 |
IN-HOSPITAL - Pre-authorisation required |
 |
General ward and theatre fees |
Unlimited in hospital |
|
Specialist treatment |
Unlimited |
 |
EMERGENCY TRANSPORT - Pre-authorisation required |
|
Road |
Unlimited |
|
Air |
Unlimited |
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MATERNITY - Subject to registration on the maternity programme |
|
Confinement |
Unlimited |
|
Home birth |
Unlimited |
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MEDICATION - Formulary and fund protocols apply. Designated Service Provider (DSP) |
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Chronic:
- Chronic Disease List (CDL) conditions |
Unlimited from DSP |
|
CO-PAYMENTS |
|
Applicable to all elective non PBM procedures.
May be applicable when chronic medication is not obtained from a DSP. |
|
PENALTIES |
|
A penalty will be imposed where the Fund is not pre-notified of a hospital admission. |
