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SERVICE ITEM

VALUE PLAN:  (RTGS) Closed to new entrants
Member                                                         $100
Adult Beneficiary                                       $100
Child Beneficiary                                       $  76                                                               
Global Limit $41 000 per annum
General Practitioners Paid in full according to negotiated tariff
Medical Specialists Paid in full according to negotiated tariff
Hospitalisation $ 15 000 per annum
Rehabilitation Hospitalisation $ 4 000 per annum
Acute prescription drugs $ 500 per annum
Chronic disease drugs $ 800 per annum
Haemodialysis/Chemotherapy Paid in full according to tariff
Dentistry $2 300 per annum, Dentures by pre-authorisation
Refraction Test Paid in full according to tariff – once a year
Optical $730 per 3years. Anything below 3 years requires specialist recommendation and pre-authorisation.
Maternity $4 000 per annum
Family Planning $450 per annum
Infertility $900 per lifetime
Hearing Aids $1 000 per 2 years
Pathology Paid in full according to tariff up to a limit of $1 000
Radiology Paid in full according to tariff up to a limit of $2 900
Blood Transfusion Paid in full according to tariff
Psychiatric Services Paid in full according to tariff
Rehabilitation Services $850 per annum
Prostheses $1 650 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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