BENEFITS AND PLANS |
PLATINUM |
GLOBAL LIMIT |
21,600 |
Applicable centers |
All Private Hospitals |
HOSPITALISATION |
10,886 |
Maternity |
Hospitalization limit |
Ambulance services |
Hospitalisation limit |
Air evacuation |
Hospitalisation limit |
Prosthesis |
2,527 |
Chronic conditions and treatment |
Hospitalisation limit |
Other therapies |
Covered up to AHFoZ tariff |
Organ transplant |
Hospitalisation limit |
Blood transfusion |
Hospitalisation limit |
OUT-PATIENT LIMIT |
10,714 |
Acute medication |
658 |
Chronic medication |
1,159 |
Dental |
1,352 |
Orthodontic |
2,704 |
Optical |
463 |
BENEFITS AND PLANS |
PLATINUM |
|
|
Premium waiver |
3 months waiver of premiums |
Auxiliary services |
799 |
Psychiatric treatment |
30 days per year |
Pathology |
738 |
Radiology |
2,622 |
Family planning |
246 |
Reproductive health |
493 |
Rehabilitation |
30 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 90% of cost) |
ER visits |
4 visits |
General Practitioner visits |
15 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 |
PLATINUM |
Funeral cash pay out |
750 |
Corporate rates |
|
Adult |
61 |
Child |
41 |
Senior |
74 |
Individual rates |
|
Adult |
88 |
Child |
60 |
Senior |
106 |
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