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SERVICE ITEM 

PINNACLE PLAN (RTGS)
Member             $157
1st Beneficiary   $157
2nd & Sub. Ben. $100
Adult Ben.         $157
SELECT PLAN (RTGS)
Member             $127
1st Beneficiary   $127
2nd & Sub. Ben. $91
Adult Ben.         $127
Global Limit $75 000 per annum $57 000 per annum
General Practitioners Paid in full according to tariff Paid in full according to tariff
Medical Specialists Paid in full according to tariff Paid in full according to tariff
Hospitalisation $25 000  per annum $16 700 per annum
Rehabilitation Hospitalisaion $ 8 000 per annum $ 5 350 per annum
Acute prescription drugs $ 800 per annum $  650 per annum
Chronic disease drugs $ 1 650 per annum $ 1 300 per annum
Haemodialysis
Chemotherapy
Paid in full according to tariff Paid in full according to tariff
Dentistry $ 4 000 per annum
Dentures by pre-authorisation
$ 2 400 per annum
Dentures by pre-authorisation
Refraction Paid in full according to tariff – once a year Paid in full according to tariff – once a year
Optical $1350 per 3 years. Anything below 3 years requires special recommendation and pre-authorisation $800 per 3 years.  Anything below 3 years requires special recommendation and pre-authorisation
Maternity $5 350 per annum $4 650 per annum
Family Planning $   650 per annum $   550 per annum
Infertility $1 350 per lifetime $ 1 000 per lifetime
Hearing Aids $1 450 per 2 years $  1 200 per 2 years
Pathology Paid in full according to tariff up to a limit of $1 800 Paid in full according to tariff up to a limit of $1 300
Radiology Paid in full according to tariff up to a limit of $5 000 Paid in full according to tariff up to a limit of $3 300
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
Rehab. Services $1 050 per annum $ 950 per annum
Prostheses $2 650 per 5 years $2 300 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 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

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