HOSPITALISATION
DAY-TO-DAY BENEFITS
MAJOR DISEASE BENEFITS
DAY-TO-DAY CHRONIC BENEFITS
HOSPITALISATION
| Overal Annual Limit (OAL) | 2 632 500 |
| Hospitalisation | Subject to OAL |
| Medical Rehabilitation | 48 120 |
| Emergency (Ambulance) Services | Subject to OAL |
| Blood Transfusion | 81 110 |
| Maternity | Subject to OAL |
| Face, Jaw, and Mouth Surgery (Non optional) | Subject to OAL |
| Mental Health (In-Hospital) | 50 130 |
| Specialised Radiology (MRI scan and CT scan) | 55 700 |
DAY-TO-DAY BENEFITS
| General Practitioner Consultation (GP) - No. of Visits | 12 |
Specialist Consultation | Unlimited |
Prescribed Medication | 4 210 |
| Supplements | 1 050 |
| Over the Counter Medication (OTC) | 1 580 |
| Supplements Per Visit | 170 |
| Over the Counter Medication (OTC) Per Visit | 170 |
MAJOR DISEASE BENEFITS
| Major Disease Benefit Limit | 941 490 |
| Cancer Treatment | 313 830 |
| Organ Transplant | 313 830 |
| Kidney Failure Treatment | 313 830 |
| Internal Devices | 77 680 |
| PROSTHESIS BENEFIT | |
| Internal or External Devices / Appliances | 31 190 |
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 Medication | 18 740 |
| Immune Deficiency (Incl. HIV) | 17 140 |
| Basic Dentistry | 3 040 |
| Advanced Dentistry | 6 900 |
| Optometry (Every 2 Years) | 3 760 |
| Frame | 2 350 |
| Prescribed Lens (Subject to Optometry Benefit upto 100%) | 3 760 |
| Laboratory Tests, Physiotherapy & Xrays | 15 430 |
| Mental Health (Out-of-Hospital) | 3 310 |
