TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.

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MEDICAL PROGRAMS

COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.

September 17, 2012

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Copyright c©2012 Comercializadora de Servicios Médicos Cubanos, S.A. (CSMC,S.A.)

This book is a compilation of the medical programs that Comercializadora de Servi-cios Médicos Cubanos,S.A. offers, based on the book Medical Programs by SERVIMED,Turismo y Salud, 2009.

Medical review board:

Dra. Sandra Cutiño

Dr. Waldemar Baldoquín Rodríguez

General concept and organization:

Msc. Ángela Moraima Cuesta Mola

Ing. Joely Prado Alonso

Bch. Anell Beatriz Lopez Bermejo

Book cover design:

Uniprint

Latex typesetting and composition:

Dr. Waldemar Baldoquín

English Translation:

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Taking over the Cuban tradition and experience in providing health services for in-ternational markets, foreign residents and visitors, Comercializadora de Servicios Médi-cos Cubanos, S.A. (CSMC,S.A.), reorients and expands its business objectives and be-comes the leading organization in the country for the provision of these specializedservices.

Therefore, prestigious Cuban clinics and health centers -including Clínica CentralCira García (Cira García Central Clinic), Centro Internacional de Retinosis Pigmentaria“Camilo Cienfuegos” (Camilo Cienfuegos International Retinitis Pigmentosa Center),Centro Internacional de Salud “La Pradera” (La Pradera International Health Center)and Centro Internacional de Restauración Neurológica (International Centre for Neu-rological Restoration, CIREN), for just to name a few- have programs and medicalpractices based on a more articulated, organic and on a larger scale commercial activity.

In the center of the current portfolio of CSMC,S.A. converge medical, health-wellnessand academic programs, along with research and technical assistance and consultingservices in Cuba and abroad.

Under the concept of using the experience that Cuba has won in more than twocenturies of medical services, the strong infrastructure and logistics of the NationalHealth System, the support from the pharmaceutical industry, technologies from theso-called “Scientific Pole” (a science park to the west of Havana), and the expertise ofhighly competitive human capital, CSMC,S.A. has created a group of programs cover-ing high-demand specialties for the attention to conditions in the fields of Ophthalmol-ogy, Dermatology, Orthopedics, Orthopedics, Neurology and Neurosurgery, Plastic andReconstructive Surgery, Adult and Pediatric Cardiovascular Surgery, Oncology Surgery,Bariatric Surgery, among others which can be found in this book.

Comercializadora de Servicios Médicos Cubanos, S.A., enters the international mar-ket of health services, with the guarantee and support of being accredited through theirinstitutions Clínica Central “Cira García” (Cira García Central Clinic) and Centro In-ternacional de Retinosis Pigmentaria “Camilo Cienfuegos” (Camilo Cienfuegos Inter-national Retinitis Pigmentosa Center). These health centers now exhibit ISO 9001-2008 compliance certificates issued by the most prestigious certification organizationsAENOR and Bureau Veritas as a reward for the quality of their management systems.The certificates achieved by the institutions of CSMC,S.A., define and strengthens Cubaas ’Country Health’ destination.

This catalog is a short preview of our medical programs.

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As prices and content of these programs may change, it is advisable to ask ourspecialists in CSMC, SA ([email protected]). You may request our services and getmore information in our website http://smcsalud.cu.

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mailto:[email protected]

http://smcsalud.cu

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Contents

1 MEDICAL CHECKUPS 13

1.1 Executive Medical Checkup . . . . . . . . . . . . . . . . . . . . . . . 13

1.2 Outpatient comprehensive medical checkup . . . . . . . . . . . . . . . 14

1.3 Preventive checkup for the elderly (Men and Women) . . . . . . . . . . 15

1.4 Cardiovascular checkup . . . . . . . . . . . . . . . . . . . . . . . . . . 15

1.5 Medical checkup for hypertensive patients . . . . . . . . . . . . . . . . 16

1.6 Toco-gynecological checkup . . . . . . . . . . . . . . . . . . . . . . . 17

1.7 Gynecological checkup for perimenopause or menopause women . . . 17

1.8 Basic Pediatric Checkup. . . . . . . . . . . . . . . . . . . . . . . . . . 18

1.9 Medical Checkup for the diagnosis of Osteoporosis (Men) . . . . . . . 19

1.10 Medical Checkup for the diagnosis of Osteoporosis (Women) . . . . . 20

2 OPHTHALMOLOGY PROGRAMS 21

2.1 Ophthalmology consultation and other related specialties . . . . . . . . 21

2.2 Ophthalmological checkup . . . . . . . . . . . . . . . . . . . . . . . . 23

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2.3 Retinitis Pigmentosa Programs . . . . . . . . . . . . . . . . . . . . . . 24

2.4 Cataract Surgery with Implantation of an Intraocular Lens (IOL) in oneeye. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

2.5 Cataract Surgery without Implantation of an Intraocular Lens (IOL) inone eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

2.6 Ophthalmological Surgery . . . . . . . . . . . . . . . . . . . . . . . . 26

3 PLACENTAL HISTOTHERAPY PROGRAMS 33

3.1 Treatment of Vitiligo . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

3.2 Treatment of Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . . 34

3.3 Treatment of Alopecia Areata Universalis . . . . . . . . . . . . . . . . 35

4 GENERAL SURGERY AND GYNECOLOGY PROGRAMS 37

4.1 Conventional surgery and microsurgery . . . . . . . . . . . . . . . . . 37

4.2 Minimally Invasive Surgery Programs . . . . . . . . . . . . . . . . . . 40

4.3 Pregnancy termination . . . . . . . . . . . . . . . . . . . . . . . . . . 43

4.4 Evaluation of infertile couples . . . . . . . . . . . . . . . . . . . . . . 44

4.5 Evaluation of infertility in women. . . . . . . . . . . . . . . . . . . . . 44

4.6 Evaluation of male infertility. . . . . . . . . . . . . . . . . . . . . . . . 44

4.7 Evaluation of male sexual dysfunction. . . . . . . . . . . . . . . . . . . 45

5 COSMETIC SURGERY PROGRAMS 47

5.1 Cosmetic Surgery Programs . . . . . . . . . . . . . . . . . . . . . . . 47

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6 Maxillofacial Surgery Programs 53

6.1 Orthognathic surgery Programs . . . . . . . . . . . . . . . . . . . . . . 53

7 OTOLARYNGOLOGY PROGRAMS 57

7.1 Otolaryngology Programs . . . . . . . . . . . . . . . . . . . . . . . . . 57

7.2 Sensorineural hearing loss Program for children and adults. . . . . . . . 59

8 ORTHOPEDIC PROGRAMS 61

8.1 Orthopedic programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

8.2 Other programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

8.3 Orthopedic Rehabilitation Program. . . . . . . . . . . . . . . . . . . . 65

9 INTERNAL MEDICINE PROGRAMS 67

9.1 Evaluation of rheumatoid arthritis. . . . . . . . . . . . . . . . . . . . . 67

9.2 Multiple Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

9.3 Systemic Lupus Erythematosus. . . . . . . . . . . . . . . . . . . . . . 69

9.4 Diabetes Mellitus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

9.5 Chronic obstructive pulmonary disease (COPD) . . . . . . . . . . . . . 70

9.6 Evaluation of digestive diseases. . . . . . . . . . . . . . . . . . . . . . 71

9.7 Chronic liver disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

9.8 Exogenous obesity. (Evaluation and treatment). . . . . . . . . . . . . . 72

10 TRANSPLANT PROGRAMS 75

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10.1 Renal transplantation. Assessment program (recipient and donor). . . . 75

10.2 Renal transplantation. Program for renal transplantation. Recipient andliving donor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

10.3 Autologous bone marrow transplantation (Does not required donor). . . 77

10.4 Allogeneic bone marrow transplantation. Evaluation program. For thepatient and donor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

10.5 Corneal transplantation and conjunctival autograft for Simple recurrentpterygium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

11 REHABILITATION PROGRAMS 81

11.1 Rehabilitation programs for CNS, articular, rheumatic, cardiovascular,and pulmonary diseases . . . . . . . . . . . . . . . . . . . . . . . . . 81

11.2 Rehabilitation Program for pediatric cochlear implant patients . . . . . 83

11.3 Rehabilitation Program for adult cochlear implant patients . . . . . . . 84

12 NEUROLOGICAL RESTORATION PROGRAMS 85

12.1 Initial rehabilitation program for demyelinating diseases of the CNS. . . 86

12.2 Continuation of rehabilitation program for CNS demyelinating diseases. 87

12.3 Initial rehabilitation program for paraplegia. . . . . . . . . . . . . . . . 87

12.4 Continuation of rehabilitation program for paraplegia. . . . . . . . . . . 88

12.5 Initial rehabilitation program for hemiplegia. . . . . . . . . . . . . . . 89

12.6 Continuation of rehabilitation program for hemiplegia. . . . . . . . . . 90

12.7 Initial rehabilitation program for infantile paralysis and other static le-sions of CNS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

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12.8 Continuation of rehabilitation program for infantile paralysis and otherstatic lesions of CNS . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

12.9 Initial rehabilitation program for congenital brachial palsy . . . . . . . 92

12.10Continuation of rehabilitation program for congenital brachial palsy . . 93

12.11Initial rehabilitation program for rheumatic and degenerative joint diseases 94

12.12Continuation of rehabilitation program for rheumatic and degenerativejoint diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

13 CARDIOLOGY AND CARDIOVASCULAR SURGERY PROGRAMS 97

13.1 Cardiovacular surgery in adults. . . . . . . . . . . . . . . . . . . . . . 97

13.2 Cardiology Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

13.3 Initial Cardiovascular Rehabilitation Program. . . . . . . . . . . . . . . 99

13.4 Continuation of Cardiovascular Rehabilitation Program. . . . . . . . . . 100

13.5 Cardiovacular surgery in children. . . . . . . . . . . . . . . . . . . . . 100

14 CUBAN MEDICAL PROGRAM FOR THE REHABILITATION OF AD-DICTIONS 103

14.1 Cuban medical program for the rehabilitation of addictions. . . . . . . 103

14.2 Cuban medical program for the rehabilitation of addictions - week eval-uation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

14.3 Cuban medical program for the rehabilitation of addictions - A monthof therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

14.4 Cuban medical program for the rehabilitation of addictions - recycling. . 106

15 ONCOLOGY PROGRAMS 107

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15.1 Head and Neck Programs . . . . . . . . . . . . . . . . . . . . . . . . . 107

15.2 Peripheral tumors medical programs . . . . . . . . . . . . . . . . . . . 111

15.3 Lung Cancer Vaccine Medical Program . . . . . . . . . . . . . . . . . 113

15.4 CimaVax EGF vaccine. . . . . . . . . . . . . . . . . . . . . . . . . . . 113

15.5 CIMAher (nimotuzumab, generic name or hR3). . . . . . . . . . . . . 114

16 MEDICAL PROGRAMS FOR THE ELDERLY 117

16.1 Comprehensive evaluation for the elderly . . . . . . . . . . . . . . . . 117

16.2 Executive evaluation for the elderly . . . . . . . . . . . . . . . . . . . 118

16.3 Evaluation and geronto-vitalizing comprehensive treatment (outpatient) 119

16.4 Evaluation and geronto-vitalizing comprehensive treatment (inpatient) . 120

16.5 Psychomotor comprehensive rehabilitation (group of 10 or more people) 122

16.6 Functional rehabilitation in the elderly (10 sessions) . . . . . . . . . . . 123

16.7 Quality of life revitalizing treatment (10 sessions) . . . . . . . . . . . . 125

16.8 Comprehensive care for patients with memory disorders. . . . . . . . . 126

16.9 (Outpatient memory disorder evaluation . . . . . . . . . . . . . . . . . 128

16.10Caregivers Program (educational school for Caregiver) . . . . . . . . . 128

16.11Evaluation and treatment of depression . . . . . . . . . . . . . . . . . . 129

17 ANGIOLOGY PROGRAM 131

17.1 Treatment of diabetic foot ulcer with HEBERPROT-P R©. . . . . . . . . 131

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Chapter 1

MEDICAL CHECKUPS

1.1 Executive Medical Checkup

Prevention is vital for maintaining health. Periodic medical checkup, allows the diag-nosis of diseases that at early stage, might have a complete cure.

This deep and thorough clinical examination supplemented with other medical in-vestigations, not only allows ratifying a good health state, but also makes it possibleto diagnose clinical disorders, or early-stage diseases that might have a complete andsimple medical solution.

This is an ambulatory service, at a cost of $ 270.00 CUC. You only need to spend 3hours of your time.

This program includes:

• Consultation with a specialist in Internal Medicine

• Re-consultation with a specialist in Internal Medicine

• Clinical Laboratory Studies

• Cardiology Investigations: Electrocardiogram.

• Imaging Investigations: Plain Chest X-ray

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MEDICAL CHECKUPS

• Ultrasound Investigations: Prostate ultrasound (Men)

• Urologic Investigations: Prostate Specific Antigen (Men)

• Ultrasound Investigations: Breast Ultrasound (Women)

• Mammography (Women)

A dental checkup is offered without additional cost.

1.2 Outpatient comprehensive medical checkup

By performing rigorous clinical and laboratory investigations, together with differentinstrumented explorations, doctors assess the true state of health, including dental diag-nosis.

This is an ambulatory service, at a cost of $ 575.00 CUC and includes:

• Consultation with Internal Medicine, Ophthalmology and General Surgery spe-cialists at as advised by the attending physician


• Laboratory tests

• Cardiology Investigations: Electrocardiogram

• Imaging Investigations: Chest X-ray Plain radiography of a region of the spinalcolumn (2 views)

• Ultrasound Investigations: Upper abdomen diagnostic ultrasound Prostate ultra-sound (men) Breast ultrasound (Women)

• Mammography (Women)

• Urologic investigations: Prostate specific antigen (men)


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1.3 Preventive checkup for the elderly (Men and Women)

1.3 Preventive checkup for the elderly (Men and Women)

If you are more than 60 year old, or suffer from high blood pressure or any cardiovas-cular disorder, you can choose this checkup that we have created especially for you.

This is an ambulatory service, at a cost of $ 535.00 CUC, and includes:

• Consultation with a specialist in Internal Medicine.



• Cardiology Investigations: Electrocardiogram

• Imaging Investigations: Chest X-ray Plain radiography of a region of the spinalcolumn (2 views)

• Ultrasound Investigations: Upper abdomen diagnostic ultrasound Prostate ultra-sound (men) Breast ultrasound (Women)

• Urologic investigations: Prostate specific antigen (men)

• Ultrasound bone densitometry.


1.4 Cardiovascular checkup

This checkup allows the assessment of your cardiovascular system and the estimationof the risk of suffering complications associated with cardiovascular conditions.

It is offered at a price of $ 480.00 CUC and includes:

• Consultation with a Cardiology specialist

• Reconsultation with a Cardiology specialist

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MEDICAL CHECKUPS


• Cardiological investigations: Electrocardiogram Ambulatory 24 hrs Holter elec-trocardiogram Ergometric test.

• Imaging investigations: Simple Telecardiogram. Doppler echocardiography.


1.5 Medical checkup for hypertensive patients

Hypertension is a chronic disease, usually associated with a number of risk factors thatcan lead to various complications, including ischemic heart disease if not properly con-trolled.

This checkup requires some complex laboratory, ultrasonographic and electrophysi-ologic investigations that allow highly qualified specialists, to assess your condition andmake recommendations so you can enjoy life to the fullest.

This service is offered at a price of $ 460.00 CUC and includes:

• Consultation with a specialist in Internal Medicine.



• Cardiological Investigations: Electrocardiogram. Doppler echocardiography. BloodPressure, Ambulatory 24-hour Holter.

• Ultrasound Investigations: Bilateral Renal and Adrenal ultrasound.


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1.6 Toco-gynecological checkup

1.6 Toco-gynecological checkup

The risk in fertile women or those passing through perimenopause or menopause requirespecial investigations to let you know early diseases that when eradicated, will allow youto continue to enjoy life with your couple or family.

