Other Medical Services (Subject to Co-Insurance & UCR unless noted)

Home Nursing Care

  • Maximum per Day: $250.00
  • Maximum no. of days per illness: 30 Days

Note: Medically prescribed by a registered nurse following hospitalisation due to serious accident/illness

Prescription Drugs

80% Of UCR

Note: Controlled/Antibiotics

Diagnostic/X-ray/Lab

  • 80% of UCR

Dialysis / Chemotherapy / Radiotherapy

  • 80% of UCR

Hearing Aids

  • 80% Of UCR, Maximum Benefit per 24 Calendar Months $10,000.00

Durable Medical Equipment / Prosthesis

  •  Calendar Year Maximum $10,000.00

Organ Transplants

  • Lifetime Maximum $125,000.00

Mental & Nervous Disorder

  •  Lifetime Maximum 80% Up To $25,000.00

HIV/AIDS

  • Lifetime Maximum 80% Up To $50,000.00
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