SCHEDULE OF BENEFITS |
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MEDICAL BENEFIT
Maximum
LIFETIME BENEFITCI$1,000,000.00
CALENDAR YEAR BENEFITCI$100,000.00
PER EPISODE BENEFITCI$100,000.00
CALENDAR YEAR DEDUCTIBLENONE
Annual Maximum$4,000.00
OUT-PATIENT BENEFITS Doctors/Specialists visits 80% - Maximum $75.00 per visit Ante-Natal Care 80% Maximum per pregnancy (waiting period 10 months) $500.00 Haemodialysis100%
Per Episode$25,000.00
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IN-PATIENT BENEFITS
Co-insurance80% of First $2500.00 - 100% Thereafter
Daily Room and Board
Maximum per episode of illness30 days
Intensive Care
Maximum per episode of illness30 days
Nursing
Maximum per episode of illness30 days
Surgery - including anesthesia and and surgical supplies
Medication and Drugs Physiotherpy, inhalation and other rehabilitative therapy facilities X-ray, ultrasound and Lab tests
**** MATERNITY BENEFITS WILL BE AVAILABLE AFTER A 10 MONTH WAITING PERIOD ****
PLEASE NOTE THAT ALL IN-PATIENT AND SURGICAL SERVICES MUST BE OBTAINED AT THE HEALTH SERVICES AUTHORITY FACILITIES |
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DENTAL CARE
Maximum -$2000.00 per policy year
Co-insurance -80% - 20%
Waiting period -3 months for routine services
6 months for major and restorative services
Exclusion -Orthodontics
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VISION CARE
Maximum -$500.00 per policy year
Co-insurance -80% - 20%
Waiting Period -3 months
**** MAXIMUM AGE OF COVER - SIXTY-FIVE ****
**** BENEFITS ARE BASED ON USUAL, REASONABLE & CUSTOMARY CHARGES **** |