Women of childbearing age (and older) need a periodical gynecological checkup.

This checkup is an ambulatory service at a price of $ 320.00 CUC, and includes:

• Consultation with a Gynecology Specialist.

• Re-Consultation with a Gynecology Specialist.

• Clinical Laboratory Tests

• Microbiological and Gynecological Investigations: Pap smear. Colposcopy. Sim-ple vaginal discharge study.

• Imaging investigations: Gynecological ultrasound Breast ultrasound and mam-mography


1.7 Gynecological checkup for perimenopause or menopausewomen

Any woman 45 years of age and older need a specialized checkup periodically to assessgynecological health status, in order to detect early conditions that timely treated, letyou enjoy life without concerns for diseases that otherwise might affect you and yourrelationships.


• Consultation with a Gynecology specialist.

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MEDICAL CHECKUPS

• Re-Consultation with a Gynecology specialist.

• Clinical Laboratory tests

• Microbiological and Gynecological investigations: Pap smear. Colposcopy. Sim-ple vaginal discharge study.

• Imaging investigations: Ultrasound bone densitometry. Breast ultrasound andmammography.


1.8 Basic Pediatric Checkup.

Children under the age of 2

The checkup of a child involves the consideration of the characteristics of each age.At this age growth and development mark and define the physical, emotional and intel-lectual future of human being. That’s the reason why monitoring the evolution of theseaspects is of vital importance.


• Consultation with a Pediatric specialist.

• Consultation with an ENT specialist.

• Consultation with a Psychology specialist.

• Reconsultation with a Pediatrics Specialist

• Clinical Laboratory Investigations


• Imaging Investigations: Plain chest radiograph

• Ultrasound Investigation: Abdomen Ultrasound

• Otorhinolaryngologic Investigation: Audix.

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1.9 Medical Checkup for the diagnosis of Osteoporosis (Men)

• Dental checkup without additional cost.

Children between the ages of 2 and 12 years

In addition to the consultations and investigations described above the medical checkupfor children between the ages of 2 and 12 years include a psychological study.

Psychological study, includes:

• Terman.

• Bender.

• Wise.

Price: $ 580.00 CUC.

1.9 Medical Checkup for the diagnosis of Osteoporosis(Men)


• Consultation with a Specialist of the Osteoporosis Group.

• Consultation with an Endocrinology Specialist .

• Consultation with an Orthopedics Specialist.

• Reconsultation with an Osteoporosis Specialist

• Laboratory investigations: Determination of T3, T4, TSH Insulin. Erythrocytesedimentation rate. Glycemia. Creatinine. Blood calcium and phosphate. Lipids.Urates. HIV. Urine calcium and phosphate. CBC. Quantitative serology (VDRL).


• Imaging investigations: Chest X-Ray Bone study (Survey).

• Ultrasound investigations: Ultrasound bone densitometry.

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MEDICAL CHECKUPS

1.10 Medical Checkup for the diagnosis of Osteoporosis(Women)


• Consultation with a Specialist of the Osteoporosis Group.

• Consultation with an Endocrinology Specialist .

• Consultation with an Orthopedics Specialist.

• Consultation with a Gynecology Specialist.

• Re-consultation with a Specialist of the Osteoporosis Group

• Laboratory investigations: Determination of T3, T4, TSH Determination of LH,estradiol, FSH. Basal cortisol. Insulin.

Erythrocyte sedimentation rate. Glycemia. Creatinine. Blood calcium and phos-phate. Lipids. Urates. HIV. Urine calcium and phosphate. CBC. Quantitativeserology (VDRL).

• Microbiological and Gynecological investigations: Pap smear Colposcopy Simplevaginal discharge testing

• Imaging investigations: Chest X-Ray Bone study

• Ultrasound: Ultrasound bone densitometry Transvaginal diagnostic ultrasoundBreast ultrasound and mammography

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Chapter 2

OPHTHALMOLOGY PROGRAMS

2.1 Ophthalmology consultation and other related spe-cialties

Specialized Consultations:

• Consultation with the professor (on Request): $ 80.00 CUC.

• Consultation with specialists: $ 25.00 CUC.

• Ophthalmology: $ 40.00 CUC.

• Retina consultation: $ 130.00 CUC.

• Low Vision consultation: $ 100.00 CUC.

• Glaucoma consultation: $ 270.00 CUC.

• Lacrimal System consultation: $ 70.00 CUC.

• Contact lens consultation: $ 60.00 CUC

• Cataract surgery consultation: $280.00 CUC.

• Keratoconus surgery evaluation: $ 285.00 CUC.

• Keratoprosthesis evaluation: $ 285.00 CUC.

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• Corneal transplantation: $ 515.00 CUC.

• Refractive surgery consultation: $ 320.00 CUC.

• Strabismus consultation: $ 60.00 CUC.

• Evaluation with the optometrist: $ 15.00 CUC.

• Initial neurological assessment: $ 80.00 CUC.

• Migraine consultation: $ 50.00 CUC.

• Neuro-ophthalmology consultation: $ 385.00 CUC.

• Radiation planning and treatment: $ 500.00 CUC.

• Weekly consultation with the radiotherapist: $ 20.00 CUC.

• Dental implants evaluation : $ 175.00 CUC.

• Podiatrist consultation: $ 15.00 CUC.

• Emergency Medical Consultation: $ 25.00 CUC.

• Emergency Dentistry Consultation: $ 50.00 CUC.

• Reconsultation with the professor (on Request): $ 50.00 CUC.

• Interconsultation with medical specialist: $ 25.00 CUC.

• Consultation with Multidisciplinary medical staff: $ 100.00 CUC.

• Medical consultation requested from abroad: $ 100.00 CUC.

• Refractive surgery consultation: (Excimer Laser): $250.00 CUC.

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2.2 Ophthalmological checkup

2.2 Ophthalmological checkup

Ophthalmologicalcheckup

Include Price(CUC)

Retinitis PigmentosaCheckup

Specialized Retinitis Pigmentosa consultation in-cludes ophthalmologic medical examination: biomi-croscopy, tonometry, fundus¡, Visual acuity, refrac-tion, electrophysiological studies, perimetry, opticalcoherence tomography.

276.00

Myopia, Hyperopiaand AstigmatismCheckup

Specialized Refractive Error consultation includesophthalmologic medical examination : biomi-croscopy, tonometry, fundus. Refraction, Corneal To-pography, Perimetry, pneumotonometry, aberrometry,endothelial microscopy.

200.00

Retina Checkup Specialized Retina Consultation includes ophthalmo-logic medical examination : biomicroscopy, tonome-try, fundus. Indirect ophthalmoscopy.

130.00

Glaucoma Checkup Specialized Glaucoma Consultation includes oph-thalmologic medical examination : biomicroscopy,tonometry, fundus. Refraction, computed perime-try, gonioscopy, ocular tomography, Central perime-try and pneumotonometry.

216.00

Cataract Checkup Specialized Cataract surgery consultation in-cludes ophthalmologic medical examination:biomicroscopy, tonometry, fundus. Endothelial mi-croscopy, Calculation of intraocular lens, refraction,pneumotonometry

224.00

Cornea Checkup Specialized Cornea consultation includes ophthalmo-logic medical examination : Biomicroscopy, tonom-etry, fundus. Refraction, endothelial microscopy,tachometer, corneal topography, Aberrometry, pneu-motonometry

412.00

Oculoplasty Evalua-tion

Specialized Oculoplasty consultation includes oph-thalmologic medical examination : biomicroscopy,tonometry, fundus. Refraction, Schirmer test, ocularultrasound, Biometrics, exploration of tear ducts, ex-ophthalmometry and Visual Field.

236.00

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2.3 Retinitis Pigmentosa Programs

No. Program Hospita-lization

PriceCUC

1 Ophthalmologic evaluation program 7 1400.002 Retina evaluation program 7 1775.003 Ophthalmologic evaluation program for patients with retinitis pig-

mentosa7 1410.00

4 Retinitis pigmentosa treatment. First time 21 7040.005 Retinitis pigmentosa treatment. Second time. 14 3040.006 Retinitis pigmentosa treatment. Third time. 14 3040.007 Chronic open angle glaucoma. Trabeculectomy for an eye opera-

tion.10 1510.00

8 Treatment of chronic simple glaucoma. Trabeculectomy for aneye operation.

10 2610.00

9 Chronic narrow angle glaucoma. Trabeculectomy. Gonio-surgeryfor an eye. Outpatient Program

10 1510.00

10 Chronic narrow angle glaucoma. Trabeculectomy. Laser irido-tomy surgery for an eye operation. outpatient Program

10 1010.00

11 Excimer laser refractive surgery (both eyes) 14 1010.0012 Cataract surgery (with intraocular lens). Program for operation of

an eye.10 1636.00

13 Cataract surgery (without intraocular lens). Program for operationof an eye.

10 1286.00

14 Treatment program Corneal transplant. Lamellar keratoplasty op-eration of an eye.

10 3668.00

15 Treatment program Corneal transplant. Perforating keratoplastyoperation of an eye.

10 3868.00

16 Pterygium surgery. Autologous corneal-conjunctiva transplanta-tion (one eye).

10 1485.00

2.4 Cataract Surgery with Implantation of an Intraoc-ular Lens (IOL) in one eye.


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2.5 Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye

• Specialized Ophthalmology consultation

• Preoperative checkup: Hemoglobin. Hematocrit. Glycemia. Differential whiteblood cell count. HIV. Serology. Chest X-Rays. Electrocardiogram.

• Ophthalmological tests: Refraction and autorefraction. Biomicroscopy. Keratom-etry. Tonometry. Biometrics. Intraocular lens (IOL) calculation Ocular diagnosticultrasound.

Cataract Surgery with Implantation of an Intraocular Lens (IOL) in one eye One eye op-eration, local anesthesia applied by anesthesiology specialist, right to Operating Room,Recovery after surgery, skilled nursing service, cataract surgery with IOL, sedation,medication and suture.

The program can be outpatient or with hospitalization. The cost of hospitalizationis 90.00 CUC per night and the Companion of 40.00 CUC per night.

• Hospitalization for 1 night / transfer: $ 1766.00 CUCwith a companion: $ 1806.00 CUC.

• Hospitalization for 4 nights / transfer: $ 2036.00 CUCwith a companion: $ 2196.00 CUC.

• Hospitalization for 7 nights / transfer: $ 2156.00 CUCwith a companion: $ 2436.00 CUC.

• Hospital for 14 nights / transfer: $ 2436.00 CUCwith a companion: $ 2996.00 CUC.

2.5 Cataract Surgery without Implantation of an Intraoc-ular Lens (IOL) in one eye


• Specialized Ophthalmology consultation

• Preoperative checkup: Hemoglobin. Hematocrit. Glycemia. Differential whiteblood cell count. HIV. Serology. Chest X-Rays. Electrocardiogram.

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• Ophthalmological tests: Refraction and autorefraction. Biomicroscopy. Keratom-etry. Tonometry. Biometrics. Ocular diagnostic ultrasound.

Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye. localanesthesia applied by anesthesiology specialist, right to Operating Room, Recovery af-ter surgery, skilled nursing service, cataract surgery with IOL, sedation, medication andsuture.

The program can be outpatient or with hospitalization. The cost of hospitalizationis 90.00 CUC per night and the Companion of 40.00 CUC per night.

• Hospitalization for 1 night / transfer: $ 416.00 CUC with a companion: $ 1,456.00CUC.

• Hospitalization for 4 nights / transfer: $ 686.00 CUC with a companion: $ 1846.00CUC.

• Hospitalization for 7 nights / transfer: $ 1,806.00 Accompanied CUC: $ 2086.00CUC.

• Hospitalization for 14 nights / transfer: $ 2,086.00 Accompanied CUC: $ 2646.00CUC.

2.6 Ophthalmological Surgery

• Ahmed Valve implantation: $ 3000.00 CUC.

• Ahmed Valve implantation with antimetabolites: $ 3050.00 CUC.

• Pneumatic retinopexy: $ 2500.00 CUC.

• Canaliculotomy: $ 400.00 CUC.

• Laser posterior capsulotomy: $ 300.00 CUC.

• Chalazion surgery: $ 100.00 CUC.

• Cyclophotocoagulation: $ 600.00 CUC.

• Combined surgery: Scleral buckle / Cerclage and vitrectomy : $ 4000.00 CUC.

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• cataract surgery (Piggy Back): $ 1 600.00 CUC.

• complicated cataract surgery: $ 2000.00 CUC.

• Pediatric cataract surgery without IOL with posterior capsulotomy and anteriorvitrectomy: $ 1500.00 CUC.

• Pediatric cataract surgery with IOL with posterior capsulotomy and anterior vit-rectomy: $ 2000.00 CUC.

• Pediatric cataract surgery with IOL: $ 1500.00 CUC.

• Pediatric cataract surgery without IOL: $ 1000.00 CUC.

• Eyelid surgery of congenital malformations: $ 600.00 CUC.

• Retina surgery and scleral buckle: $ 3500.00 CUC.

• Plastic Surgery (Lower eyelid blepharoplasty): $ 750.00 CUC.

• Plastic Surgery (Lower eyelid blepharoplasty) with CO2 laser: $ 900.00 CUC.

• Plastic Surgery (Upper eyelid blepharoplasty): $ 650.00 CUC.

• Plastic Surgery (Upper eyelid blepharoplasty) with CO2 laser: $ 800.00 CUC.

• Phaco Refractive Surgery : $ 1500.00 CUC.

• Excimer laser refractive surgery (Lasek): $ 800.00 CUC.

• Excimer laser refractive surgery (Lasik): $ 1000.00 CUC.

• Cystotomy of Tenon’s capsule with needle using antimetabolites: $ 400.00 CUC.

• Placement ocular conformer: $ 70.00 CUC.

• Creation of individualized prosthetics: $ 550.00 CUC.

• Cryotherapy: $ 500.00 CUC.

• Lens dislocation into anterior chamber : $ 1000.00 CUC.

• Cross Linking: $ 1200.00 CUC.

• Intrastromal corneal foreign body: $ 600.00 CUC.

• Superficial corneal foreign body: $ 60.00 CUC.

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• Dacryocystectomy: $ 700.00 CUC.

• Dacryocystorhinostomy: $ 900.00 CUC.

• Phimotic tear duct dilatation: $ 25.00 CUC.

• Ectropion, Entropion of other causes: $ 600.00 CUC.

• Senile Ectropion and Entropion : $ 500.00 CUC.

• Endolaser: $ 500.00 CUC.

• Excimer laser assisted Endo-keratoplasty: $ 5000.00 CUC.

• Enucleation or Evisceration with implant: $ 1200.00 CUC.

• Enucleation or Evisceration without implant: $ 500.00 CUC.

• Non-penetrating deep sclerectomy: $ 2500.00 CUC.

• Non-penetrating deep sclerectomy with antimetabolites: $ 2550.00 CUC.

• Non-penetrating deep sclerectomy with scleral implant: $ 2800.00 CUC.

• Strabismus surgery (cosmetic in adults): $ 700.00 CUC.

• Strabismus surgery on horizontal muscles: $ 300.00 CUC.

• Strabismus Surgery on vertical muscles: $ 600.00 CUC.

• Excision of benign conjunctival lesions: $ 300.00 CUC.

• Excision of malignant conjunctival lesions: $ 500.00 CUC.

• Excision of iris lesions: $ 500.00 CUC.

• Excision of benign eyelid tumors and / or cysts with primary closure: $ 300.00CUC.

• Excision of malignant eyelid tumors with primary closure: $ 600.00 CUC.

• Excision of malignant eyelid tumors reconstruction: $ 800.00 CUC.

• Excision of retro orbital tumor with preservation of the eyeball: $ 2500.00 CUC.

• Exploration and lacrimal probing: $ 150.00 CUC.

• Extraction of silicone oil: $ 1500.00 CUC.

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• Extraction of silicone oil and cataract surgery: $ 2500.00 CUC.

• Removal of intralens foreign body: $ 1700.00 CUC.

• Extraction of intraocular foreign body: $ 2500.00 CUC.

