Benefits paid
from risk

1. Hospitalisation

• Doctor’s consultations and procedures paid at Profmed Premium Tariff (The maximun tariff paid by the Scheme - 300% of Profmed Tariff)
   
• Private wards for all hospitalisation, including maternity ante-natal and post-delivery.

2. Preventative Care from designated service providers

3. Oral contraceptives

4. Chronic medication

• No benefit limit
• Cover for 58 chronic conditions plus relevant DTPs

5. Out-of-hospital MRI & CT scans

• 80% of cost, paid from risk, subject to pre-authorisation

6. Trauma and HIV Assistance Programme from
    designated service providers

7. International Travel Medical Assistance