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SERVICE ITEM

EXCEL PLAN

Member              $45

1st Beneficiary    $45

2nd & Sub. Ben.  $33

Adult Ben.          $45

LINK PLAN

Member               $27

1st Beneficiary     $27

2nd & Sub. Ben.  $ 27

Adult Ben.           $27

GUARDIAN PLAN

Member             $18

1st Beneficiary    $18 

2nd & Sub. Ben  $18

Adult Ben.         $18

GLOBAL LIMIT $20 000 per annum $12 000 per annum $6000 per annum
General Practitioners Paid in full according to tariff Paid in full according to tariff Paid in full according to tariff up to 3 visits per month per member
Medical Specialists Paid in full according to tariff Paid in full according to tariff          –
Hospitalisation $8 000 per annum $3 000 per annum $1 500 per annum
Rehabilitation Hospitalisation $2 500 per annum $1 400 per annum $ 800 per annum
Prescription drugs $ 800 per annum. $ 400 per annum  $ 300 per annum
Haemodialysis
Chemotherapy
Chronic disease drug
Paid in full according to tariff for an extra $4 to the subscription Paid in full according to tariff for an extra $4 to the subscription Paid in full according to tariff for an extra $4 to the subscription
Dentistry $1 500 per annum

Dentures by pre-authorisation

$600 per annum

Dentures by pre-authorisation

$300 per annum
Refraction Paid in full according to association tariff Paid in full according to association tariff Paid in full according to association tariff
Optical $ 500 per 3 years. Anything below 3 years requires Special recommendation and pre-authorisation $ 300 per 3 years.  Anything below 3 years requires Special recommendation and pre-authorisation $ 150 per 3 years. Anything below 3 years requires Special recommendation and pre-authorisation
Maternity $2 500 per annum $1 500 per annum $1 000 per annum
Family Planning $   300 per annum $   250 per annum $   150 per annum
Infertility $   600 per lifetime             –            –
Hearing Aids $   700  per 2 years             –            –
Pathology Paid in full according to tariff Paid in full according to tariff            –
Radiology Paid in full according to tariff Paid in full according to tariff            –
Blood Transfusion Paid in full according to tariff Paid in full according to tariff            –
Psychiatric Services Paid in full according to tariff Paid in full according to tariff Paid in full in govt. hospitals
Rehab Services 15 sessions per annum 10 sessions per annum 8 sessions per annum
Prostheses $1 000 per 5 years            –            –
Private Ambulances Paid in full according to tariff Paid in full according to tariff            –
Air Evacuation Paid in full for life threatening situations only and subject to pre-authorisation            –            –
Foreign Treatment Paid according to local tariffs based on benefit limits Paid according to local tariffs based on benefit limits Paid according to local tariffs based on benefit limits

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