• Phacoemulsification with Trabeculectomy : $ 4000.00 CUC.

• Phacoemulsification with Trabeculectomy and antimetabolites: $ 4050.00 CUC.

• Gonioplasty: $ 500.00 CUC.

• Goniopuncture: $ 300.00 CUC.

• Goniotomy: $ 1200.00 CUC.

• Corneal surgical wound: $ 1000.00 CUC.

• Injury of ocular adnexa: $ 200.00 CUC.

• Injury of eyelid with section of lacrimal canaliculus : $ 600.00 CUC.

• Intrastromal ring implantation: $ 1500.00CUC.

• Phakic lens implant: $ 1500.00 CUC.

• Secondary IOL implantation: $ 1000.00 CUC.

• Blocked Tear Ducts Intubationl: $ 250.00 CUC.

• Intravitreal injection of antibiotics: $ 500.00 CUC.

• Intravitreal injection of anti-inflammatory agents: $ 500.00 CUC.

• Subconjunctival injection of antiangiogenic agents: $ 150.00 CUC.

• Subconjunctival injection of antimetabolites: $ 100.00 CUC.

• Sub-Tenon’s injection of anti-inflammatories: $ 100.00 CUC.

• Iridectomy: $ 500.00 CUC.

• Laser Iridectomy : $ 250.00 CUC.

• Lensectomy: $ 1000.00 CUC.

• Nystagmus: $ 2500.00 CUC.

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• Primary Pterygium: $ 800.00 CUC.

• Recurrent Pterygium: $ 1000.00 CUC.

• Eyelid ptosis: $ 600.00 CUC.

• Punctoplasty: $ 200.00 CUC.

• Laser punctoplasty: $ 200.00 CUC.

• Keratoplasty with lens extraction and IOL : $ 6000.00 CUC.

• keratoplasty with combined procederes : $ 6000.00 CUC.

• Anterior lamellar keratoplasty: $ 1500.00 CUC.

• Lamellar keratoplasty - predescemetic: $ 4000.00 CUC.

• Perforating keratoplasty: $ 4500.00 CUC.

• Reconstruction of late leaking of filtering bullae: $ 600.00 CUC.

• Complex reconstructions of atypical cavities: $ 1000.00 CUC.

• Reconstruction of atypical anophthalmic cavity: $ 600.00 CUC.

• Coating with conjunctival or amniotic membrane: $ 350.00 CUC.

• Resuturing of cornea: $ 200.00 CUC.

• Symblepharon: $ 1000.00 CUC.

• Lysis of Synechiae : $ 200.00 CUC.

• Lysis of Sutures: $ 200.00 CUC

• Trabeculectomy: $ 1000.00 CUC.

• Trabeculectomy (reoperation) with antimetabolites: $ 1500.00 CUC.

• Trabeculectomy (reoperation) with scleral implant: $ 1700.00 CUC.

• Trabeculectomy with antimetabolites: $ 1100.00 CUC.

• Trabeculectomy with scleral implant: $ 1300.00 CUC.

• Selective laser trabeculoplasty: $ 500.00 CUC.

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• Trabeculotomy: $ 1200.00 CUC.

• Trabeculotomy with antimetabolites: $ 1250.00 CUC.

• Trabeculotomy with scleral implant: $ 1400.00 CUC.

• Limbal cell transplantation: $ 1500.00 CUC.

• Trichiasis treated with electrofulguration : $ 200.00 CUC.

• Trichiasis treated with graft: $ 400.00 CUC.

• Use of silicone oil in vitreous surgery: $ 600.00 CUC.

• Use of gas in vitreous surgery: $ 600.00 CUC.

• Use of heavy liquids in vitreous surgery: $ 600.00 CUC.

• Viscocanalostomy: $ 2500.00 CUC.

• Viscocanalostomy with antimetabolites: $ 2550.00 CUC.

• Viscocanalostomy with scleral implant: $ 2800.00 CUC.

• Pars plana vitrectomy: $ 3500.00 CUC.

• Vitreolysis: $ 300.00 CUC.

• Surgery of oblique muscles: $ 300.00 CUC.

• Torsional torticollis Surgery: $ 400.00 CUC.

• Full muscle transpositions with posterior fixation suture: $ 600.00 CUC.

• Partial muscle transpositions: $ 500.00 CUC.

• Superior oblique silicon tendon expander: $ 500.00 CUC.

• Surgical Rehabilitation for macula: $ 1500.00 CUC.

• Retroecuatorial Myoscleropexy : $ 300.00 CUC.

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Chapter 3

PLACENTAL HISTOTHERAPYPROGRAMS

3.1 Treatment of Vitiligo

Due to the clinical success achieved in Cuba with the use of Placenta Histotherapy in thetreatment of different conditions, a specialized therapy with highly satisfactory resultswas developed by a group of prestigious scientists, led by Professor Dr. Carlos MiyaresCao. Today you can get these treatments in both the clinic of Placenta Histotherapy andin Residential Tarara, long-standing institutions providing these health services.

This is an ambulatory service and includes:

• General Conference on this disease.

• Specialized medical consultation

Treatment sessions: Duration: Price:Daily treatment with diagnostic tests 4 days $808.00 CUC1 treatment session for training with diag-nostic tests

4 days $726.00 CUC

Daily treatment without diagnostic tests 2 days $409.00 CUC1 treatment session for training withoutdiagnostic tests

2 days $169.00 CUC

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PLACENTAL HISTOTHERAPY PROGRAMS

The cost of medication used for treatment in Cuba is not included in the prices above.

Having evaluated the case, the specialist determines the length of treatment andindicates the number of bottles of the therapeutic product to be used.

Our experts recommend the suspension of all skin treatments 45 days before thearrival to Cuba.

The price of a bottle of Melagenina Plus (235ml) is $36.00 CUC, and it is pro-vided after evaluation and prescription at the Clinic of Placenta Histotherapy.

3.2 Treatment of Psoriasis



• specialized medical consultations.

Treatment sessions: Duration: Price:Daily treatment with diagnostic tests 4 days $ 808.00 CUC1 treatment session for training with diag-nostic tests

4 days $ 726.00CUC

daily treatment without diagnostic tests 2 days $ 409.00 CUC1 treatment session for training withoutdiagnostic tests

2 days $ 169.00CUC

The number of sessions of treatment will be determined by the specialists at the timeof personalizing the program. If you don’t have the result of skin biopsy, then it will bedone at the clinic for an additional fee of 150.00 CUC with regards to the price of theprogram.

The cost of medication used for treatment in Cuba is not included in the price above.

Our experts recommend the suspension all skin treatments 45 days before the arrivalto Cuba.

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3.3 Treatment of Alopecia Areata Universalis

Having evaluated the case, the specialist determines the length of treatment andindicates the number of bottles of the therapeutic product to be used. The value of eachproduct is as follows:

• Coriodermina (250g) $33.30 CUC.

• Piloactive Lotion (200ml) $13.25 CUC.

• Piloactive Shampoo (200ml) $5.10 CUC.

• Bioactivating Dermal Soap (120g) $5.25 CUC.

• Dermal Hydrating Gel (250ml) $21.00 CUC.

3.3 Treatment of Alopecia Areata Universalis



• Specialized medical consultation.

Treatment sessions:

Treatment sessions: Duration: Price:Daily treatment with diagnostic tests 4 days $866.00 CUCDaily treatment without diagnostic tests 4 days $747.00 CUC1 treatment session for training with diag-nostic tests

2 days $550.00 CUC

1 treatment session for training withoutdiagnostic tests

2 days $190.00 CUC

If you don’t have the result of skin biopsy, then it will be done at the clinic for anadditional fee of $150.00 CUC with regards to the price of the program.

The cost of the medication used for treatment in Cuba is not included in the priceabove.

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PLACENTAL HISTOTHERAPY PROGRAMS

Having evaluated the case, the specialist determines the length of treatment andindicates the number of bottles of the therapeutic product to be used. The value of eachproduct is as follows:

• Piloactive Lotion (200ml): $13.25 CUC.

• Piloactive Shampoo (200ml): $5.10 CUC.

Our experts recommend the suspension all skin treatments 45 days before the arrivalto Cuba.

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Chapter 4

GENERAL SURGERY ANDGYNECOLOGY PROGRAMS

4.1 Conventional surgery and microsurgery

There are several diseases where the only treatment option is surgery. Advances in med-ical sciences and in particular Surgery and Anesthesiology, allow a quick and effectivesolution with minimal risk, so you can achieve a happy recovery and return to your usualactivities.

We have highly skilled human resources and advanced technology to help you re-cover your health and improve your quality of life.

All these programs include: hospitalization, doctor fees, pre-operative screening,basical tests, surgery, right to the operating room, surgical specimen biopsy when indi-cated, right to anesthesia and recovery.

Exclude: Medicines, disposables, blood derivatives or substitutes and artificial sup-porting materials when indicated.

No. entity Surgical Inter-vention

Hospita-ization

Anaesthesia Price CUC

1 breast nodule Excision ofthe nodule andbiopsy

3 General 2163.00

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GENERAL SURGERY AND GYNECOLOGY PROGRAMS


Hospita-ization


2 Breast nodule(breast cancer)

Quadrantectomywith axillarydissection

10 General 2970.00

3 breast carcinoma Radical mastec-tomy

14 General 3170.00

4 breast carcinoma Radical mas-tectomy withaxillary dissec-tion

10 General 4313.00

5 Gastric Tumor Sub-total-GastrectomyBilroth II

11 General 4623.00

6 Right Colon Tu-mor

Right hemicolec-tomy

12 General 4503.00

7 Left Colon Tu-mor

Left hemicolec-tomy

14 General 4713.00

8 Thyroid Nodule Hemithyroidectomy7 General 27739 hyperfunctioning

goiterSubtotal thy-roidectomy

11 General 3378.00

10 Epigastric Hernia Epigastricherniorrhaphy

3 General 1433.00

11 Umbilical Hernia Umbilicalherniorrhaphy

Regional 3 1333.00

12 Inguinal Hernia Inguinal hernior-rhaphy

Regional 3 1533.00

13 Inguinal Herniareproduced once

Inguinal hernio-plasty with mesh(Not includingthe cost of themesh)

4 Regional 1853.00

14 Inguinal Herniareproduced morethan once

Inguinal herniarepair with mesh(Not includingthe cost of themesh)

6 Regional 2283.00

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4.1 Conventional surgery and microsurgery


Hospita-ization


15 Incisional HerniaMedium size (5to 10 cm)

Incisional hernio-plasty withProsthesis (sur-gical mesh) (notincluding the costof the mesh)

7 General 2203.00

16 Incisional HerniaLarge size (of +10 cm)

Large hernio-plasty (+10 cmdiameter) withIncisional pros-thesis (surgicalmesh) (mesh notincluded)

10 General 2793.00

17 Incisional HerniaSmall size (- 5cm)

Incisional hernio-plasty withProsthesis (sur-gical mesh) (notincluding the costof the mesh)

5 General 1713.00

18 Varicocele Spermatic veinsligation

3 Regional 1513.00

19 Spermatic ductsligation

Vasectomy 2 Local 775.00

20 Uterine Myoma. Myomectomy 7 General 2648.0021 Uterine fibromy-

omaAbdominal Hys-terectomy

7 General 2868.00

22 Bicornate uterus(Uterine septum)

Metroplasty 7 General 2848.00

23 Rectocistocele Anterior and pos-terior colporrha-phy

5 Regional 1998.00

24 Rectocistocelewith UrinaryIncontinence

Anterior and pos-terior colporrha-phy and Kelly pli-cation

7 Regional 2178.00

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Hospita-ization


25 Genital Prolapse Anterior and pos-terior colporrha-phy. Vaginal cer-vical amputation

3 Regional 2378.00

26 Uterine prolapse Vaginal Hys-terectomy

5 Regional 2648.00

27 High Grade SIL(SIL II)

Conization andcurettage

2 Regional 1201.00

28 Bartholin’s glandcyst

Exeresis ofBartholin’s glandcyst

0 General 656.00

29 Bartholin’s glandcyst

Marsupializationof Bartholin’sgland

1 General 686.00

30 up to 12 weeksPregnancy

Termination ofpregnancy

0 General 449.00

31 Pregnancy over12 weeks to 20weeks.

Terminationof pregnancy.Therapeuticcurettage

4 General 1649.00

32 DysfunctionalUterine Bleeding(DUB)

Diagnosticendometrialcurettage

0 General 756.00

33 Ongoing, de-ferred or incom-plete Abortion

TherapeuticCurettage

0 General 456.00

4.2 Minimally Invasive Surgery Programs

In the last decade, the techniques of Minimally Invasive Surgery have developed verymuch. This involves doing surgery through small holes to remove organs and performseveral surgical procedures, avoiding large wounds. These techniques have the follow-ing advantages:

• Less invasive and more esthetic.

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4.2 Minimally Invasive Surgery Programs

• The patient may be discharged early.

• Social life of the patient may restart a few days after surgery.

• Patients have fewer complications than with traditional techniques.

We have multidisciplinary medical teams composed of endoscopy surgeons, spe-cialized radiologists, experienced anesthesiologists, nursing staff and technicians withexpertise and high quality instruments.

All these programs include: hospitalization, doctor fees, pre-operative screening,basic diagnostic tests, surgery, right to the operating room, surgical specimen biopsywhen indicated, right to anesthesia and recovery.

Exclude: Medicines, disposables, blood derivatives or substitutes and artificial sup-port materials when indicated.

No. Entity Surgical inter-vention

HospitalizationAnesthesia Price CUC

1 Peptic Ulcer VagotomyPost.C. Anteriorhighly selectivevagotomy

3 General 2963.00

2 Recurrent pepticulcer with incom-plete vagotomy.

Transthoracicvagotomy

4 General 3458.00

3 Splenectomy. Videolaparoscopywith splenectomy

6 General 3062.00

4 Hiatal hernia.Gastroesophagealreflux disease.

Antireflux Tech-nique (valvulo-plasty of Nissenor Toupet’s )

3 General 3593.00

5 Esophageal acha-lasia.

Heller’s my-otomy of sub-sequent withposterior andselective anteriorvagotomy

4 General 3463.00

6 Varicocele Ligation of sper-matic vessels

3 General 1983.00

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7 Appendicitis Appendectomy 2 General 1923.008 Adrenal gland tu-

morsvideoendoscopy.Adrenalectomy

12 General 5673.00

9 Recurrent Pneu-mothorax

videothoracoscopy.Resection of bull.Parietal pleurec-tomy.

8 General 3628.00

10 Uterine diseasesof various causes.

LaparoscopicAssisted VaginalHysterectomy

7 General 3493.00

11 Paraovarian Cyst Exeresis of thecyst by laparo-scopic unilateral

3 General 1983.00

12 Polycysticovaries.

Section of ovariesby laparoscopy

3 General 1883.00

13 Ovarian tumor. Unilateraloophorectomy

General 3 1983.00

14 Pelvic En-dometriosis

Contrasted video-laparoscopy. Va-porization of theendometrium fociby Argon plasma

3 General 1803.00

15 Castration B¡lateraloophorectomy

3 General 2183.00

16 Unilateral Hy-drosalpinx

Unilateral salp-ingectomy

3 General 1983.00

17 Bilateral Hydros-alpinx

Bilateral salp-ingectomy

3 General 2183.00

18 Tubal Infertility contrasted video-laparoscopy withunilateral tubalplasty surgery

3 General 2253.00

19 Tubal Infertility contrasted video-laparoscopy withbilateral tubalplasty surgery

3 General 2353.00

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4.3 Pregnancy termination



20 Previous TubalLigation (Rever-sal)

ContrastedLaparoscopy.End-to-end tubalanastomosis bymicrosurgery

7 General 2713.00

21 Multiparity Sterilization bylaparoscopy

2 General 1378.00

22 Tubal pregnancy 2 SalpingectomyGeneral 1723.0023 Ectopic preg-

nancyvideolaparoscopywith unilateralsalpingostomy

3 General 1813.00

24 Study of infertil-ity in female

contrasted video-laparoscopy

5 General 3036.00

25 Study of infertil-ity in male infer-tility

– Ambulatory General 540.00

4.3 Pregnancy termination


• Specialized Medical Consultation in Gynecology.

