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Mamoth Health Plan is a medical aid product of Mamoth Employee Benefits. Established in 2003, Mamoth Health Plan is the leading Medical Aid Service Provider in Lesotho that offers health care services locally and regionally.
Mamoth Health Plan is a medical aid product of Mamoth Employee Benefits. Established in 2003, Mamoth Health Plan is the leading Medical Aid Service Provider in Lesotho that offers health care services locally and regionally.

Elite Magenta Plan

Elite Magenta Plan

Our most comprehensive medical aid plan, Elite Magenta offers all-round medical aid cover for everybody and anybody wanting to take advantage of the M2.7 million cover per event of hospitalisation in one year.

The Elite Magenta Plan has unlimited cover and comes with excellent day-to-day benefits, such as free GP visits (12/year) and unlimited specialist consultations. This plan has the highest prescription and over the counter medication cover, keeping you in top shape throughout the year.

This plan is suited to young and robust families needing to take full control of their health and wellbeing.
Contributions:
Main Member: 3 088
Spouse: 2 470
Child over 21 (*student dependent): 1 688
Child: 1 179
Adult: 2 991

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HOSPITALISATION, MATERNITY
& PARAMEDICAL BENEFITS
DAY-TO-DAY BENEFITS (CONSULTATION)
MAJOR DISEASE BENEFITS
DAY-TO-DAY & CHRONIC BENEFITS

HOSPITALISATION, MATERNITY & PARAMEDICAL BENEFITS

Overall Annual Limit: Unlimited
Hospitalisation: Per Event Limit of 2 700 000
Hospital Alternatives: 50 263
Paramedic Services: Subject to OAL
Blood Transfusion: 84 730
Maternity: Subject to OAL
Maxilla Facial Surgery (Non-elective): Subject to OAL
Mental Health (In Hospital): 52 371

DAY-TO-DAY BENEFITS (CONSULTATION)

General Practitioner Consultation -
Number of visits

12

Specialist Consultation

Unlimited No. of visits

*Only by referral from a General Practitioner

Unlimited

 

Prescribed Medication

*All Acute Medication including prescribed supplements

4 800

Supplements

1 500

Over the Counter (OTC)

1 725

Supplements per script

per beneficiary

170

 

OTC Sublimit per script per day per beneficiary

170

MAJOR DISEASE BENEFITS

Major Disease Benefit Limit

983 526

Oncology (includes chemo and pathology)

327 842

Organ Transplant

327 842

Renal Dialysis

327 842

Specialized Radiology

58 190

Prosthesis Benefit, with sub limits

Prosthesis Limit

113 731

Internal Devices

81 144

External/Appliances

32 586

Detox Program

(Non-elective)

Subject to OAL

DAY-TO-DAY & CHRONIC BENEFITS

If you have an illness that requires ongoing medication, make sure your doctor fills in a chronic form and submit it to our Office. And also ensure that your medication updates reach our office.

Chronic

19 785

Immune Deficiency

18 095

Dentistry - P/B

3 213

Advanced Dentistry

7 200

Optometry (Bi-annual Benefit)

3 966

Frame

(Subject to prescribed Lens)

*prescribed lens is up to 100% of optometry benefit

2 479

 

Prescribed Lens

3 966

Pathology, Physical Therapy

& Radiology (combined)

16 293

Mental Health

(Out-of-hospital, Pb/Pa)

3 491

VOLUNTARY MONTHLY SAVINGS ACCOUNT (MSA)
A member can contribute voluntary savings from a minimum of M50.00 per month. Savings are used for medical expenses only and can be claimed in the current December benefit year, to be paid out in March the following year.

Learn more about The Mamoth plans

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