HOSPITALISATION
DAY-TO-DAY BENEFITS
MAJOR DISEASE BENEFITS
DAY-TO-DAY CHRONIC BENEFITS
HOSPITALISATION
Overal Annual Limit (OAL) | Unlimited |
Hospitalisation | Unlimited |
Medical Rehabilitation | 52 930 |
Emergency (Ambulance) | Unlimited |
Blood Transfusion | 89 220 |
Maternity | Unlimited |
Face, Jaw, and Mouth Surgery (Non optional) | Unlimited |
Mental Health (In Hospital) | 55 150 |
Specialised Radiology (MRI scan and CT scan) | 61 270 |
DAY-TO-DAY BENEFITS (CONSULTATION)
| General Practitioner Consultation (GP) - Number of visits | 12 |
| Specialist Consultation (Only by referral) | Unlimited |
Prescribed Medication | 5 050 |
Supplements | 1 580 |
Over the Counter Medication (OTC) | 1 816 |
Supplements per script | 170 |
| Over the Counter Medication (OTC) Per Visit | 170 |
MAJOR DISEASE BENEFITS
Major Disease Benefit Limit | 1 035 660 |
Cancer Treatment | 345 220 |
Organ Transplant | 345 220 |
Kidney Failure Treatment | 345 220 |
Internal Devices | 85 410 |
| Prosthesis Benefit, with sub limits | |
| Internal or External Devices / Appliances | 34 310 |
DAY-TO-DAY & CHRONIC BENEFITS
If you have a condition that requires ongoing medication (minimum of three
(3) months), please ensure that you complete a chronic form and submit it
to our office. The purpose of Chronic Registration is to ensure that members
receive sustainable funding for cost-effective treatment. It also helps in
ensuring that the chronic condition is well monitored and the member
adheres to treatment hence preventing the occurrence of complications.
(3) months), please ensure that you complete a chronic form and submit it
to our office. The purpose of Chronic Registration is to ensure that members
receive sustainable funding for cost-effective treatment. It also helps in
ensuring that the chronic condition is well monitored and the member
adheres to treatment hence preventing the occurrence of complications.
| Chronic | 20 830 |
| Immune Deficiency (Incl. HIV) | 19 050 |
| Basic Dentistry | 3 380 |
| Advanced Dentistry | 7 200 |
| Optometry (Every 2 Years) | 4 180 |
| Frame | 2 610 |
| Prescribed Lens (Subject to Optometry Benefit upto 100%) | 4 180 |
| Laboratory Tests, Physiotherapy & Xrays | 17 160 |
| Mental Health (Out-of-Hospital) | 3 680 |