• Laboratory tests Hemoglobin. Hematocrit. Erythrocyte sedimentation rate. Dif-ferential white blood cell count. Determination of blood type and RH factor.Quantitative serology (VDRL). HIV. Cyturia. Glycemia. Creatinine.

• Microbiological tests: Vaginal discharge. Endocervical exudate.

• imaging investigations: Gynecological ultrasound.

• Interruption of Pregnancy Right of operating room (minor surgery), right to anes-thesia and post-operative resuscitation.

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4.4 Evaluation of infertile couples

One of the fondest dreams of couples is to give continuity to the family. In case ofdifficulty the cause can be determined and dreams may become true.

These programs can be made within 10 days of hospitalization or as ambulatoryservice. For this, the woman must come before the 5th. day of her menstrual cycle withher partner.

The program fee for couples is 2615.00 CUC with hospitalization, and 1515.00CUC for the outpatient variant. The description of the programs is listed below, withthe names of: Evaluation of female infertility and Evaluation of male infertility.

4.5 Evaluation of infertility in women.

include:

• 10 Nights of hospitalization. (Accommodation, nursing care and physician care,appraisal and preparation of medical history, meals).

• Laboratory Tests Erythrocyte sedimentation rate. Differential white blood cellcount. Blood type and RH factor Complete coagulation. CBC. Quantitative serol-ogy. VDRL HIV. Cyturia. Glycemia. Creatinine. FSH (Follicle StimulatingHormone) and LH (Lutenizing Hormone) Estrogen. Progesterone and prolactin.

• Other tests: Vaginal discharge and vaginal cytology. Sperm penetration test andcervical Test

• imaging studies: Hysterosalpingography. Skull and Sella radiography. Transvagi-nal ultrasound.

• Instrumentation and diagnostic examination: Contrasted Laparoscopy .

4.6 Evaluation of male infertility.

include:

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4.7 Evaluation of male sexual dysfunction.

• 10 nights in hospital (as companion). (Accommodation and meals).

• tests: Cultures and antibiograms. Testosterone. Spermatic vein Doppler exami-nation. Semen analysis.

4.7 Evaluation of male sexual dysfunction.

This program can also be performed as an outpatient service.

This program include:

• 4 nights of hospitalization (Accomodation, medical and nursing care, initial eval-uation and preparation of medical history, meals).

• Specialized medical Interconsultation of psychology

• Clinical laboratory studies:

hemoglobin.

hematocrit.

erythrocyte sedimentation rate (ESR).

differential Leucogram.

quantitative serology.

HIV.

Glycemia.

Cholesterol.

triglycerides.

Testosterone.

FSH.

LH.

Prolactin.

Penile-brachial index at rest and after exercise.

Penile Doppler with prostaglandin.

conduction velocity of dorsal penile nerve.

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Study of cavernous bulb reflex and somatosensory evoked potentials (SSEP)for erigens nerve stimulation.

• specialized medical consultation and prescription of treatment.

Price: $ 1425.00 CUC.

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Chapter 5

COSMETIC SURGERY PROGRAMS

5.1 Cosmetic Surgery Programs

The desire to give the human figure, the profiles closest to perfection, has been from theearliest times endeavors of mankind.

The esthetic issue has at the present time, and related to the increasing life ex-pectancy, an impressive force that motivates our specialists to develop and create so-lutions to these problems.

Plastic surgery today, with the incorporation of technological advances, guaranteesimproving the quality of life of individuals, providing solutions, not only to disordersassociated with skin aging, but also to congenital or acquired deformities.

For those looking for a better quality of life, we offer the latest techniques and pro-grams developed and implemented by experienced teams of specialists at competitiveprices.

All these programs include: hospitalization, pre-operative check-up, right to theoperating room, anesthesia, surgery and medical fees.

Exclude: drugs, blood or blood products if needed.

According to the type of surgery the patient must remain in the country for several

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days after discharge, to complete its outpatient treatment, complying with the indica-tions of the doctor that includes the time to be spent on the island.

Hair implants requires 3 to 4 implant sessions with 3 to 4 months of waiting betweeneach session.

The costs for the companion are not covered by this program. It represents andaddional cost of $ 40.00 CUC a day, comprising: accomodation and meals.

No. Surgical Intervention Hospitalizationin private room(nights)

Anesthesia Price CUC

1 Mastopexy. Remodeling ofthe shape of the breasts

3 General 1430.00

2 Augmentative Mastoplasty(excludes price of the pros-thesis). Increasing volume ofbreasts by prosthesis

2 General 1390.00

3 Abdominoplasty (abdominallipectomy, tummy tuck). Skinstretching and abdominal fatremoval

5 General 2340.00

4 Abdominoplasty (abdominallipectomy, tummy tuck) Skinstretching and abdominal fatremoval

5 Regional 2040.00

5 Dermolipectomy of arms.Skin tightening and fatremoval of the arms

3 General 2085.00

6 Dermolipectomy of thighs.Stretch fat removal and skinof the thighs

5 Regional 1700.00

7 Neck and jowl liposuction.Submental fat aspiration

0 Local 890.00

8 Liposuction of arms. Aspira-tion of fat arms

1 Local 900.00

9 Abdominal liposuction. As-piration of abdominal fat

1 General 1570.00

10 Abdominal liposuction . As-piration of abdominal fat

1 Regional 1410.00

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11 Hip liposuction. Aspirationof fat from the hips

1 Regional 1110.00

12 Thigh Liposuction . Aspira-tion of fat in the thighs

2 Regional 1090.00

13 Buttocks liposuction. Aspira-tion of fat in the buttocks

2 Regional 1110.00

14 Liposuction of knees. Aspira-tion of fat knees

1 Local 890.00

15 Liposuction of thighs, hipsand abdomen. combined as-piration of fat

3 General 2295.00

16 Liposuction of buttocks andhips. combined aspiration offat

2 Regional 1495.00

17 Liposuction of thighs andhips. combined aspiration offat

2 General 1675.00

18 Liposuctionof thighs andhips. combined aspiration offat

2 Regional 1495.00

19 Lumbar Liposuction. Aspira-tion of lower back fat

0 Local 750.00

20 Lumbar Liposuction. Aspira-tion of fat in the lower back

1 General 905.00

21 Lumbar and abdominal lipo-suction. combined aspirationof fat

2 General 1650.00

22 Mini liposuction of hips. suc-tion of small fat deposits fromhips

0 Local 750.00

23 Mini liposuction of butt. suc-tion of small fat deposits frombuttocks

0 Local 750.00

24 Miniabdominoplasty. Min-imal stretching of skin andminimal fat removing fromabdomen

2 General 1550.00

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25 Miniabdominoplasty. Min-imal stretching of skin andminimal fat removing fromabdomen

2 Regional 1550.00

26 Punch grafts hair trasplants.Autologous hair transplanta-tion for baldness

1 Local 1050.00

27 Blepharoplasty, removal ofloose skin and fat from theeyelids

1 Local 990.00

28 Frontal glabellar rhytidec-tomy. Stretch wrinkles onthe forehead and betweeneyebrows

2 General 1475.00

29 Frontal rhytidectomy. Stretchforehead wrinkles

0 Local 850.00

30 facial frontoglabellarrhytidectomy. Stretch fa-cial, forehead and frownwrinkles

4 General 2540.00

31 Rhytidectomy cervico facial(excludes eyelids). Stretch fa-cial and neck wrinkles, ex-cluding eyelids

4 General 2270.00

32 Rhytidectomy cervico facial(including eyelids). Stretchfacial and neck wrinkles, in-cluding eyelids

5 General 2600.00

33 Neck Rhytidectomy. Stretchneck wrinkles

3 General 1635.00

34 Neck Rhytidectomy. Stretchneck wrinkles

3 Local 1410.00

35 Lower Mini-Rhytidectomy.Stretch wrinkles of the lowerof the face

2 General 1500.00

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36 Lower Mini-Rhytidectomy.Stretch wrinkles of the lowerof the face

2 Regional 1355.00

37 Lower Mini-Rhytidectomywith blepharoplasty. Stretchwrinkles of the lower third ofthe face and eyelid

3 General 1940.00

38 Minirritidectomía lower ble-pharoplasty. Stretch wrinklesof the lower third of the faceand eyelid

3 Local 1715.00

39 Rhinoplasty. To reshape orresize the nose

5 General 1710.00

40 Otoplasty. To reshape or re-size the ears

0 Local 810.00

41 Perfiloplasty (excludes priceof the prosthesis). Estheti-cally enhancing of nose andchin

5 General 2170.00

42 Augmentative Mentoplasty(excludes price of the pros-thesis), chin augmentationwith prosthesis

2 Local 1390.00

43 Nose tip reshaping. Estheti-cally enhancing the tip of thenose

0 Local 750.00

44 Mechanical facial dermabra-sion. Treatment of irregular-ities of the facial skin (acne,scars. Surface wrinkles)

3 General 1390.00

45 Mechanical facial dermabra-sionl. Treatment of irregular-ities of the facial skin (acne,scars. Surface wrinkles)

3 Local 1225.00

46 Facial chemical peel. Treat-ment of skin irregularitieswith chemicals

2 Local 1095.00

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47 Mechanical perioral der-mabrasion. Treatment ofirregularities (wrinkles) ofthe lips

3 Local 980.00

48 Chemical perioral dermabra-sion. Treatment of irregulari-ties (wrinkles) of the lips withchemicals

2 Local 890.00

49 Cervicofacial rhytidectomyand reductive mastoplasty.Stretching of wrinkles of theface and neck with reductionof breast size

5 General 3045.00

50 Reductive Mastoplasty. Re-duction of breasts size

4 General 2010.00

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Chapter 6

Maxillofacial Surgery Programs

6.1 Orthognathic surgery Programs

Dento-maxillo-facial disharmonies are frequent disorders produced by alterations ofanatomical bone structures such as the jaw, maxilla and mandible, or combinations ofthese, which sometimes causing serious mechanical limitations and even aestheticalproblems to patients.

Our centers have highly qualified professionals and diagnostic tools for the evalua-tion of these patients, and also plan the surgical treatment and even predict the results inany kind of dento-maxillo-facial disharmony.

If you decide to be treated in any of our institutions for a dento-maxillo-facial dishar-mony, first you must choose one of two proposed evaluation programs (inpatient or out-patient). Upon completion of the evaluation, a surgical program is designed accordingto the type of disharmony diagnosed.

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No. Entity Surgical Inter-vention

hospitalizationin privateroom(nights)

anesthesia Price CUC

1 Dento-maxillo-facial Dishar-monies

Evaluation,planning and pre-diction of Dento-maxillo-facialDisharmonies(Inpatient)

2 General 540.00

2 Dento-maxillo-facial Dishar-monies

Evaluation,planning and pre-diction of Dento-maxillo-facialDisharmonies(Ambulatory)Outpatient

420.00

3 Dento-maxillo-facial Dishar-monies caused byChin

Mentonoplastiawith Osteotomy

7 General 2663.00

4 Dento-maxillo-facial Dishar-monies caused bymaxilla

Lefort I Os-teotomy

9 General 5003.00

5 Dento-maxillo-facial Dishar-monies caused byJaw

Intraoral sagittalosteotomy

9 General 4503.00

6 Dento-maxillo-facial Dishar-monies caused bymaxilla and Jaws

Lefort I os-teotomy, In-traoral SagittalOsteotomy,Mentonoplastia

9 General 6993.00

7 Dento-maxillo-facial Dishar-monies caused bythe jaw and chin

Lefort I os-teotomy, plastyof chin

9 General 5813.00

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6.1 Orthognathic surgery Programs


hospitalizationin privateroom(nights)

anesthesia Price CUC

8 Dento-maxillo-facial Dishar-monies caused bythe jaw and chin

intraoral Sagit-tal Osteotomy.plasty of chin

9 General 5133.00

9 Dento-maxillo-facial Dishar-monies causedby maxilla andmandible

Lefort I os-teotomy, In-traoral sagittalosteotomy

9 General 6363.00

10 Dento-maxillo-facial Dishar-monies caused byMaxillary

Lefort I Os-teotomy withsegmentation

9 General 5683.00


upper segmentalosteotomy

9 General 3503.00


lowers segmentalosteotomy

9 General 3003.00


upper+ lowersegmental os-teotomy

9 General 4143.00

14 Dento-maxillo-facial Dishar-monies caused byJaw and Chin

Upper, Lowersegmental os-teotomy, plastyof chin (mento-plasty)

9 General 4773.00

All theses programs include: Hospitalization, medical fees, pre-operative screening,surgery, use of operating room, anesthesia and recovery right.

Exclude: Blood, derivatives or blood substitutes, medicines, disposables and otherexpenses.

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Chapter 7

OTOLARYNGOLOGY PROGRAMS

7.1 Otolaryngology Programs

Diseases of the throat, nose and ears are common and occur in different stages of life,affecting children, young people and adults. When an individual has any of these dis-eases, important functions for life like hearing, breathing, voice, taste, etc. are affectedtoo to a greater or lesser extent. Besides, this represents a real threat to other organs thatsometimes are also involved.

Early treatment is important for all ENT conditions, especially when many of themhave a curative treatment in early stages through novel surgical techniques, which inshort time restores the health status.

These programs exclude: medicines, or blood derivatives.

Include: hospitalization, pre-operative check-up, right to the operating room, anes-thesia, surgery and medical fees.


Hospitalizationin a pri-vate room(nights)


1 Chronic Tonsilli-tis

Tonsillectomy 2 General 1193.00

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Hospitalizationinapri-vateroom(nights)


2 Chronic Tonsilli-tis

Tonsillectomy 2 Local 958.00

3 Chronic Ade-noiditis

Adenoidectomy 2 General 1063.00

4 Chronic Adeno-tonsillitis

Adenotonsillectomy3 General 1323.00

5 Chronicle Max-illary Sinusitis.Senomaxilar cyst

Endoscopicantrotomy

3 General 1733.00

6 Unilateral Maxil-lary Sinusitis

unilateral Cad-wellLuc

4 General 1523.00

7 Chronic Hyper-trophic Rhinitis

Turbinotomywith Laser

3 General 1333.00

8 Chronic Hyper-trophic Rhinitis

turbinate reduc-tion with argonplasma

3 General 1553.00

9 Nasal Polyposis Simple endo-scopic polypec-tomy

4 General 1948.00

10 Septal deformity(nasal septum)

Septoplasty 3 General 1733.00

11 Chronic OtitisMedia

Attico-anthrotomy andTympanoplasty

7 General 3663.00

12 Serous Otitis Me-dia

TranstympanicDrainage

2 General 1383.00

13 Chronic Pseu-domyxomatousLaryngitis.Polyps, nodules,etc ...

Direct laryn-goscopy lesionexeresis bymicrosurgery (in-cluding biopsy)

3 General 1533.00

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7.2 Sensorineural hearing loss Program for children and adults.

Hospitalizationinapri-vateroom(nights)


14 Transtympanicperforation

Myringoplasty 2 General 1463.00

All these programs include: hospitalization, pre-operative check-up, right to theoperating room, anesthesia, surgery and medical fees.

Exclude: medicines, blood or derivatives.

7.2 Sensorineural hearing loss Program for children andadults.

Disease: sensorineural hearing loss.

Sensorineural hearing loss is due to a damage of the cochlea in the inner ear, whichmay be congenital or late, often leaving remains of hearing. The hearing loss is causedby metabolic failures, usually oxygen deficit in several parts of the inner ear.

Ozone and Lasers have the property of acting on the metabolism of oxygen, causinga beneficial stimulus in the neuroendocrine system, improving the metabolic conditionsin the affected areas that are dependent on oxygen and need it to produce an appropri-ate response. The combination of these procedures produce a recovering effect of thedamaged functions.

