Plans & Benefits
For Individual & Family| HEALTH PLANS & BENEFITS | STANDARD | CLASSIC | GOLD | DIAMOND | |
|---|---|---|---|---|---|
| MEDICAL SERVICES/COVERAGE | |||||
| General consultation and treatment | |||||
| Preventive Care and Counseling | |||||
| Minor Surgeries | |||||
| Routine Immunization | |||||
| Hospital Admission | |||||
| Accident and Emergency | |||||
| Specialist Consultation | |||||
| Sub-Specialist Consultation | |||||
| Surgical Procedures | |||||
| Intermediate and Major Surgery | |||||
| Annual Routine Medical Screening | |||||
| NPI Immunization | |||||
| Maternity care | |||||
| HIV/AIDS | |||||
| Psychiatric illness | |||||
| OPTICAL / OPHTHALMOLOGICAL SERVICES | |||||
| Consultation & Refraction | |||||
| Provision of lenses and frames | |||||
| Eye Care | |||||
| Ophthalmic Surgery | |||||
| DENTAL SERVICES | |||||
| Consultation & Treatment | |||||
| Scaling, polishing & surgical extraction | |||||
| ADDITIONAL DENTAL SERVICES | |||||
| ADDITIONAL SERVICES | |||||
| Physiotherapy (Maximum of 6 sessions) | |||||
| Special Investigations | |||||
GENERAL EXCLUSION (Applicable to Local Plans)
- Artificial limbs & Dental Prostheses
- Specific Treatment for AIDS/HIV positive patients
- Complex Surgery
- Cosmetic Plastic Surgery
- Tertiary Radiological Investigations such as CT Scan etc.
- DEFINITIVE TREATMENT INFERTILITY: INTRAUTERINEINSEMINATION (IUI) & IN VITRO FERTILIZATION (IVF).
- Cytotoxic (anti-cancer) drugs and Radiotherapy.
- Screening and Comprehensive Health Assessment.
- Chronic Renal Dialysis.
- Embalmment and Autopies
These services are available on a customized, discounted fee-for-service basis at the request of the client. Once a diagnosis is made, the Client/Employer is notified and options of treatment and costs provided. The decision to continue treatment is made by the payer.
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