HOSPITALISATION
DAY-TO-DAY BENEFITS
MAJOR DISEASE BENEFITS
DAY-TO-DAY CHRONIC BENEFITS
HOSPITALISATION
| Overal Annual Limit (OAL) | 1 579 500 |
| Hospitalisation | Subject to OAL |
| Medical Rehabilitation | 32 990 |
| Emergency (Ambulance) Services | Subject to OAL |
| Blood Transfusion | 64 620 |
| Maternity | Subject to OAL |
| Face, Jaw, and Mouth Surgery (Non optional) | Subject to OAL |
| Mental Health (In-Hospital) | 41 780 |
| Specialised Radiology (MRI scan and CT scan) | 33 420 |
DAY-TO-DAY BENEFITS
General Practitioner Consultation | 10 |
Specialist Consultation | Unlimited |
Prescribed Medication | 3 790 |
Supplements | 950 |
Over the Counter Medication | 1 316 |
Supplements Per Visit | 170 |
Over the Counter Medication | 170 |
MAJOR DISEASE BENEFITS
| Major Disease Benefit Limit | 668 430 |
| Cancer Treatment | 222 810 |
| Organ Transplant | 222 810 |
| Kidney Failure Treatment | 222 810 |
| Internal Devices | 60 160 |
| PROSTHESIS BENEFIT | |
| Internal or External Devices / Appliances | 15 600 |
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 | 8 910 |
Immune Deficiency (Incl. HIV) | 12 370 |
Basic Dentistry | 2 790 |
Advanced Dentistry | N/A |
Optometry (Every 2 Years) | 3 440 |
Frame | 1 900 |
Prescribed Lens (Subject to Optometry Benefit upto 100%) | 3 440 |
Laboratory Tests, Physiotherapy | 7 800 |
Mental Health (Out-of-Hospital) | 2 790 |