Include:

• 21 nights of Hospitalization

• Otolaryngology Specialty Care

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• Diagnostic studies: T3, T4 and TSH. Mastoid radiograph (2 views) Erythrocytesedimentation rate. Hemoglobin. Differential white blood cell count holesteroland Triglycerides. Pre-and post- pandrial glycemia IGG, IGA, IGE, IGM. C3 andC4. Potenciales evocados auditivos de tallo encefálico. auditory evoked potentialsof brain stem. Audiometry (2) and Logoaudiometry Tympanometry.. Sisi’s test.

• Laserpuncture (15 sessions)

• Language Rehabilitation (10 sessions)

• Ozone therapy (15 sessions)

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Chapter 8

ORTHOPEDIC PROGRAMS

8.1 Orthopedic programs.

Diseases of the Osteomioarticular system are one of the most common causes of dis-ability making it difficult, to those who suffer, the enjoyment of a fruitfull and usefullife, personally and in the family or work environment.

These Orthopedic programs exclude: Blood, derivatives or blood substitutes andmedication. According to the intervention it might require surgery prosthesis or os-teosynthesis material whose cost is not included in the program.

Includes: Hospitalization, medical fees, pre-operative screening, surgery, use ofoperating room, anesthesia and recovery right

No. Entity Surgical Intervention hospitalization*

AnesthesiaPriceCUC

1 Degenerative Arthropa-thy of hip

Total Hip Arthroplasty 20 Regional 12420.00

2 Hip Deformity Hip Corrective Os-teotomy

14 Regional 6975.00

3 Hip Flexion Contrac-ture

Hip flexors Stretching 21 General 3930.00

4 Lumbar disc herniation Lumbar Discectomy 10 General 3865.00

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ORTHOPEDIC PROGRAMS


AnesthesiaPriceCUC

5 Lumbar disc herniation(recurrent)

Discectomy and Liber-ation of roots, Lumbar

14 General 4770.00

6 Lumbar disc herniation Lumbar Discectomy +Posterior Lumbar In-terbody Fusion (PLIF)with titanium implant(1 space)

10 General 4363.00

7 Lumbar disc herniation Lumbar Discectomy +Posterior Lumbar In-terbody Fusion (PLIF)with titanium implant(2 spaces)

10 General 4863.00

8 Cervical HerniatedDisc

Cervical Discectomy 7 General 6977.00

9 Dorsal [thoracic] spinalcord compression

Anterior decompres-sion and stabilizationof dorsal [thoracic]column

13 General 6518.00

10 Dorsal [thoracic] spinalcord compression

Posterior decompres-sion and stabilizationof dorsal [thoracic]column

13 General 6518.00

11 Lumbar spinal cordcompression

Anterior decompres-sion and stabilizationof lumbar column

13 General 6238.00

12 Lumbar spinal cordcompression

Posterior decompres-sion and stabilizationof lumbar column

6 General 6238.00

13 Cervical spinal cordcompression

Anterior decompres-sion and stabilizationof Cervical Spine

9 General 5160.00

14 Cervical spinal cordcompression

Posterior decompres-sion and stabilizationof Cervical Spine

9 General 5660.00

15 Scoliosis - 60 degrees Correction of Scoliosis- 60 degrees

14 General 5750.00

16 Scoliosis + 60 degrees Correction of Scoliosis+ 60 degrees

27 General 7920.00

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8.1 Orthopedic programs.


AnesthesiaPriceCUC

17 Kyphosis between 40and 60 degrees

Correction of kyphosisbetween 40 and 60 de-grees

14 General 5750.00

18 Kyphosis of + 60 de-grees

Correction of kyphosisof + 60 degrees

27 General 7920.00

19 Degenerative osteo-arthropathy of theknee

Knee Arthroplasty withUnilateral ProstheticImplant

Regional 14 4615.00

20 Bilateral degenerativeosteo-arthropathy ofthe knee

Knee Arthroplasty withBilateral Prosthetic Im-plants

Regional 14 9420.00

21 Degenerative osteo-arthropathy of Elbow

Elbow Arthroplasty 7 Regional 8040.00

22 Degenerative osteo-arthropathy of Shoulder

Shoulder Arthroplasty 7 Regional 9705.00

23 Hip osteoarthropathy Endoprosthetic Hip Re-placement

7 Regional 12430.00

24 Angular deformity ofthe Knee

Unilateral Knee correc-tive osteotomy

21 Regional 3815.00

25 Angular deformity ofthe Knee

Bilateral Knee Correc-tive Osteotomy

Regional 21 4940.00

26 Deformity of humerus corrective osteotomyhumerus

7 Regional 4675.00

27 Bilateral deformity oftibia

Bilateral Tibia correc-tive osteotomy

7 Regional 8270.00

28 Deformity of femur Femur Osteotomy 7 Regional 5500.0029 Knee Flexion Contrac-

tureStretching of KneeFlexors

14 General 3240.00

30 Internal unilateralpatellar disarrangement

Unilateral TherapeuticArthroscopy

3 Regional 1923.00

31 Internal unilateralpatellar disarrangement

Unilateral TherapeuticArthroscopy

3 General 2113.00

32 Internal bilateral patel-lar disarrangement

Bilateral TherapeuticArthroscopy

4 Regional 3063.00

33 Internal bilateral patel-lar disarrangement

Bilateral TherapeuticArthroscopy

4 General 3465.00

34 Deformity of Foot Arthrodesis of the rear-foot

10 Regional 2820.00

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ORTHOPEDIC PROGRAMS


AnesthesiaPriceCUC

35 Carpal tunnel syn-drome (CTS)

Carpal tunnel release[Median Nerve decom-pression]

ambulatoryRegional 1170.00

* Hospitalization in private room (nights).

8.2 Other programs

No. Entity hospitalization AnesthesiaPriceCUC

1 Bilateral avascular necrosis ofFemoral Head

7 Regional 6040.00

2 Perthes and joint conditions withHyperbaric Chamber

7 Regional 10535.00

3 Spondylolisthesis - transpedicularscrew fixation

7 Regional 7730.00

4 Bilateral tibial bone elongation 7 General 14615.005 Exploration of Lumbo Sacral Spine

and posterior lumbar fusion7 General 7312.00

6 7 Club-hand Regional 5017.007 Evaluation and Treatment of Cervi-

cal Herniated Disc7 6977.00

8 Brachial Plexus 7 General 9875.009 Pollicization of the index finger 7 Regional 4735.0010 Evaluation for Scoliosis Surgery

(Child)9577.00

11 Comprehensive Orthopedic Medi-cal Checkup

7 1475.00

In every case, the hospitalization correspond only to the first stage of evaluation, diag-nosis and surgery.

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8.3 Orthopedic Rehabilitation Program.

8.3 Orthopedic Rehabilitation Program.

Accident and its sequels have become a health problem worldwide as well as muscu-loskeletal diseases, associated with increased life expectancy. This program offers thepossibility of performing a treatment of physical medicine with the primary aim of re-lieving pain and improving the quality of life in a non-hospital setting of comfort andnatural beauty.

• Phase I: Evaluation (3 days) Consultation with specialists in medicine, psychol-ogy, orthopedics, and/or Rheumatology and Physical Medicine and Rehabilita-tion. Psychological Evaluation.

• Phase II: Treatment. Physiatric treatment which may include:

– Gymnasium.

– Hydrotherapy.

– Lasertherapy.

– Magnetotherapy.

– Analgesic Electrotherapy.

– Infrared Heat.

– Partial Massage.

– Psychotherapeutic treatment.

– Reconsultation with physiatry.

• Includes: Accomodation at the Centro Internacional de Salud La Pradera (Inter-national Health Center La Pradera). AP Plan (breakfast, lunch and dinner)

Duration (days) Single room Double room (*)15 2590.00 CUC 3220.00 CUC21 3670.00 CUC 4570.00 CUC30 4960.00 CUC 6265.00 CUC

* Patient with a companion

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ORTHOPEDIC PROGRAMS

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Chapter 9

INTERNAL MEDICINE PROGRAMS

9.1 Evaluation of rheumatoid arthritis.

The espenses for the companion are not covered by this program, representing an addi-tional cost of $ 40.00 CUC daily that comprises: accomodation and meals.

This program does not include the transfer.

Includes: Specialized care internal medicine

21 Nights of hospitalization. (Hospitalization in private room, air conditioning,medical and nursing care, scheduled diagnostic tests and poliphysiotherapy).

Medical interconsultation with rehabilitation

Additional consultation with rehabilitation (2)

Diagnostic tests: Erythrocyte sedimentation rate (ESR). Antinuclear antibodies.Complete coagulogram. Quantitative Serology. (VDRL). HIV. Addis count. 24-hoursproteinuria . Glycemia. Creatinine. SGOT and SGPT. Electrophoresis of Proteins.alkaline phosphatase. Chest X ray. Articular radiographic Survey. Upper abdominalultrasound (inc. Photo). Urate. Electrocardiogram.

poliphysiotherapy (24 sessions).

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Ozone (5 sessions).

Price: $ 3757.00 CUC

Excludes: Cost of biomoduline T (BT) for 6 months of treatment: $ 2864.00 CUC

9.2 Multiple Sclerosis



Includes Specialized Internal Medicine care.

Medical Interconsultation with neurology. Medical Interconsultation with rehabili-tation.

Additional consultation with rehabilitation (2).

21 Nights of hospitalization. (Hospitalization in private room, air conditioning,medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.)

Diagnostic tests: ALAT test Electrocardiogram. Chest X ray. Cyturia Glycemia.Creatinine Erythrocyte sedimentation rate (ESR).. Quantitative Serology. (VDRL).Stool. Nuclear Magnetic Resonance of skull. Electrophoresis of Proteins. Electrophore-sis of cerebrospinal fluid (CSF). Lipids. IgG, IgA and IgM. Anti-DNA antibodies.Antinuclear antibodies. HLA-D. Short latency median nerve SSEPs (Somatosensoryevoked potentials ). Posterior tibial nerve SSEP (Somatosensory evoked potentials ).Auditory evoked potentials. Magnetic stimulation-motor evoked potential MEPs Visualevoked potentials. Poliphysiotherapy (22 sessions). Ozone therapy (15 sessions).


Excludes: Cost of biomoduline T (BT) for 6 months of treatment: $ 1,850.00CUC.

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9.3 Systemic Lupus Erythematosus.

9.3 Systemic Lupus Erythematosus.



Includes Specialized internal medicine care.


Diagnostic tests: Simple skin biopsy (2). Electrocardiogram. Doppler echocar-diography. Chest X ray. Upper abdominal ultrasound Minimal coagulogram. Erythro-cyte sedimentation rate (ESR).. CBC. Uric acid. Creatinine. Protein electrophoresis.Glycemia. Urea. Anti-DNA antibodies. Antinuclear antibodies. LE Cells test (2).Quantitative Rheumatoid factor . Circulating immune complexes Cyturia. H.I.V. Serol-ogy (V.D.R.L.). C-reactive protein. Glomerular filtration rate by endogenous creatinineclearance. 24-hour proteinuria.

Price: $ 2,532.00 CUC.

Excludes: Cost of biomoduline T (BT) for 6 months of treatment: $ 1,850.00 CUC.

9.4 Diabetes Mellitus.

Diabetes Mellitus is one of the most common diseases in the world. It is of chronicnature and inadequate management leads to serious disorders of systems and organsthat are vital to maintain a useful and productive life. Once under control you will beable to perform daily activities by yourself and avoid risks associated with other chronicnoncommunicable diseases that may lead to serious complications avoidable.

The espenses for the companion are not covered by this program, representing anadditional cost of $ 40.00 CUC daily that comprises: accomodation and meals.


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Medical Interconsultation with endocrinology.

Medical Interconsultation with ophthalmology.

Diagnostic tests: Electrocardiogram. Glycated [Glycosylated] Haemoglobin (HbA1c)Chest X ray. Upper abdominal ultrasound CBC. Uric acid. Creatinine. Glycemia (6).Full lipid panel. Urea. Cyturia. Microalbuminuria. Insulinemia. Motor and sensorynerve conduction of the 4 members.

Price: $ 4,256.00 CUC.

9.5 Chronic obstructive pulmonary disease (COPD)

This disease of chronic nature, may progressively lead to fatal complications of vitalorgans and even organ systems. We offer you the knowleadge of your real health con-dition and learn a number of measures to reduce the levels of risk associated with thisdisease.




Medical Interconsultation with rehabilitation.

Additional Medical consultation with rehabilitation (2).


Diagnostic tests: Electrocardiogram. Doppler echocardiography. Chest X ray. Ery-

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9.6 Evaluation of digestive diseases.

throcyte sedimentation rate (ESR). CBC. Uric acid. Creatinine. Complete blood gases.Glycemia. Full lipid panel. Cyturia. Pulmonary function tests. Rectal ozone therapy(15 sessions). poliphysiotherapy (15 sessions).

Price: $ 3,099.00 CUC.

9.6 Evaluation of digestive diseases.

Dyspeptic syndrome may be the expression of various diseases referred to the upperdigestive system such as chronic gastritis, gastric or duodenal ulcer and liver diseases.Diagnosed early, it will be possible to take the necessary measures to prevent majorcomplications.





Diagnostic tests: Electrocardiogram. Duodenal smear. Helicobacter pylori testChest X ray. Upper abdominal ultrasound Stools. Erythrocyte sedimentation rate (ESR).CBC. Uric acid. Creatinine. Alkaline phosphatase. Gamma-glutamyl transferase Glycemia.Full lipid panel. ASAT. ALT. Pancreatic amylase. Biliary drainage. Elective Videoesophagogastroduodenoscopy (EGD) (includes room and sedation).


9.7 Chronic liver disease.


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14 nights of hospitalization. (Hospitalization in private room, air conditioning, med-ical and nursing care, scheduled diagnostic tests and poliphysiotherapy.)

Medical Interconsultation with gastroenterology.

Diagnostic tests: Electrocardiogram. Chest X ray. Upper abdominal ultrasoundMinimal coagulogram. Erythrocyte sedimentation rate (ESR). CBC. Uric acid. Albu-min. Bilirubin (2). Creatinine. Protein electrophoresis. Alkaline phosphatase. Gamma-glutamyl transferase Glycemia. Full lipid panel. Total proteins. ASAT. ALT. H.I.V.Serology (V.D.R.L.). Hepatitis B antigen (HBsAg). Hepatitis C antigen (HCV-AC).Videolaparoscopy with liver biopsy (including biopsy).

Right to the operating room.

Right to anesthesia.

Price: $ 2,935.00 CUC.

9.8 Exogenous obesity. (Evaluation and treatment).

Obesity is the excessive weight gain by accumulation of fat. It is an important risk factorfor many diseases to the extent that it may limit quality of life and it have an adverseeffect on health.

The aesthetics of the human being is essentially based on biotype and obesity iswhat most threatens adequate physical appearance.


7 Nights of hospitalization and 21 night stay. (Hospitalization in private room, airconditioning, medical and nursing care, scheduled diagnostic tests and poliphysiother-apy.)

Medical consultation with nutrition.

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9.8 Exogenous obesity. (Evaluation and treatment).

Medical consultation with psychology.

Medical consultation with rehabilitation.

Medical consultation with endocrinology.

Additional medical consultation with nutrition (2).

Additional medical consultation with psychology (11).

Additional medical consultation with rehabilitation (2).

Diagnostic tests: Electrocardiogram. Ergometer test. Doppler echocardiography.Chest X ray. Liver Ultrasound. Erythrocyte sedimentation rate (ESR). Hematocrit andhemoglobin. Leucogram differential. Uric acid. Albumin. Creatinine. Glycemia. Fulllipid panel. Benedict’s test, Imbert test (2). Cyturia. Nitrogen in urine (3).

Physiotherapy (33 sessions).

Price: $ 2,700.00 CUC.

We recommend continuing a cycle of 28 additional nights, 4 consultations with thefollowing specialties: Nutrition, Psychology and Physical Medicine and 44 additionalsessions of applied physiotherapy and diet therapy.

Additional cycle: $ 2000.00 CUC

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Chapter 10

TRANSPLANT PROGRAMS

10.1 Renal transplantation. Assessment program (re-cipient and donor).

The espenses for the companion are not covered by this program, representing an addi-tional cost of $ 40.00 CUC per day that comprises: accomodation and meals.


