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EXECUTIVE
OPTIMUM
STANDARD
| Subscriptions |
| Member and Spouse each |
| Subsequent Beneficiary U18 |
| Extra & Other Beneficiaries U18 |
| Adult Dependants |
| Over 60 Adult Dependants |
| Limits |
| Global Limit |
| Benefits |
| Hospitalisation |
| Rehabilitation Hospitalisation |
| Private Hospitals |
| Public Hospitals: Public Hospitals and Mission - Covered at Cost |
| Ambulances($) |
| Ambulances |
| Air Evacuation |
| General Practitioners :Initial Visits |
| Medical Specialists |
| General Practitioners (Covered in full in the network of service providers) |
| Dental (Basic) |
| Dental (Specialized): Crowns , Dentures and Orthodontics |
| Maternity |
| Family Planning |
| Infertility |
| Hearing Aids |
| Medicine : Chronic |
| Medicine : Acute |
| Chemotherapy |
| Optical($) |
| Eye examinations, with frames, lenses, permanent or disposable contact lenses after every three (3) years |
| Eye examinations, at Government Institutions |
| Pathology |
| Physiotherapy |
| Radiology($) |
| Psychiatric Services |
| Rehab Services |
| Prosthesis |
| Radiology |
| Oncology |
| Haemodialysis |
| Primary Care Consultations :Government, Municipal, Industrial Clinics (Unlimited Access) |
| Preventative Care: Mammography Screening & Pap Smear Once a year in designated network of Service Providers |
| HPV Screening once a year to eligible members |
| HPV Vaccine once in a lifetime for eligible beneficiaries |
| Prostrate Screen for eligible beneficiaries |
| Annual Health Risk Assesment |