| APPLICABLE HOSPITALS |
Strictly Government Hospitals, Clinics and Mission Hospitals |
Private Hospital Network |
Private Hospitals on Global Network. South Africa and India |
| OVERALL LIMIT |
$10,000 |
$30,000 |
$100,000 |
| HOSPITAL BENEFIT |
|
|
|
| Admission and Accommodation |
Paid in full up to Benefit |
Paid in full up to Benefit |
Paid in full up to Benefit |
| Maternity and Childbirth |
Paid in Full |
Paid in Full |
Paid in Full |
| Neonatal Care |
Paid in Full |
Paid in Full |
Paid in Full |
| Foreign Treatment |
N/A |
N/A |
Up to approved Limit |
| MAJOR DESEASE BENEFIT |
$5,000 |
$15,000 |
$25,000 |
| Oncology |
Government Hospital Only |
Private Hospitals |
Private Hospitals on Global Network |
| Renal Dialysis |
Government Hospital Only |
Private Hospitals on Global Network |
Private Hospitals on Global Network |
| Specialised Radiology (MRI & CT) |
|
|
$5,500 |
| OUTPATIENT BENEFIT |
|
|
|
| Consultation @ Clinics and telemedicine |
Unlimited |
Unlimited |
Unlimited |
| Medication, Pathology, Basic Radiology & Non-surgical Procedure |
$500 |
$1,000 |
$2,000 |
| Chronic Medication |
From overall limit |
From overall limit |
From overall limit |
| Dentistry |
$300 |
$500 |
$2000 |
| Optical benefit Frames and lenses once every two years |
$200 (GVT and selected centre) |
$400 |
30 eye test $600 Glasses |
| Rehabilitative Service |
$100 (GVT facility only) |
$300 |
$2,000 |
| External Appliances |
$200 (GVT facility only) |
$250 |
$1,500 |
| Consultation at ER, Casualty and Specialist Wards |
At Gvt facility only |
$500 |
$1,000 |
| Ambulance Road and Air |
Road ambulance only |
Road ambulance only |
Road & Air @ association rates |
| Prosthesis |
$1,500 |
$3,000 |
$4,100 |
| Psychiatric Admission |
5 days |
10 days |
14 days per year |
| RATES PER MONTH (USD) |
INDIVIDUAL |
CORPORATE |
INDIVIDUAL |
CORPORATE |
INDIVIDUAL |
CORPORATE |
| Age Group |
|
|
|
| 0-21 Years |
$10 |
$7 |
$30 |
$20 |
$140 |
$95 |
| 22 Years and Above |
$20 |
$15 |
$60 |
$40 |
$280* |
$190 |
| NO SHORTFALLS |
Claims paid in full to approved tariffs and selected centres |
Claims paid in full to approved tariffs and selected centres |
Claims paid in full to approved tariffs and centres on Global Network |
| COVID-19 TESTS |
Paid in full at selected centres |
Paid in full at selected centres |
Paid in full at Global centres |