Includes:

• 14 Nights of hospitalization (recipient and donor). (Accomodation, medical andnursing care, initial evaluation and preparation of medical history, meals).

• Diagnostic tests:

– Hemoglobin. Platelets. Creatinine. Coagulogram

– Transferrin. Serology. HIV. Surface Antigen.

– Blood Group and RH factor. Toxoplasma.

– Cytomegalovirus. Glycemia. Electrophoresis of Proteins. Study of HLA.

– Glomerular filtration. Anti-Granulocyte Antibody for toxicity.

– Cross Match. Serum glutamic pyruvic transaminase (SGPT). Bilirubin. Urea.

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TRANSPLANT PROGRAMS

– Serum glutamic oxaloacetic transaminase (SGOT). Uric acid. Calcium. Urineelectrolytes.

– Phosphorus. Cyturia.

– Proteinuria (24-hours). Alkaline phosphatase

– Addis count. Metabolic Study

– Lipids. Nasal exudate.

– Throat exudate.

– Instrumental exploration

– Chest X-ray. (Recipient and Donor). Descending urogram (Donor).

– Bone Survey (Recipient). Voiding cystography (Recipient).

– X-ray of sinuses. (Recipient). Renal arteriography Femoral Puncture (Donor)

– Simple Urinary Tractus (Recipient) X-ray of the esophagus, stomach andDuodenum (Receiver)

– Electrocardiogram (Recipient). Renal ultrasound photo (Recipient and Donor).

– Echocardiogram (Recipient). Selective Angiography: Renal Mesenteric (Re-cipient).

• Specialized assessment and treatment prescription.


10.2 Renal transplantation. Program for renal trans-plantation. Recipient and living donor.

(The donor must be a compatible relative )

Dialysis are not included in the price of this program.

In order to perform the transplant it is essential that the patient comes with a com-patible family donor.

Expenses for the companion are not covered by this program, representing an ad-ditional cost of $ 40.00 CUC per day per day which includes: accommodation andmeals.

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10.3 Autologous bone marrow transplantation (Does not required donor).


Includes:

• 28 Nights of hospitalization (Recipient) (Accomodation, medical and nursingcare, meals).

• 14 Nights of hospitalization (Donor). (Accomodation, medical and nursing care,meals).

• Right to the operating room, anesthesia, surgery, postoperative resuscitation.

Price: $ 15000,00CUC

10.3 Autologous bone marrow transplantation (Does notrequired donor).

Evaluation program includes:

• 14 Nights of hospitalization for evaluation. (Accomodation, medical and nursingcare, initial evaluation and preparation of medical history, meals).

• Comprehensive medical examination.

• Highly specialized diagnostic tests: Hematologic tests. Immunologic test. Cyto-genetic tests. Molecular tests. Microbiological tests.

Price of evaluation: $ 6000.00 CUC.

Transplant program: This procedure involves extraction of bone marrow of patient(in the operating room under anesthesia), processing and subsequent transfusion underspecific conditions with the required hemotherapy, drug administration and monitoringby the team of specialists.

45 nights of hospitalization. (Accommodation, medical and nursing care, meals).

Price : $ 60000.00 CUC.

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TRANSPLANT PROGRAMS

If it were necessary to extend the stay, after coordination, the price will increase $3000.00 CUC per month.

Expenses for the companion are not covered by this program, representing an addi-tional cost of $ 40.00 CUC per day which includes: accommodation and meals.


10.4 Allogeneic bone marrow transplantation. Evalua-tion program. For the patient and donor.

• 14 Nights of hospitalization (recipient and donor). (Accomodation, medical andnursing care, initial evaluation and preparation of medical history, meals).

• Comprehensive medical examinations for recipient and donor.

• Highly specialized diagnostic tests: Hematologic tests. Immunologic test. Cyto-genetic tests. Molecular tests. Microbiological tests. ( for the patient, and whenerequired also the donor)

Studies of Histocompatibility (recipient and donor).

Price of evaluation: $ 6000.00 CUC.

Transplant program:

45 Nights of hospitalization (recipient) y 3 Nights of hospitalization (donor). (Ac-comodation, medical and nursing care, meals).

Transplantation performed by specialized medical team

Price $ 60 000.00 CUC.

If it were necessary to prolong the stay, after coordination, the price will increase at:$ 3000.00 CUC per month.

Expenses for the companion are not covered by this program, representing an addi-tional cost of $ 40.00 CUC per day which includes: accommodation and meals.

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10.5 Corneal transplantation and conjunctival autograft for Simple recurrent pterygium


10.5 Corneal transplantation and conjunctival autograftfor Simple recurrent pterygium

This program includes transfer and 7 to 15 Nights of hospitalization.

Specialized medical attention by specialists of Ophthalmology, diagnostic tests, rightto the operating room, anesthesia and postoperative recovery.

Price: $ 2900.00 CUC to 4000.00 CUC (depending on the stay).

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TRANSPLANT PROGRAMS

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Chapter 11

REHABILITATION PROGRAMS

11.1 Rehabilitation programs for CNS, articular, rheumatic,cardiovascular, and pulmonary diseases

No. Medical Pro-grams

Price CUC hospitalizationcompanionnights

Price xcompanion

1 initial rehabilita-tion program fordemyelinatingdiseases of CNS

4006.00 28 28 5126.00

2 continuation ofRehabilitationProgram fordemyelinatingdiseases of CNS

1900.00 28 28 3020.00

3 initial rehabilita-tion program forparaplegia

5423.00 42 42 7103.00

4 continuation ofRehabilitationProgram forparaplegia

1920.00 28 28 3040.00

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Price CUC hospitalizationcompanionn ights

Price xcompanion

5 initial rehabilita-tion program forhemiplegia

4344.00 28 28 5464.00

6 continuation ofrehabilitationprogram forhemiplegia

2200.00 28 28 3320.00

7 initial rehabilita-tion program forinfantile paralysisand other staticlesions of CNS

3496.00 28 28 4616.00

8 continuation ofrehabilitationprogram forinfantile paralysisand other staticlesions of CNS

1920.00 28 28 3040.00

9 initial rehabili-tation programfor congenitalbrachial palsy

3459.00 28 28 4579.00

10 continuation ofrehabilitationprogram for con-genital brachialpalsy

1900.00 28 28 3020.00

11 initial rehabili-tation programfor rheumatic anddegenerative jointdiseases

4381.00 28 28 5501.00

12 continuation ofrehabilitationprogram forrheumatic anddegenerative jointdiseases

2100.00 28 28 3220.00

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11.2 Rehabilitation Program for pediatric cochlear implant patients


Price CUC hospitalizationcompanionn ights

Price xcompanion

13 initial rehabilita-tion program forcardiovasculardiseases

3849.00 28 28 4969.00

14 continuation ofrehabilitationprogram forcardiovasculardiseases

2020.00 28 28 3140.00

15 initial rehabilita-tion program forchronic obstruc-tive pulmonarydisease (COPD)

2899.00 21 21 3739.00

16 continuation ofrehabilitationprogram forchronic obstruc-tive pulmonarydisease (COPD)

2100.00 28 28 3220.00

11.2 Rehabilitation Program for pediatric cochlear im-plant patients

Includes

• Logopedics and Phoniatrics consultations

• hearing evaluation

• Protocol of hearing and language

• Intensive auditory and speech rehabilitation

• Transfer in / out from Airport

• Room accommodation (Centro Internacional de Salud La Pradera)

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• AP Plan (breakfast, lunch and dinner)

Outpatient program price: 1695.00 CUC

Inpatient program price: 5145.00 CUC

Excludes: other procedures deemed necessary by the physician (always with theexplicit consent of the client), drugs and other medical services that could apply to bothpatient and companion. Telephone service, fax, mail, laundry and dry cleaning, safetybox, change date of flight tickets, visa updates, departure tax, taxis.

11.3 Rehabilitation Program for adult cochlear implantpatients

Includes

• Logopedics and Phoniatrics consultations

• hearing evaluation

• Protocol of hearing and language

• Intensive auditory and speech rehabilitation

• Transfer in / out from Airport

• room accommodation (Centro Internacional de Salud La Pradera)

• AP Plan (breakfast, lunch and dinner)

Outpatient program price: 1520.00 CUC

Inpatient program price: 4970.00 CUC

Excludes: other procedures deemed necessary by the physician (always with the ex-plicit consent of the patient or [family] representative), drugs and other medical servicesthat could apply to both patient and companion. Telephone service, fax, mail, laundryand dry cleaning, safety box, change date of flight tickets, visa updates, departure tax,taxis.

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Chapter 12

NEUROLOGICAL RESTORATIONPROGRAMS

International Center for Neurological Restoration (CIREN). The center providescare based on neuro-restorative principles to patients with the following diagnoses:

• Parkinson’s Disease and other movement disorders

• Cranioencephalic trauma

• Spinal Cord injuries

• Cerebral disorders related to aging

• Alzheimer’s Disease

• Central Nervous System tumors

• Sequelae of cerebral anoxia

• Cerebral palsy

• Neuromuscular and peripheral nerve disorders

• Other diseases of the nervous system.

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NEUROLOGICAL RESTORATION PROGRAMS

12.1 Initial rehabilitation program for demyelinating dis-eases of the CNS.

Demyelinating diseases of the central nervous system (CNS) are characterized by thepresence of foci or plaques of demyelination (loss of myelin) in some areas through-out the neuraxis, leaving motor, visual, speech, and bladder control sequelae, affectingindependence in basic daily life activities.

The program we propose will help improve many functions with a system of com-prehensive and intensive rehabilitation.

Includes

• 28 Nights of hospitalization; 8 Nights of accomodation for companion: (accomo-dation, nursing care and medical assistance, meals).

• specialized medical care and physiotherapy

• neurology medical Interconsultation

• neuropsychology medical Interconsultation


– Hematocrit

– Hemoglobin

– ALT

– Cyturia

• Poliphysiotherapy (38 sessions)


If the patient does not require companion and can take care of him/herself the priceis: $ 4006.00 CUC


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12.2 Continuation of rehabilitation program for CNS demyelinating diseases.

12.2 Continuation of rehabilitation program for CNSdemyelinating diseases.

The program we propose will help improve many functions, through a system of com-prehensive and intensive rehabilitation.

Includes

• 28 Nights of hospitalization; 28 Nights of accomodation for companion: (acco-modation, nursing care and medical assistance, meals).


• reconsultation with rehabilitation (3)




Most patients require 28 additional days of rehabilitation treatment to consolidatethe progress made in the initial program. For this reason we propose a second programof continuation for those patients who can stand on their own or with the help of hiscompanion without requiring nursing care.

12.3 Initial rehabilitation program for paraplegia.

There are many causes of paralysis or loss of muscular strength of the lower limbs(paraplegia). The most common are the spine trauma, tumor, infectious, vascular, au-toimmune, among other causes.

Depending on the causative agent and the time elapsed since the onset of paralysis,the patient undergoing an intensive rehabilitation regimen can achieve greater indepen-dence in basic daily life activities and, in some cases, a full or partial recovery of motorfunctions and of the often accompaning bladder and anal sphincter control.

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Our comprehensive rehabilitation program is aimed at reintegrating patients to amore active and independent social life.

Includes

• 42 nights in hospital; 42 Night of accomodation for companion: (accomodation,nursing care and medical assistance, meals).

• Neuropsychology medical Interconsultation

• Urology medical Interconsultation


– Electrocardiogram

– Simple chest X rays

– Erythrosedimentation

– Hematocrit

– Hemoglobin

– Creatinine

– Glycemia

– Cyturia

– Uroculture

– Cystometry with flowmetry and electromyography (EMG)

Poliphysiotherapy (38 sessions)


12.4 Continuation of rehabilitation program for para-plegia.

Most patients require 28 additional days of rehabilitation treatment to consolidate theprogress made in the initial program. For this reason we propose a second program

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12.5 Initial rehabilitation program for hemiplegia.

of continuation for those patients who can stand on their own or with the help of hiscompanion without requiring nursing care.

Includes

• 28 Nights of hospitalization; 28 Night of accomodation for companion: (accomo-dation, nursing care and medical assistance, meals).

• Specialized medical care and physiotherapy

• Reconsultation with rehabilitation (3)


• Price: $ 3040.00 CUC

12.5 Initial rehabilitation program for hemiplegia.

Hemiplegia, or paralysis on one side of the body, may be due to various causes, in-cluding stroke, tumor, trauma and other causes. It may be accompanied by languagedisorders depending on the affected cerebral hemisphere and limitations for basic activ-ities of daily living, grooming, feeding and dress.

Our comprehensive and intensive rehabilitation program is aimed at a full or partialrecovery of lost functions and return patients to a more active and independent sociallife.

Includes


• neuropsychology medical Interconsultation



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– Chest X Ray

– Hematocrit

– Hemoglobin

– Cholesterol

– Creatinine

– Glycemia

• magnetic bed (15 sessions)





12.6 Continuation of rehabilitation program for hemi-plegia.

Most patients require 28 additional days of rehabilitation treatment to consolidate theprogress made in the initial program. For this reason we propose a second programof continuation for those patients who can stand on their own or with the help of hiscompanion without requiring nursing care.

Includes





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12.7 Initial rehabilitation program for infantile paralysis and other static lesions of CNS




12.7 Initial rehabilitation program for infantile paraly-sis and other static lesions of CNS

Static Injuries of Central Nervous System in Children also called cerebral palsy, producedifferent effects in the intellectual spheres of language and psychomotor hindering thechild’s interaction with the external environment and family.

The program we propose will help patients incorporate and improve, not just some ofthe functions, but also to achieve greater independence and communication with familymembers.

Includes

• 28 Nights of hospitalization 28 Night of accomodation for companion: (accomo-dation, nursing care and medical assistance, meals).


• Interconsultation with Speech and Language specialists

• neuropaediatrics medical Interconsultation

• medical reconsultation with Speech and Language specialists (2)



– Chest X Ray

– Hematocrit

– Hemoglobin

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– Creatinine

– Cyturia



12.8 Continuation of rehabilitation program for infan-tile paralysis and other static lesions of CNS

The program includes:




• reconsultation with Speech and Language Pathologists



12.9 Initial rehabilitation program for congenital brachialpalsy

Traumatic lesions of the brachial plexus during delivery produce upper limb motor dys-function in infants that adversely affect their mental and motor development.

The rehabilitation program that we offer helps the full or partial recovery of motorfunction of the affected limb. Consultations with specialists in orthopedic surgery of theupper limb will help determining the feasibility and / or need for surgical rehabilitation.

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12.10 Continuation of rehabilitation program for congenital brachial palsy



• Orthopedic Consultation


– Hematocrit

– Hemoglobin

– Somato-sensory evoked potentials



12.10 Continuation of rehabilitation program for con-genital brachial palsy

Most patients require 28 additional days of rehabilitation treatment to consolidate theprogress made in the initial program. For this reason we propose a second programof continuation for those patients who can stand on their own or with the help of hiscompanion without requiring nursing care.

Includes






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12.11 Initial rehabilitation program for rheumatic anddegenerative joint diseases

Rheumatic and degenerative joint diseases lead to functional limitations for executionof basic activities of daily living.

The comprehensive and intensive program of rehabilitation that we propose willhelp improve many of the lost functions, increase the tolerance to physical activity andachieve greater independence.

Includes



• Interconsultation with psychology

• Diagnostic tests: Ultrasound Bone Densitometry Erythrosedimentation Hemat-ocrit Hemoglobin ALT




Price: $ 5501.00 CUC If the patient does not require companion and can take careof him/herself the price is: $ 4381.00 CUC.

12.12 Continuation of rehabilitation program for rheumaticand degenerative joint diseases.

Most patients require 28 additional days of rehabilitation treatment to consolidate theprogress made in the initial program. For this reason we propose a second program

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12.12 Continuation of rehabilitation program for rheumatic and degenerative joint diseases.

of continuation for those patients who can stand on their own or with the help of hiscompanion without requiring nursing care.

