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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.

Primary Plan

Primary Plan

The Primary plan is our most affordable plan and is suited to students and young adults, single or newly married, that are healthy and do not have underlying health conditions. Even with the lower contributions, this plan still offers comprehensive access to healthcare.

The Primary Plan covers you for six free GP visits and unlimited specialist visits per year as well as adequate cover for over-the-counter and prescription medication. There is also generous hospitalization cover in the case of an unfortunate event. The Primary Plan is the first step in securing your health and well-being.
Contributions:
Main Member: 1 207
Spouse: 1 023
Child over 21 (*student dependent): 736
Child: 499
Adult: 1 172

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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:

800 000

Hospitalisation:

Subject to OAL

Hospital Alternatives:

18 278

Paramedic Services:

Subject to OAL

Blood Transfusion:

23 501

 

Maternity:

30 000

 

Maxilla Facial Surgery
(Non-elective):

Subject to OAL

Mental Health (In-Hospital):

21 160

DAY-TO-DAY BENEFITS (CONSULTATION)

General Practitioner Consultation -
Number of visits

6

 

Specialist Consultation

Unlimited No. of visits

*Only by referral from a General Practitioner

Unlimited

 

Prescribed Medication

*All Acute Medication including prescribed supplements

2 800

 

Supplements

700

Over the Counter (OTC)

750

Supplements per script

per beneficiary

170

 

OTC Sublimit per script per day per beneficiary

170

MAJOR DISEASE BENEFITS

Major Disease Benefit Limit

380 880

Oncology (includes chemo and pathology)

126 960

Organ Transplant

126 960

Renal Dialysis

126 960

Specialized Radiology

12 696

Prosthesis Benefit, with sub limits

Prosthesis Limit

39 675

Internal Devices

31 740

External/Appliances

7 935

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

3 174

Immune Deficiency

7 833

Dentistry - P/B

1 537

Advanced Dentistry

N/A

Optometry (Bi-annual Benefit)

2 028

Frame

(Subject to prescribed Lens)

*prescribed lens is up to 100% of optometry benefit

1 127

 

Prescribed Lens

2 028

Pathology, Physical Therapy

& Radiology (combined)

3 703

Mental Health

(Out-of-hospital, Pb/Pa)

1 587

 

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.

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