Seafarers & Veterans

Seamans and Veterans: As defined under the Health Insurance (Amendment) Law, 2003, are those who reside in the Cayman Islands and who:

  • Is a member of either the Veterans’ and Seamens’ Society of Cayman Brac and Little Cayman or of the Cayman Islands Seafarer’s Association or a member of the Cayman Islands Veterans’ Association; and
  • First went to sea before January 1, 1985 or served in the armed forces before 1973.
  • Was a Caymanian (as defined under the Immigration Law (2003 revision) during the period of time when he was at sea, or served in the armed forces

If you qualify in all of these categories AND reside in the Cayman Islands, you will be eligible for coverage with CINICO.

The following lists the benefits covered under:

Seafarers & Veterans Medical Benefits

Effective January 2006In–Network Health Services Authority or Local Providers (with CMO approval)Overseas Providers (with CMO approval)
Maximum lifetime benefit amount1 million KYD $1 million KYD $
Maximum Calendar Yearn/an/a
Maximum per Medical Indicent100%90%
DeductiblesNone, covered by planNone, covered by plan
Emergency Medical Services
(inclusive of emergent medication, drugs, and ambulance)		100%100%
Outpatient Routine Medical
Primary Care Office Visits, Specialist Office Visits, Diagnostics, Routine Laboratory Tests, Radiological Studies, Physical Therapy, Diabetic Insulin & Supplies		100%90%
Home Health Care (as approved by C.M.O.)100% (requires prior inpatient stay)not covered
Prescription Drug and Medication100%not covered
Haemodialysis100%90%
Chemotherapy (including radiation therapy)100%90%
Inpatient Benefits/Ambulatory Surgery Benefits
  • a hospital semi–private room or intensive care unitphysician, specialist and surgeon services including Ambulatory surgery performed in a licensed medical facilityanethesia, use of operating room and recovery roomfull nursing servicesstandard surgical supplieslaboratory and pathological studiesPhysiotherapy, inhalation and other facilities X–ray and ultrasound
100%90%
Mental Health100%not covered
Substance Abuse100%not covered
Chiropractor Visits100%not covered
Hospice Care (as approved by C.M.O)100%not covered

* All medical services that are provided by either a local or overseas provider without Chief Medical Officer (CMO) approval will not be covered.

* Employed spouses and children are covered for local benefits, but not for overseas benefits

* Unemployed spouses or widows are covered for local and overseas benefits.

Seaferers & Veterans Dental Benefits

Effective July 2007In-Network Health Services Authority or Local Providers (with CDO approval) or Overseas Providers (with CDO approval)
Preventative, basic restorative services are covered. Major dental services are covered subject to preauthorization by the Chief Dental Officer.
Cleaning & General Hygiene100%
BridgesNot Covered
Dentures50% (with C.D.O. approval)
Cosmetic DentistryNot Covered
Orthodontia Services50% (maximum to age 18 years with C.D.O approval)
Periodontal Services50%
Porcelain Crowns100% (with C.D.O. approval)

* All dental services must be performed at an HSA facility.

* All dental services that are provided by either a local or overseas provider without Chief Dental Officer (CDO) approval will not be covered.

Seaferers & Veterans Vision Benefits

Charges for vision care services and supplies are covered as follows:
Eye ExamOne exam in a 24–month period to a maximum of KYD $ 40
FramesNot covered
Lenses or Contact Lenses
Single vision, bi–focal, tri–focal, progressive & lenticular		One pair in a 24–month period to a maximum of KYD $ 200