Includes








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Chapter 13

CARDIOLOGY ANDCARDIOVASCULAR SURGERYPROGRAMS

13.1 Cardiovacular surgery in adults.

The surgical procedures represent the ultimate solution for these conditions, giving pa-tients improved quality of life and survival.

Valvular heart surgery is a procedure performed in our country for over 20 years,with satisfactory results.

These procedures provide patients a better quality of life and social integration,which is the ultimate goal of these treatments.

These programs include: Accomodation, meals, pre-operative examinations, car-diology tests and post surgical rehabilitation.

No. Statement Hospitalization Price CUC1 aortic valve replacement up to 18 nights 14500.002 aortic and mitral valve replacement up to 18 nights 18000.003 Triple replacement: aortic, mitral and tricuspid up to 18 nights 20000.004 Surgical coronary revascularization up to 18 nights 13500.00

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CARDIOLOGY AND CARDIOVASCULAR SURGERY PROGRAMS

No. Statement Hospitalization Price CUC5 Closure of Atrial septal defect (ASD) . Intraa-

trial Communicationup to 18 nights 10 000.00

6 Closure of ventricular septal defect VSD up to 18 nights 10 000.007 Surgery for coarctation of the aorta: Closure of

ASDup to 18 nights 6 000.00

8 Surgery for ductus arteriosus up to 18 nights 6000.009 Ascending aortic aneurysm with aortic insuffi-

ciency. (Op. Bentall)up to 18 nights 20 000.00

10 Desiccant Aortic Aneurysm to 18 nights 20 000.0011 Broken sinus of Valsalva aneurysm: (right

atrium - right ventricle.)up to 18 nights 1200.00

12 Uncomplicated open surgeries 11200.0013 surgical coronary revascularization with Con-

genital disorderup to 18 nights 20 000.00

14 surgical coronary revascularization with valvereplacement

up to 18 nights 16000.00

15 surgical coronary revascularization withaneurysmectomy


16 Cardiac Tumor Surgery up to 18 nights 10000.0017 Coronariography up to 5 nights 1200.0018 one vessel coronary angioplasty with conven-

tional Stentup to 5 nights 2500.00

19 two vessel coronary angioplasty with conven-tional Stent


20 three-vessel coronary angioplasty with conven-tional Stent


13.2 Cardiology Programs

No. Program Hospitalization Price CUC1 Mitral Valvuloplasty Program up to 5 nights 4000.002 Pulmonary Valvuloplasty Program up to 5 nights 3000.003 Plasty of coarctation Program up to 5 nights 3500.004 Unicameral pacemaker implantation (including

pacemaker) Program4000.00

5 Radiofrequency Ablation Program up to 1 week 3500.00

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13.3 Initial Cardiovascular Rehabilitation Program.

No. Statement Hospitalization Price CUC6 Benign ventricular arrhythmia Program up to 1 week 1800.007 Malignant ventricular arrhythmia program up to 1 week 2000.008 Program for Dilated cardiomyopathy up to 10 nights 15000009 Program for severe left ventricular dysfunction

with malignant ventricular arrhythmiaup to 10 nights 25 000.00

10 cardiovascular checkup program 800.00

13.3 Initial Cardiovascular Rehabilitation Program.

Cardiovascular disorders cause a decrease in physical capacity and impaired develop-ment of daily life activities, while affecting self-esteem and psyches of patients.

Our program offers a way to better understand your disease and your actual capacityfor the development of activities. In addition it will help you increase your exercisetolerance and physical activity, making you more capable and independent.

Includes



• Medical Interconsultation with psychology

• Medical Interconsultation with Cardiology



– ambulatory Holter electrocardiogram

– ergometer test

– Doppler echocardiography

– Chest X Ray

– Hematocrit

– Hemoglobin

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– Glycemia

– Full Lipids




13.4 Continuation of Cardiovascular Rehabilitation Pro-gram.




• Diagnostic tests: Ergometric test




13.5 Cardiovacular surgery in children.

• Closed Surgeries: $ 8200.00 CUC

– Coarctation of the Aorta (COAO) Program.

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13.5 Cardiovacular surgery in children.

– Closure of ductus arteriosus (PDA) Program .

– vascular rings Program .

– Central Fistula Program (shunt) .

– Blalock–Taussig shunt. Modified procedure Program

– epicardial pacemaker Program.

• Open Complex Surgeries: $ 15200.00 CUC

– Tetralogy of Fallot (TOF) Program

– Left Ventricular Outflow Tract Obstruction Program

– Valvular plasties Program

– Vascular Substitutions Program

– Double outlet right ventricle (DORV) Program

– Cardiac tumor surgery Program

– Fontan Surgery Program

– Mustard Surgery Program

– aortopulmonary septal defect

– Total anomalous pulmonary venous connection (Supracardiac) supracardiac

– Total anomalous pulmonary venous connection (Supracardiac) Cardiac

• Non complex open surgeries: $ 11200.00 CUC

– Closure of atrial septal defect (ASD)

– Closure of ventricular septal defect (VSD)

• Hemodynamics

– Close atrial septal defect (ASD): $ 8500.00 CUC

– Closure of ventricular septal defect (VSD): $ 8500.00 CUC

– Closure of Collaterals vessels: $ 3600.00 CUC

• • Aorto Pulmonary and Coronary Fistulas (shunts)

– Closure of ductus arteriosus: $ 8500.00 CUC

– Coarctation of the Aorta (COAO): $ 4400.00 CUC

– Valvuloplasties: $ 3500.00 CUC

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• Arrhythmia

– Pacemaker Programming

– Pacemakers Consultation: $ 100.00 CUC

– • Modes: unicameral and bicameral

– Program pacemaker: $ 8300.00 CUC

– Programming (DAI)

– Arrhythmia Consultation: $ 50.00 CUC

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Chapter 14

CUBAN MEDICAL PROGRAM FORTHE REHABILITATION OFADDICTIONS

14.1 Cuban medical program for the rehabilitation ofaddictions.

Preceded by an experience of over two decades, this programs are based on the ap-proach called “Therapeutic Comunity’, as in group living settings patients share moods,feelings and situations. This system implemented in stages, redirect individual, familyand social responsibilities to achieve two main goals: abstinence and change in lifestyle.Centers or villages are located at central and east regions of the country.

The rehab program is focused on detoxification and rehabilitation for people suffer-ing from this health problems that threatens the physical, intellectual and social. It isperformed in a natural environment, with the participation of a multidisciplinary spe-cialized medical team in a minimal period of three months with the consequent recyclingperiod, all of which allows the reevaluation and ratification of the therapy applied, allow-ing a recovery and elevated self-esteem, social and family relationships and achievingphysical development. Medical research has demostrated along several years of experi-ence, a result of 45 % recovery. This program is supported by the Scientific Society ofCuba in the specialty of Psychiatry.

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CUBAN MEDICAL PROGRAM FOR THE REHABILITATION OF ADDICTIONS

Includes The notes below apply to both stages of the program:

The expenses for a companion during the first 15 days, is included in the total pack-age price.

The additional price to pay for each companion is $ 54.00 CUC (with right to ac-commodation in patient’s room , breakfast, lunch and dinner).

The price of this program does not include:

Medical services that have nothing to do directly with receiving treatment, such asdentistry, other diseases and surgery, which are charged separately according to officialprices. Nor includes the price of drugs other than those that are used to control addictiondisorders of the customized Medical Program.

Nor does it include the transfer of the patient to leave the country and his companion.

14.2 Cuban medical program for the rehabilitation ofaddictions - week evaluation.

• 7 days accommodation of patient and a companion. (Includes food, standardnursing care and use of recreational and therapeutic areas)

• Initial Evaluation and Preparation of Medical Record.

• Laboratory tests.

• Other Investigations.

• Consultation and reconsultations

• treatments and medications.

• Transfer.

• Transfer in / out airport at arrival. (Airport-Hotel, Hotel-Airport)

• airfare tickets Havana-Holguin-Havana -patient and a companion


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14.3 Cuban medical program for the rehabilitation of addictions - A month of therapy.

14.3 Cuban medical program for the rehabilitation ofaddictions - A month of therapy.

• 30 days accommodation in a single room. (Includes food, standard nursing careand use of recreational and therapeutic areas).

• rehabilitation treatment.

• This program is personalized according to clinical, psychological and physicalcharacteristics, also taking into account the social environment of origin, specificfamily situation, among others.

• The activities that are performed, generally, are:

• Group Psychotherapy.

• Individual Psychotherapy.

• Music Therapy.

• Occupational Therapy.

• Acupuncture sessions and Relaxation.

• Physical Rehabilitation (Physical Culture)

• physiotherapy.

• Psychotherapeutic Activities outside the unit.

• Contracted Recreational activitiesd.

• Medication for the control of addiction disorders.

• Issuing of Medical Summaries and Recommendations.

Price of each month of rehabilitation treatment $ 4500.00 CUC

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CUBAN MEDICAL PROGRAM FOR THE REHABILITATION OF ADDICTIONS

14.4 Cuban medical program for the rehabilitation ofaddictions - recycling.

• 30 days accommodation in a single room. (Includes food, standard nursing careand use of recreational and therapeutic areas).

• rehabilitation treatment.

• This program is personalized according to clinical, psychological and physicalcharacteristics, also taking into account the social environment of origin, specificfamily situation, among others.

• The activities that are performed, generally, are:

• Group Psychotherapy.

• Individual Psychotherapy.

• Music Therapy.

• Occupational Therapy.

• Acupuncture sessions and Relaxation.

• Physical Rehabilitation (Physical Culture)

• Physiotherapy.

• Psychotherapeutic Activities outside the unit.

• Contracted Recreational activitiesd.

• Medication for the control of addiction disorders.

• Issuing of Medical Summaries and Recommendations.

• Transfer

• Transfer in / out airport at arrival. (Airport-Hotel, Hotel-Airport)

• airfare tickets Havana-Holguin-Havana

Price of each month of rehabilitation treatment $ 4050.00 CUC

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Chapter 15

ONCOLOGY PROGRAMS

15.1 Head and Neck Programs

• Glossectomy:

– Partial glossectomy: $ 3400.00 CUC

– Transmaxillary Glossectomy with radical neck dissection: $ 5350.00 CUC

• Larynx Medical programs

– Partial Laryngectomy: $ 4000.00 CUC

– Subtotal Laryngectomy Horizontal: $ 4200.00 CUC

– Total Laryngectomy: $ 4300.00 CUC

– Total laryngectomy with radical neck dissection: $ 5500.00 CUC

– Total laryngectomy with selective neck emptying: $ 4500.00 CUC

• Maxillary medical programs

– Trans-maxillary resection with micro-vascularized flap: $ 10320.00 CUC

– Trans-maxillary resection with vascularized flap: $ 8050.00 CUC

– Trans-maxillary resection and reconstruction with vascularized flap : $ 2750.00CUC

• Miscellaneous Medical programs for Head and Neck

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ONCOLOGY PROGRAMS

– Exeresis of Neck Tumor: $ 2189.00 CUC

• Parotid Medical programs

– Subtotal parotidectomy: $ 3120.00 CUC

– Total parotidectomy: $ 3540.00 CUC

• Radical Neck Dissection Medical programs

– Radical Neck Dissection: $ 5400.00 CUC

– radical neck dissection and functional neck dissection: $ 5000.00 CUC

• Craniofacial resections Medical programs

– middle fossa dissection: $ 9450.00 CUC

– anterior fossa dissection: $ 8150.00 CUC

– anterior fossa dissection and microvascular flap reconstruction: $ 10570.00CUC

– middle fossa dissection and reconstruction with vascularized flap: $ 11550.00CUC

• Colon Medical programs

– combined laparoscopic abdominoperineal resection for low rectal tumors ofthe anal canal and anal sphincter preservation: $ 7580.00 CUC

– Partial colectomy: $ 7580.00 CUC

– Anterior Proctosigmoidectomy: $ 7580.00 CUC

– Abdomino Perineal resection in low rectal tumors and anal channel.: $4630.00 CUC

– Conservative Resection of middle and lower rectal cancer: $ 5080.00 CUC

– Abdominoperianal resections in lower rectal tumors and anal channel withanal sphincter preservation: $ 6080.00 CUC

• Gastrectomies medical programs

– Partial gastrectomy with lymphadenectomy: $ 6700.00 CUC

– Partial Gastrectomy: $ 5440.00 CUC

– Total Gastrectomy with lymphadenectomy: $ 6940.00 CUC

• Hepatectomy medical programs

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15.1 Head and Neck Programs

– Hepatectomy: $ 6220.00 CUC

– Hepatic metastasis (Basically Colon Rectal Cancer): $ 4040.00 CUC

• Mediastinum medical programs

– Mediastinal Tumor Resection: $ 6160.00 CUC

• Pancreas Medical programs

– Pancreatoduodenectomy: $ 7130.00 CUC

– Distal pancreatoduodenectomy : $ 5130 CUC

– Advanced pancreatic tumor (inoperable with Obstructive Jaundice Associ-ated, ): $ 5630.00 CUC

• Thyroid Medical Programs

– Hemithyroidectomy: $ 2560.00 CUC

– Thyroidectomy with radical dissection: $ 2900.00 CUC

• Thorax medical programs

– Partial lung resection (pneumonectomy): $ 4970.00 CUC

– Diagnostic Thoracoscopy: $ 2280.00 CUC

– Thoracoscopy for Lung metastasectomy: $ 2840.00 CUC

– Thoracoscopy for resection of Lung Bullas: $ 2780.00 CUC

– Pancoast tumor resection: $ 6180.00 CUC

– Lung tumor (lobectomy): $ 5470.00 CUC

• Gynecology Programs

– Rescue Surgery: $ 4200.00 CUC

– Anterior exenteration: $ 4370.00 CUC

– Posterior exenteration: $ 4470.00 CUC

– Total exenteration: $ 4570.00 CUC

– Total Hysterectomy: $ 2480.00 CUC

– video-assisted Laparoscopic Pelvic lymphadenectomy with vaginal radicalhysterectomy: $ 5030.00 CUC

– Malignant Ovarian Tumor: $ 2920.00 CUC

– Videolaparoscopy with hysterectomy: $ 2200.00 CUC

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– Videolaparoscopy with oophorectomy for ovarian tumor: $ 1710.00 CUC

– Videolaparoscopy for Staging of Abdominal Tumors: $ 1310.00 CUC

– Partial Vulvectomy : $ 1730.00 CUC

– Radical vulvectomy: $ 2190.00 CUC

– Ultra-radical vulvectomy with lymphadenectomy: $ 4590.00 CUC

– Wertheim Meigs: $ 4560.00 CUC

• Mastology medical programs

– surgery for local, regional and soft tissue recurrence of breast cancer: $1930.00 CUC

– Silicone Implant Placement: $ 1500.0 CUC

– Quadrantectomy with dissection of Armpit: $ 2970.00 CUC

– Modified Radical Mastectomy: $ 3170.00CUC

– Simple Mastectomy: $ 2270.00CUC

• Neurosurgery medical programs

– Pituitary Adenoma: $ 9400.00 CUC

– anaphasic gliomas of cerebral hemispheres: $ 8790.00 CUC

– low grade malignant gliomas of cerebral hemispheres: $ 8790.00 CUC

– craniocerebral metastatic tumors : $ 9970.00 CUC

– spinal cord metastatic tumor : $ 11160.00 CUC

– Intramedullary Vascular Lesions: $ 10870.00 CUC

– Supratentorial Meningioma: $ 8480.00 CUC

– Acoustic Neuroma: $ 9810.00CUC

– Optic pathway tumors: $ 9120.00 CUC

– Tumors of fourth ventricle and cerebellar hemispheres: $ 9400.00 CUC

– Tumors of the cerebral ventricles: $ 9240.00 CUC

– Pineal Region Tumors: $ 10350.00 CUC

– Brainstem Tumors: $ 10650.00 CUC

– intramedullary tumors: $ 10530.00 CUC

– Tumors of the Skull Base: $ 10890.00 CUC

• Ophthalmology medical programs

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15.2 Peripheral tumors medical programs

