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IN-HOSPITAL - Pre-authorisation required |
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General ward and theatre fees |
Subject to Annual Limit |
|
Specialist treatment |
Subject to Annual Limit |
 |
EMERGENCY TRANSPORT - Pre-authorisation required |
|
Road |
Subject to Annual Limit |
|
Air |
Subject to Annual Limit |
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MATERNITY - Subject to registration on the maternity programme |
|
Confinement |
Subject to Annual Limit |
|
DAY TO DAY BENEFIT |
 |
General Practitioners (GP) |
Unlimited from Network Provider |
|
Radiology |
|
|
Pathology |
|
 |
Optometry |
Limited from Network Provider |
 |
Basic Dentistry |
Limited from Network Provider |
|
CO-PAYMENTS |
|
Not applicable at Network Provider.
May be applicable when using a service provider outside the network. |
|
PENALTIES |
|
A penalty will be imposed where the Fund is not pre-notified of a hospital admission. |
