

HEALTH BEAUTY HARMONY Programme to facilitate

a healthy life style.

Within the framework of the HEALTH BEAUTY HARMONY

Programme Patients may avail themselves with various

discounts and special offers of partner companies, which

provide health related services (biological treatments,

fitness, cosmetics, etc.). As our offer is being continually

extended, you will find up to date information

at www.luxmed.pl

LUX MED Group Discount

Each package owner is entitled to a 10% discount on all

medical services offered by LUX MED Group Medical

Centre.

Discounts do not accumulate.

http://www.luxmed.pl/

10% discount for hospital procedures,

in LUX MED Hospital

Each package owner is entitled to a 10% discount on all

hospital procedures offered by LUX MED Hospital.


10% special discount on medical

services offered by the Carolina Medical

Center

Every package owner is entitled to a 10% discount on all

medical procedures offered by the Carolina Medical

Center.

The discount is calculated from the price list in a facility.

The discount does not include prices of such medical

materials as light cast, implants, orthotics, stabilizers,

orthopaedic fixation, sutures of meniscus, and prices

of drugs for intra-articular and intravenous injections.


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