SERVICE ITEM       

INDIVIDUAL PLAN   (RTGS)
Member                $85
1st Beneficiary    $85
2nd & Sub. Ben.  $65
Adult Ben.             $85
GLOBAL LIMIT $32 000 per annum
General Practitioners Paid in full according to negotiated tariff
Medical Specialists Paid in full according to negotiated tariff
Hospitalisation $10 800 per annum
Rehabilitation Hospitalisation $4 000 per annum
Acute prescription drugs $ 400 per annum.
Chronic diseases drugs $650 per annum
Dentistry $1 650 per annum
Dentures by pre-authorisation
Refraction Paid in full according to tariff – once a year
Optical $650 per 3 years. Anything below 3 years requires Specialist recommendation and pre-authorisation
Maternity $3 350 per annum
Family Planning $  400 per annum
Infertility $  800 per lifetime
Hearing Aids $  900  per 2 years
Pathology Paid in full according to tariff up to a limit of $900
Radiology Paid in full according to tariff up to a limit of $2 500
Blood Transfusion Paid in full according to tariff
Psychiatric Services Paid in full according to tariff
Rehabilitation Services $750 per annum
Prostheses $1 100 per 5 years
Private Ambulances 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

 

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