| Benefit Category | Details |
|---|---|
| Maximum Annual Global Limits per family | $16,000.00 |
| Hospitalisation and Maternity | $8,400.00 |
| Public Hospitalisation | Covered |
| Private Hospitalisation | Covered |
| Facility Admissions | Grade B to F |
| Ward Admissions | 3 bedded General Wards |
| Radiology (CT & MRI) | $3,120 |
| Radiology (X-RAYS & USS) | $1,200 |
| CT Scans-Count Limit | 2 |
| MRI Scans-Count Limit | 2 |
| Pathology | $720 |
| ER Consultations - Monetary Limit | $880 |
| GP Consultations - Monetary Limit | $400 |
| Prescribed Acute Drugs | $880 |
| Prescribed Chronic Drugs | $720 |
| Covid Hospitalisation | Covered |
| Covid Tests - Monetary Limit | $80 |
| Allergy profile | Once in a lifetime |
| Telemedicine consultations - Count | 8 |
| Specialists Consultations - Monetary Limit | $720 |
| Prescribed Over The Counter Drugs | $120 |
| Prescribed ART Drugs | Paid up to Hospital Limit |
| Family Planning | $80 |
| Dental procedures and Orthodontics | $880 |
| Oncology | $2,800 |
| Optical | $400 |
| Internal Prosthesis | $1,120 |
| External Prosthesis | $840 |
| Rehabilitations | $960 |
| Glucometer | $384 |
| Stomatherapy | $2,800 |
| Hearing Aid | $3,600 |
| Funeral Grant Adult | $200 |
| Funeral Grant Child | $120 |
| Contribution Type | Monthly Rate |
|---|---|
| Individual Rate | $30 |
| Senior Rate | $92 |
| Family of 2 | $51 |
| Family of 3 | $69 |
| Family of 4 | $76 |
| Family of 5 | $82 |
| Family of 6 | $96 |