Elite Option

Hospitalisation

Subject to Overall Annual Benefit - M2,000.000.00 per beneficiary

Hospital Alternatives

M43,189.00 per beneficiary

Paramedical Services

Subject to OAL

Blood Transfusion

M72,805.00 per family

Maternity

Subject to OAL

Maxillofacial Surgery

Subject to OAL

Mental Health
(In Hospital)

M45,000.00 per beneficiary

Mental Health
(Out Of Hospital)

M3, 000.00 per beneficiary

Oncology
(includes chemo & pathology)

M281,700.00 per beneficiary

Organ Transplant

M281,700.00 per beneficiary

Immune Deficiency

M15,548.00 per beneficiary

Renal Dialysis

M281,700.00 per beneficiary

Prosthetic Appliances

M69,723.73 per beneficiary for internal devices surgically implanted.

M28, 000.00 per beneficiary for external devices

Chronic Benefit

M17, 000.00 per beneficiary

Dentistry

M2,761.00 per beneficiary.

Optometry (Biannual benefit)

M3,408.00 per beneficiary, 100% of optometry benefit for prescribed lenses.

M2,130.00 frame

Pathology, Physical Therapy & Radiology (Combined)

M14,000.00 per beneficiary

Consultation

M5,423.00 for Member. M3,796.00 for Spouse. M1,627.00 for Child. M2,440.00 for Student 21-26. M3,254.00 for Adult. 150 per script pbpd. OTC = 1000 pbpa.