This option offers a comprehensive cover of P 300 000 in benefits per family every financial year. Members and their dependants are required to pay a 10% co-payment as prescribed by the scheme rules. However, worth noting is the fact that a member and his dependants are limited to P1000.00 per financial year in co-payments after which an exemption letter is generated and sent to the member via post.
P 150 000 Annual Basic Limit
- In-patient and Out-patient services
- Maternity benefits
- Dental services
- Acute Medicines
- Optical benefits
- Chronic benefits
- HIV Benefit
- Psychiatric medication
- Paramedic services
- Alcoholism and drug addiction
- Prosthesis
P 165 000 Dread Disease Cover
The Dread Disease benefit covers hospitalization for a dread condition and maintenance treatment thereof. Diseases covered include the following; Cancer, Heart Attack, Coronary Heart Disease, Kidney Failure, Organ Transplant, Paraplegia, Blindness, Multiple Sclerosis, Stroke, Systemic Lupus Erythematous (SLE), Hepatitis C and Road Traffic Accidents. This list may change from time to time. Please contact the Managed Care Program for information and regular updates.
