| BENEFITS AND PLANS |
SILVER |
| GLOBAL LIMIT |
8,250 |
| Applicable centers |
All Private Hospitals |
| HOSPITALISATION |
4,637 |
| Maternity |
Hospitalisation limit |
| Ambulance services |
Hospitalisation limit |
| Air evacuation |
Hospitalisation limit |
| Prosthesis |
883 |
| Chronic conditions and treatment |
Hospitalisation limit |
| Other therapies |
Covered up to AHFoZ tariff |
| Organ transplant |
Hospitalisation limit |
| Blood transfusion |
Hospitalisation limit |
| OUT-PATIENT LIMIT |
3,614 |
| Acute medication |
243 |
| Chronic medication |
524 |
| Dental |
343 |
| Orthodontic |
687 |
| Optical |
210 |
| BENEFITS AND PLANS |
SILVER |
|
|
| Premium waiver |
3 months waiver of premiums |
| Auxiliary services |
248 |
| Psychiatric treatment |
30 days per year |
| Pathology |
355 |
| Radiology |
990 |
| Family planning |
69 |
| Reproductive health |
137 |
| Rehabilitation |
20 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 70% 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 |
SILVER |
| Funeral cash pay out |
400 |
| Corporate rates |
|
| Adult |
23 |
| Child |
15 |
| Senior |
28 |
| Individual rates |
|
| Adult |
33 |
| Child |
22 |
| Senior |
41 |
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