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FAMILY HEALTHCARE PLAN

We are well structured to provide managed healthcare for you and your family members.

Irrespective of your socio-economic status and demographics.

This plan allows you and your family to enjoy a variety of

health benefit packages from Standard to Gold plus categories

COVERED SERVICES STANDARD CLASSIC SILVER GOLD GOLD PLUS
MEDICAL EMMERGENCY SERVICES: Acute Heart Failure, Shock
OUT PATIENT SERVICES General Consultation General + Specialist Consultation General + Specialist ConsultationGeneral + Specialist Consultation General + Specialist Consultation
INPATIENT MEDICAL SERVICES
ALLERGIES
MEASLES
CHICKEN POX
PARASITIC AND ALLERGIC SKIN CONDITIONS
Scabies, Tinea Infection, Acne, Eczema, Seborrheic
Dermatitis
URINARY TRACT INFECTION
Uncomplicated & Complicated Urinary Tract Infection
PEPTIC ULCER DISEASE
Acute Axacerbation of Peptic Ulcer Disease, GERD
Indigestion
UPPER & LOWER RESPIRATORY TRACT INFECTION
Pneumonia, Bronchitis, Influenza, Viral Croup,
Bronchiolitis
ASTHMA
CORYZA
DIARRHEA DISEASES
CADIO-VASCULAR CONDITIONS
Hypertension, Myocardial Infarction, Cerebrovascular Accident (stroke),
Cardiomyopathies, Chronic Heart Failure
BLOOD TRANSFUSION
HIV/AIDS-Investigation for confirmation
Treatment of opportunistic infections
INVESTIGATIONS
PVC, MP, WIDAL, FBC+DIFF, PREGNANCY TEST
ESR, RBS/FBS, URINALYSIS, M/C/S
E/U/CR, BLOOD GROUP AND GENOTYPE, HBSAg.
HBV/HCV, H, PYLORI
COOMB's TEST, BLOOD CULTURE, PERIPHERAL
BLOOD FILM, CLOTTING PROFILE, BLEEDING TIME, INR
D-TIMER, FECAL OCCULT BLOOD, FERRITIN LEVELSM HbA1c
LFT, KFT
MATERNITY AND CHILD SERVICES
Confirmation of Pregnancy
Antenatal Care (from 12 weeks)
Management of Labour & Delivery
Surgical Intervention
Post-Natal Care
Febrile Convulsions
Routine immunization Services
Additional Immunization under 5yrs
ICU/SCBU (1st 24hrs and monetary limit) Limit: 50,000Limit: 70,000Limit: 100,000
SURGICAL SERVICES
Minor Procedures
Intermidiate Procedures
Major Procedures
Surgical Limit = 50,000 for individual & 70,000 for family plans Surgical Limit = 140,000 for individual & 150,000 for family plansSurgical Limit = 220,000 for individual & 530,000 for family plansSurgical Limit = 270,000 for individual & 440,000 for family plansSurgical Limit. To be determined
EYE SERVICES
Basic Eye Examination (only)
MANAGEMENT OF COMMON EYE AILMENTS
stye, Conjuctivities, Ocular Allergies, Keratitis
Optical Lens Limit (biennial) 10,00015,00025,000To be determined
Eye Surgeries (Minor & Intermidiate)
Major Eye Surgery
DENTAL CARE
TREATMENT OF MINOR AILMENTS
Gingivitis, Scurvy, Tooth pain
Routine pain management
Simple Extraction
Surgical Extraction
Amalgam Filling
Scaling and Polishing
Denture and Bridges
Root Canal Therapy
RADIOLOGICAL SERVICES
X-rays and Ultrasound
CT Scan & MRI (%co-payment) To be determined
Echocardiography To be determined
Electrocardiography To be determined
Doppler Scan To be determined
PHYSIOTHERAPY 3 sessions5 sessions8 sessions10 sessions20 sessions
CANCER CARE
General Outpatient Consultation
Specialist Consultation
Cancer Screening only (PSA & Mammography)
Surgical Treatment of Cancer (subject to global limit)
MEDICAL CHECKUP
Routine Physical
Annual Medical Examination
DRUG TYPES COVERED GenericGenericGenericGenericGeneric
ADDED BENEFITS
Renal dialysis (subject to policy limit)
Infertility consultation, investigation & non-hormonal
drug management
CHRONIC DISEASE MANAGEMENT
INTERNATIONAL HEALTH INSURANCE
GPA (Group Personal Accident)
TRAVEL INSURANCE
HIGH END HOSPITALS
GYM MEMBERSHIP
MENTAL HEALTH SERVICES
Out-patient care for 6 weeks
EXCLUSIONS: to be hilighted in the policy document