| BENEFITS AND PLANS |
BRONZE |
| GLOBAL LIMIT |
6,400 |
| Applicable centers |
Grade B or lower private hospitals |
| HOSPITALISATION |
3,726 |
| Maternity |
Hospitalisation limit |
| Ambulance services |
Hospitalisation limit |
| Air evacuation |
No benefit |
| Prosthesis |
621 |
| Chronic conditions and treatment |
Hospitalisation limit |
| Other therapies |
Covered up to AHFoZ tariff |
| Organ transplant |
Hospitalisation limit |
| Blood transfusion |
Hospitalisation limit |
| OUT-PATIENT LIMIT |
2,674 |
| Acute medication |
187 |
| Chronic medication |
437 |
| Dental |
241 |
| Orthodontic |
481 |
| Optical |
175 |
| BENEFITS AND PLANS |
BRONZE |
|
|
| Premium waiver |
3 months waiver of premiums |
| Auxiliary services |
166 |
| Psychiatric treatment |
30 days per year |
| Pathology |
294 |
| Radiology |
768 |
| Family planning |
48 |
| Reproductive health |
96 |
| Rehabilitation |
15 days per condition per yr |
| Preventive care and wellness |
Once per year |
| Allergy tests |
Once per life-time |
| Hearing aids |
Once in a life-time (paid up to 60% of cost) |
| ER visits |
3 visits |
| General Practitioner visits |
10 visits |
| Dental visits |
2 visits |
| Specialists visits |
6 visits |
| Gynaechology visits |
9 visits |
| Ante-natal visits |
6 visits |
| Post-natal visits |
3 visits |
| Ante-natal scans |
2 scans |
| BENEFITS AND PLANS |
BRONZE |
| Funeral cash pay out |
200 |
| Corporate rates |
|
| Adult |
18 |
| Child |
13 |
| Senior |
22 |
| Individual rates |
|
| Adult |
26 |
| Child |
19 |
| Senior |
32 |
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