Description
A. IN-PATIENT BENEFITS Subject to approval and preauthorisation (within In patient limits and subject to limit per benefit)
Covers hospitalization, medication, treatment and consultation by a general doctor (or a
specialist doctor) while admitted for chronic or pre-existing condition.
- Hospital accommodation, nursing, theatre and ICU/HDU costs
- Surgeons’, anaesthetists’ consultants and physicians’ fees
- Physiotherapy
- Internal prostheses, medical aids/devices where used as an integral part of a surgical procedure
- Prescribed drugs and medicines
- Diagnostic procedures including x-rays, pathology and MRI/CT/PET scans
- Accident and emergency room treatment which results in eligible in-patient, day-patient treatment
- Local ambulance services when required for transportation to hospital in the event of a medical emergency (restricted from one health facility to another)
- External Medical Appliances (Limited to 1 Applaince per year) as a sub limit of overall Inpatient benefit. Including Hearing aids, Nebulizers, Crutches and Wheelchairs, (Ergonomic chair Excluded)
- Maternity Benefits - Child Birth (Normal/Caesarean Section and complication arising out of delivery)
- COVID 19 Treatment
- Pre-existing and Chronic Conditions including HIV/AIDS
B. OUTPATIENT BENEFITS
- Physician and consultants fees
- Prescribed drugs, medication and dressings
- Maternity (Ante and Post Natal Visits)
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