– Enucleation for Uveal Melanoma with Implant: $ 2630.00 CUC

– Enucleation for Retinoblastoma: $ 1540.00 CUC

– Enucleation for Retinoblastoma with Implant: $ 2630.00 CUC

– Exeresis of orbital tumors with preservation of the eyeball: $ 2930.00 CUC

– Removal of Conjunctival Malignant Lesions : $ 1730.00 CUC

– Removal of Malignant Palpebral Lesions with reconstruction: $ 1830.00CUC

– Removal of Malignant Palpebral Lesions without reconstruction: $ 1730.00CUC

– Simple anterior orbitotomy : $ 2110.00 CUC

– Simple anterior orbitotomy eyelid preservation: $ 2160.00 CUC

– Simple anterior orbitotomy with infrastructure: $ 2210.00 CUC

15.2 Peripheral tumors medical programs

• Nonmelanoma skin cancer medical programs

– nonmelanoma skin cancer that requires surgery without reconstruction: $1320.00 CUC

– nonmelanoma skin cancer that requires extended surgery with reconstruc-tion: $ 1520.00 CUC

• Soft Tissue Cancer Medical Programs

– Malignant Soft Tissue requiring extended Surgery with locoregional empty-ing: $ 2180.00 CUC

– Malignant Soft Tissue requiring Shoulder dislocation : $ 5180.00 CUC

– Malignant Soft Tissue requiring Arm Amputation: $ 4260.00 CUC

– Malignant Soft Tissue requiring Femur Amputation: $ 4260.00 CUC

– Malignant Soft Tissue requiring and Surgery Reconstruction : $ 2080.00CUC

– Malignant Soft Tissue requiring hip disarticulation: $ 5680.00 CUC

– Malignant Soft Tissue requiring knee disarticulation: $ 3870.00 CUC

• Melanoma Medical Programs

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– Melanoma Skin Cancer requiring Arm Amputation: $ 4600.00 CUC

– Melanoma Skin Cancer requiring Femur Amputation: $ 4600.00 CUC

– Melanoma Skin Cancer requiring hip disarticulation: $ 5950.00 CUC

– requiring Melanoma Skin Cancer Shoulder disarticulation: $ 5450.00 CUC

– Melanoma Skin Cancer requiring knee disarticulation: $ 4100.00 CUC

– Melanoma Skin Cancer requiring Extended Surgery without Reconstruc-tion: $ 1600.00 CUC

– Melanoma Skin Cancer requiring Extended Surgery with Reconstruction: $1800.00 CUC

• Bone Tumors Medical Programs

– Malignant Bone tumors requiring Arm Amputation: $ 4370.00 CUC

– Malignant Bone tumors requiring Femur Amputation: $ 4370.00 CUC

– Malignant Bone tumors requiring hip disarticulation: $ 5790.00 CUC

– Malignant Bone tumors requiring shoulder disarticulation: $ 5290.00 CUC

– Malignant Bone tumors requiring knee disarticulation: $ 3980.00 CUC

• Urology Medical Programs

– partial cystectomy: $ 3120.00 CUC

– cystectomy with sigmoid or ileal bypass: $ 3577.00 CUC

– partial cystectomy including technical implantation of Ureters: $ 3430.00CUC

– cystectomy with Reservoir Development and emptying: $ 4640.00 CUC

– Ureteral derivations without cystectomyy: $ 3430.00 CUC

– exeresis of large and deep lesions of the Penis: $ 1940.00 CUC

– exeresis of small superficial lesions of the penis: $ 1440.00 CUC

– nephrectomy due to malignancy: $ 4050.00 CUC

– Radical Prostatectomy: $ 3600.00 CUC

– transurethral prostatic resection: $ 2800.00 CUC

– transurethral resection of bladder lesions: $ 3210.00 CUC

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15.3 Lung Cancer Vaccine Medical Program

15.3 Lung Cancer Vaccine Medical Program

Lung cancer is the leading cause of cancer death among men and women in most partsof the world. Patients with early stage disease, rarely develop any symptoms and sur-vival benefit obtained through routine screening have not been demonstrated. As aresult, lung cancer is often diagnosed in advanced stages, when cure is very difficult toachieve. Despite remarkable advances in the identification of predictors of response andthe introduction of new chemotherapy, the impact on patient survival is not clear yet.

Our health institutions will provide the possibility of the application of novel prod-ucts developed at the Center of Molecular Immunology, which have shown excellentresults in increasing the quality of life of patients with these cancers

15.4 CimaVax EGF vaccine.

It is the only registered therapeutic vaccine for advanced non-small cell cancer lungcancer (NSCLC), stages III and IV. It ts the most common type of lung cancer. Thisdrug has very low toxicity and allow patients to maintain a good quality of life.

Outpatient Program Includes:

• Initial evaluation / Medical History

• Issuance of Medical Certificates


• CBC, ESR, full coagulogram

• Alkaline Phosphatase

• Blood (Serum) Glutamic-Oxaloacetic Transaminase (SGOT) Test, Blood (Serum)Glutamate Pyruvate Transaminase (SGPT) Test

• Urea, creatinine, uric acid

• The induction phase lasts for 2 months, corresponding to the application of 16pairs of vials (4 vials x 4 vaccine applications), Cyclophosphamide and salinesolutions.

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• The first dose will be given in our health centers and you can continue the treat-ment in Cuba or in your country. You choose.


Excludes: Use of medications not included in this program, blood and blood prod-ucts.

Other Diagnostic tests which might be necessary after patient assessment or derivedfrom test results included in the medical program.


15.5 CIMAher (nimotuzumab, generic name or hR3).

It is a cancer medicine with antitumor effect either in its application as monotherapy orin combination with radiotherapy and chemotherapy, increasing survival time, qualityof life. It has excellent tolerance even with prolonged treatment.

It is approved for the treatment of patients with advanced cancer of head and neck,high-grade malignant glioma (a type of brain tumor) in adults and children and in ad-vanced esophageal cancer.

The Program includes:

• Initial evaluation and preparation of the clinical history

• pre-application medical checkup .

• Cyclophosphamide 200mg

• CIMAher EGF 24 pairs of vials for 6 weeks treatment.

• The induction phase lasts six weeks corresponding to the application of 24 pairs ofvials (4 vials x 6 vaccine applications), Cyclophosphamide and saline solutions.

• The first dose will be given in our health centers and you can continue the treat-ment in Cuba or in your country. You choose.

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15.5 CIMAher (nimotuzumab, generic name or hR3).

Price: $ 35 436.00 CUC

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ONCOLOGY PROGRAMS

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Chapter 16

MEDICAL PROGRAMS FOR THEELDERLY

16.1 Comprehensive evaluation for the elderly

Specialized Geriatric and Gerontological Evaluation:

• Initial evaluation and clinical history

• Biomedical, social, psychological, functional, ophthalmological, audiological andstomatological evaluation.

Laboratory Tests:

• CBC

• Erythrosedimentation

• Glycemia

• Creatinine

• Uric Acid

• Liver Function Tests

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• Lipids

• Cyturia

Other diagnostic test:

• Electrocardiogram

• Chest X Ray

• Abdominal Ultrasound (upper and lower abdomen)

• Ultrasound of Breast (Female)

Reconsultation with Geriatrics and prescription of treatment

Optional Medical Report and Recommendations

Price: $ 500.00 CUC

Hospitalization (if desired) $ 70.00 CUC (daily)

Companion: $ 40.00 CUC (daily)

16.2 Executive evaluation for the elderly


Initial evaluation and clinical history Biomedical, social, psychological, functional,ophthalmological, audiological and stomatological evaluation. Laboratory Tests:

• CBC


• Glycemia

• Creatinine

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16.3 Evaluation and geronto-vitalizing comprehensive treatment (outpatient)

• Triglycerides

• Cholesterol

• Uric Acid

• Cyturia

Other diagnostic tests:

• Chest X Rays


• Ultrasound of Breast or Prostate (by sex)

Reconsultation with Geriatrics and treatment prescription

Optional Report and Recommendations

Price: $ 300.00 CUC Hospitalization (if desired) $ 70.00 CUC (daily) Companion:$ 40.00 CUC (daily)

16.3 Evaluation and geronto-vitalizing comprehensivetreatment (outpatient)

Specialized Geriatric and Gerontological Evaluation: Biomedical, social, psycho-logical, functional, ophthalmological, audiological and stomatological evaluation.

Laboratory Tests:

• CBC


• Glycemia

• Creatinine

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• Uric Acid

• Liver function tests (LFTs)

• Lipids

• Cyturia

• Stool


• Chest X Ray


• Abdominal Ultrasound (Upper and Lower abdomen)

• Breast Ultrasound (female)

Treatment:

• Ozone Therapy Sessions

• 7 physiotherapy Sessions

• Revitalizing Treatment with Biomoduline T and other natural products

Optional Report and Recommendations


16.4 Evaluation and geronto-vitalizing comprehensivetreatment (inpatient)

7 Nights of Hospitalization Accommodation, nursing care and medical assistance, ini-tial evaluation and medical history, meals

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16.4 Evaluation and geronto-vitalizing comprehensive treatment (inpatient)

Specialized Geriatric and Gerontological Evaluation: Biomedical, social, psy-chological, functional, ophthalmological, audiological and stomatological evaluation.

Laboratory Tests:

• CBC


• Glycemia

• Creatinine

• Uric Acid

• Liver function tests (LFTs)

• Lipids

• Cyturia

• Stool


• Chest X Ray


• Abdominal Ultrasound (Upper and Lower abdomen)

• Breast Ultrasound (female)

Treatment:

• 7 Ozone sessions

• 7 physiotherapy sessions

• Optional Report and Recommendations.

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In case of needing a companion, the program’s price will increase in $ 40.00 CUC aday, which includes accommodation, breakfast, lunch and dinner.

Excludes: medicines needed during the months of treatment.

16.5 Psychomotor comprehensive rehabilitation (groupof 10 or more people)

Medical consultation

Initial evaluation and medical history

Physiotherapy Consultation

Laboratory Tests:

• CBC


• Glycemia

• Cyturia


• Neuropsychological Assessment


• soft tissue and articular Ultrasound

Podiatric evaluation

Physical Rehabilitation with three physical agents:

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16.6 Functional rehabilitation in the elderly (10 sessions)

• Infrared heat

• ultrasound

• laser

Massage.

Mechanotherapy:

• mat

• bicycle

Psychomotor Rehabilitation

Ambulatory Price: $ 774.00 CUC

Inpatient (9 nights of hospitalization) Price: $ 1494.00 CUC

16.6 Functional rehabilitation in the elderly (10 sessions)


Biomedical initial Evaluation and Medical history

Physiatric Evaluation

Neuropsychological Evaluation

Bladder Evaluation

Podiatric Evaluation

Laboratory Tests:

• CBC

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• Glycemia

• Cyturia



• Ultrasound of joints and soft tissue

• Ultrasound of kidney, bladder, prostate

• Postmictional residue tests

Physical Rehabilitation: Three physical agents:

• Infrared heat

• laser

• interferential current

Massage.

Postural treatment.

Mechanotherapy:

• mat

• bicycle

Psychomotor Rehabilitation

Bladder Rehabilitation (electro-stimulation)


Inpatient (9 nights of Hospitalization) Price: $ 1785.00 CUC

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16.7 Quality of life revitalizing treatment (10 sessions)

16.7 Quality of life revitalizing treatment (10 sessions)

Specialized Medical consultations:

• biomedical Evaluation

• Physiatric Evaluation

• Neuropsychological Evaluation

• Bladder Evaluation

• Podiatric Evaluation

Laboratory Tests:

• CBC


• Glycemia

• Cyturia



• Ultrasound of joints and soft tissue

• Ultrasound of kidney, bladder, prostate

• Postmictional residue tests

Physical Rehabilitation:

• Three physical agents

• Massage.

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• postural treatment.

• Mechanotherapy.

• Psychomotor Rehabilitation

• Bladder Rehabilitation (electro-stimulation)

Ambulatory Price: $ 1,424. 00 CUC

Inpatient (hospitalized 9 nights) Price: $ 2144.00 CUC

16.8 Comprehensive care for patients with memory dis-orders.

Specialized medical evaluation

Initial evaluation and preparation of clinical history

Transfer Airport-CITED-Airport (optional)

Hospitalization 10 nights

Diagnostic tests:

• CBC


• Glycemia

• Creatinine

• Liver function tests

• Serology

• HIV

• Cranial Computed Tomography (CT) Scan

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16.8 Comprehensive care for patients with memory disorders.


• Visual, Auditory and Somatosensory Evoked Potentials,

• Thyroid Tests: TSH, T3, T4

Neuropsychological assessment (2 consultations)

Clock Test

CDR - Clinical Dementia Rating (CDR) Scale

ADAS - Alzheimer’s disease assessment scale

MODA - Milan Overall Dementia Assessment

Neuropsychiatric Inventory

Reporter Test

Hamilton Depression Scale

Treatment

• Cognitive rehabilitation program (10 sessions of 1 hour)

• Ozone (7 sessions)

• Caregivers Program – includes printed material (1 session)

In case of curable cause dementia, the price varies according to the patient.


(unaccompanied) Price: $ 2083.00 CUC

(accompanied) Price: $ 2483.00 CUC

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16.9 (Outpatient memory disorder evaluation



Neuropsychological assessment (2 consultations)

• Folstein’s Mini-Mental State Examination (MMSE)

• Test of word learning

• Memory Span Test

• Sternberg Test

• Yesavage diffusion test

Cognitive rehabilitation intervention

Price: $ 235.00 CUC

16.10 Caregivers Program (educational school for Care-giver)

Caregiver Assessment

Caregiver Questionnaire

Zarit caregiver burden Scale

Caregiver’s School

5 sessions of 1 hour

Sessions include the following topics:

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16.11 Evaluation and treatment of depression

• Dementia. Clinical manifestations. Classification. Treatment

• Lifestyle and behavioral disorders Management

• Physical, psychological and social stimulation

• Prevention and management of complications

• Caring for the caregiver


16.11 Evaluation and treatment of depression



Outpatient 3 visits or Inpatient 5 nights of hospitalization

Diagnostic tests:

• CBC

• Total Protein

• Serology

• Electroencephalogram

• Computed Tomography (CT) Scan

• Chest X Rays

• TSH, T3 and T4

• Abdominal ultrasound

Other tests:

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• Affective Scaling test

• Yesavage Scale test

• Folstein’s Mini-Mental State Examination (MMSE)

• Biomedical, social and functional Evaluation

Treatment

• Psychotherapeutic techniques

• Breathing Exercises

• Williams’ Exercises

• Charrieri’s Exercises

• Relaxation Technique

• Acupressure (5 sessions)

• Body Massage (5 sessions)

• Psychopharmacological Therapy

• Sleep Hygiene


(unaccompanied) Price: $ 1930.00 CUC

(accompanied) Price: $ 2130.00 CUC

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Chapter 17

ANGIOLOGY PROGRAM

17.1 Treatment of diabetic foot ulcer with HEBERPROT-P R©.

Cuba has successfully developed the drug (Heberprot-P R©), novel and unique, pre-scribed for the treatment of diabetic foot ulcer. It is a lyophilized, sterile, white, free ofpreservants product, for parenteral administration. Stimulates granulation and healingin a progressive and sustained manner.


Internal medicine specialist care. Laboratory tests Hemoglobin, hematocrit, ery-throcyte sedimentation rate, Leucogram with deferential, minimal coagulogram, cre-atinine, blood glucose, glycosylated hemoglobin, Cyturia, HIV, quantitative Serology(VDRL), blood group and Rh factor, full lipid

Microbiology Microbiological swab with antibiogram.

imaging investigations: Plain chest X ray, Plain radiograph of foot, full abdominaldiagnostic ultrasound .

cardiology tests: Electrocardiogram.

Angiology tests: Arterial hemodynamic study.

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Hospitalization: 4 weeks. Medical discharge summary.

Price: $ 8,508.00 CUC.

Taking into account the classification of the lesion and patient outcomes, treatmentmay be extended up to 8 weeks. You can continue the medical program at a price of $1680.00 CUC a week.

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TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.

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