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Classic

Access to General ward in a private hospital

Introduction of a Low Claims Bonus Benefit per family

The low claims bonus is introduced as reward mechanism for families with low levels of utilisation.

    • The bonus is for and after every three (3) years of active membership beginning January 2015.
    • The bonus will be paid for the family with a claims ratio of less than 65%.

Contributions

Contributions are as follows:

Adult

45

Child Under 18

33

Child Above 18 (student)

40

Benefit Limits Schedule

Benefit Limits Schedule

Anesthetic

3,900

Consultation

1,380

Dental

985

Gynecology

720

Hearing

540

Heart

360

Hospitalisation

9,600

Lab Test

720

Maternity (2 years)

924

Optical    (2 years)

300

Other

371

Physiotherapy

900

Prescription Drugs

1,800

Radiology

900

Surgery

6,600

Global Limit

30,000

Waiting Periods

The following waiting periods will apply for the below services:

Consultation

3 months

Optical Services

6 months

Dental procedures

6 months

Hospitalisation

6 months

Maternity

9 months

Surgical Operations

6 months

MRI & CT Scan

12 months

Chemotherapy

24 months

Dialysis

24 months

Requirements

 Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence