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SERVICE ITEM 

PINNACLE PLAN
Member             $90
1st Beneficiary   $90
2nd & Sub. Ben. $55
Adult Ben.         $90
SELECT PLAN
Member             $72
1st Beneficiary   $72
2nd & Sub. Ben. $50
Adult Ben.         $72
Global Limit $45 000 per annum $35 000 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 $15 000  per annum $ 10 000 per annum
Rehabilitation Hospitalisaion $ 6 000 per annum $ 4 000 per annum
Prescription drugs $2 000 per annum $1 500 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
Dentistry $3 000 per annum
Dentures by pre-authorisation
$1 800 per annum
Dentures by pre-authorisation
Refraction Paid in full according to association tariff Paid in full according to association tariff
Optical $1000 per 3 years. Anything below 3 years requires special recommendation and pre-authorisation $600 per 3 years.  Anything below 3 years requires special recommendation and pre-authorisation
Maternity $4 000 per annum $3 500 per annum
Family Planning $   500 per annum $   400 per annum
Infertility $1 000 per lifetime $   800 per lifetime
Hearing Aids $1 100 per 2 years $   900 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
Rehab. Services 20 sessions per annum 18 sessions per annum
Prostheses $2000 per 5 years $1 800 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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