| Benefit Name: | | Pharmacy -(Prescription drugs only) |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 160.00 |
Waiting Period: | | 3 Months |
| Benefit Name: | | CHRONIC drugs |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 150.00 |
Waiting Period: | | 3 Months |
| Benefit Name: | | Basic Pathology tests |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 100.00 |
Waiting Period: | | 6 Months |
| Benefit Name: | | Accident and Emergency |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 150.00 |
Waiting Period: | | 6 Months |
| Benefit Name: | | X-RAY & USS |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 100.00 |
Waiting Period: | | 6 Months |
| Benefit Name: | | GP Consultations |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 150.00 |
Waiting Period: | | 3 Months |
| Benefit Name: | | Specialist Consultations |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 350.00 |
Waiting Period: | | 6 Months |
| Benefit Name: | | OUTPATIENT PROCEDURES SUBJECT TO PRIOR AUTHORISAT |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 200.00 |
Waiting Period: | | 6 Months |
| Benefit Name: | | CT AND MRI SCAN- Scans received as in-patient or o |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 200.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | OPTICAL Consultation |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 100.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | DENTAL BASIC/ CONSERVATIVE DENSTRY.SUBJECT TO PRE- |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 200.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | DENTAL CONSULTATIONS |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 100.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | PROSTHESIS INTERNAL & EXTERNAL (REQUIRES PRE- AUTH |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 100.00 |
Waiting Period: | | 24 Months |
| Benefit Name: | | ambulance |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 80.00 |
Waiting Period: | | 6 Months |
| Benefit Name: | | PSYCHIATRIC & REHABILITATION ADMISSIONS TO A RECOG |
Hospital Group: | | BMC Service Providers |
Annual limit: | | 280.00 |
Waiting Period: | | 24 Months |
| Benefit Name: | | CHEMOTHERAPY |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 150.00 |
Waiting Period: | | 36 Months |
| Benefit Name: | | REVIEW |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 120.00 |
Waiting Period: | | 3 Months |
| Benefit Name: | | Drugs (In-patient) |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 0.00 |
Waiting Period: | | 3 Months |
| Benefit Name: | | TREATMENT |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 240.00 |
Waiting Period: | | 3 Months |
| Benefit Name: | | Pediatrician Consultation |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 1000.00 |
Waiting Period: | | 4 Months |
| Benefit Name: | | Physiotherapy / Rehabilitation Session |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 150.00 |
Waiting Period: | | 6 Months |
| Benefit Name: | | Specialised Radiology |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 200.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | Acute Medication |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 370.00 |
Waiting Period: | | 3 Months |
| Benefit Name: | | Theatre Fee |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 500.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | Hospital FEE |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 500.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | Doctor's Fee (surgeon) |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 750.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | Anaestiestist fee |
Hospital Group: | | no grading applicable |
Annual limit: | | 525.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | Surgeon assistant |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 100.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | Paediatrician |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 120.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | OPTICAL Frames & Lenses (covered once every two ye |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 200.00 |
Waiting Period: | | 8 Months |
| Benefit Name: | | Hospital Fee (Maternity) |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 400.00 |
Waiting Period: | | 12 Months |
| Benefit Name: | | Gynecologist (Normal Delivery) |
Hospital Group: | | Pre-arranged Service Providers |
Annual limit: | | 300.00 |
Waiting Period: | | 12 Months |