| Maximum Annual Global Limits per family |
$28,800 |
| Hospitalisation and Maternity |
$15,120 |
| Public Hospitalisation |
Covered |
| Private Hospitalisation |
Covered |
| Facility Admissions |
Grade A to F |
| Ward Admissions |
Semi-private 2 bedded Wards |
| Radiology (CT & MRI) |
$5,616 |
| Radiology (X-RAYS & USS) |
$2,160 |
| CT Scans-Count Limit |
4 |
| MRI Scans-Count Limit |
4 |
| Pathology |
$1,296 |
| ER Consultations - Monetary Limit |
$1,584 |
| GP Consultations - Monetary Limit |
$720 |
| Prescribed Acute Drugs |
$1,584 |
| Prescribed Chronic Drugs |
$1,296 |
| Covid Hospitalisation |
Covered |
| Covid Tests - Monetary Limit |
$144 |
| Allergy profile |
Once in a lifetime |
| Telemedicine consultations - Count |
14 |
| Specialists Consultations - Monetary Limit |
$1,296 |
| Prescribed Over The Counter Drugs |
$216 |
| Prescribed ART Drugs |
Paid up to Hospital Limit |
| Family Planning |
$144 |
| Dental procedures and Orthodontics |
$1,584 |
| Oncology |
$5,040 |
| Optical |
$720 |
| Internal Prosthesis |
$2,016 |
| External Prosthesis |
$1,512 |
| Rehabilitations |
$1,728 |
| Glucometer |
$691.20 |
| Stomatherapy |
$2,880 |
| Hearing Aid |
$6,480 |
| Funeral Grant Adult |
$360 |
| Funeral Grant Child |
$216 |
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