Topaz

Affordable primary healthcare cover for those who need access to private medical care at state hospitals. The option provides medical services to members through a network of private healthcare providers at reasonable monthly contributions.

Key Benefits


Hospital: Major Medical Expenses
Cover: in-hospital services payable to a maximum of 100% of Tariff

Overall Annual Benefit /Limit Cover - Agreed fees with the Network Administrator (DHS)
Hospitalisation 100%
Blood Transfusion 100%
Radiology 100%
GPs and Specialists In-hospital 100%


Day-to-Day Benefits


Benefit Cover
General Practitioners Unlimited consultations
Acute Medicine & Injections Unlimited
Chronic Medicine & Injections Unlimited
In-Practice Procedures Unlimited
Pathology Specified tests
Radiology Unlimited long bones, chest and trauma
Dentistry Basic dentistry includes fillings and extractions
Ultrasound 2 per pregnancy and 2 per Member per year (pre-authorisation required)

Contributions


Individuals
Main Member Adult Dependant Child
516 456 160
Groups
Main Member Adult Dependant Child
411 354 135