SERVICE ITEM ANNUAL LIMITS
Global Limit $9 400.00 per annum
General Practitioners Paid in full according to tariff
Medical Specialists Paid in full according to tariff
Hospitalization $3 000.00
Rehabilitation Hospitalization $1 200.00
Prescription drugs $  380.00
Haemodialysis
Chemotherapy
Chronic disease drug
Paid in full according to tariff for an extra $1 to the subscription.
Refraction Paid in full according to association tariff
Dentistry $900 per annum, Dentures by pre-authorisation
Optical $ 270.00 per 3 years. Anything below 3 years requires Specialist intervention and pre-authorisation.
Maternity $1 400.00 per annum
Family Planning $   200.00 per annum
Infertility $   230.00 per lifetime
Hearing Aids $   380.00 per 2 years
Pathology Paid in full according to tariff
Radiology Paid in full according to tariff
Blood Transfusion Paid in full according to tariff
Psychiatric Services Paid in full according to tariff
Rehabilitation Services 12 sessions per annum
Prostheses $  600.00 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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