Core Benefits and Limitations
Overall annual maximum
Per member, per membership year |
USD 500,000 / EUR 370,000 / GBP 300,000 |
Hospital accommodation |
100% |
Surgical operations, including pre and post-operative |
100% |
Post-hospitalisation services
(for a maximum of 90 days after discharge) |
|
Nursing care, drugs and surgical dressings |
100% |
Physicians' fees |
100% |
Theatre charges |
100% |
Intensive care |
100% |
Pathology, x-rays, diagnostic tests and therapies |
100% |
Prosthetic implants and appliances |
100% |
Parent accommodation |
100% |
Mental health treatment |
100% |
Advanced imaging |
100% |
Cancer treatment |
100% |
Kidney dialysis
provided as in-patient, day-case or as on out-patient |
100% |
HIV/AIDS treatment
(related conditions + drug therapy including ART) |
USD 5,000 / EUR 3,750 / GBP 2,950 per membership year |
Home nursing after in-patient treatment |
USD 200 / EUR 150 / GBP 120 each day for a maximum of 15 days per membership year |
Hospice and palliative care |
USD 20,000 / EUR 14,800 / GBP 11,800 maximum benefit for the whole of the membership |
Newborn care |
USD 50,000 / EUR 36,900 / GBP 29,500 maximum benefit for all treatment received during the first 90 days following birth |
Prosthetic devices |
USD 4,000 / EUR 3,000 / GBP 2,350 for each device |
Rehabilitation |
100% for a maximum of 42 days per membership year |
Transplant services |
100% |
Air ambulance |
100% |
Road ambulance |
100% |
Assistance cover (Evacuation) |
100% |
Emergency out of area cover |
USD 50,000 / EUR 36,900 / GBP 29,500 for a maximum of 30 days per membership year |