Topaz Plus

Affordable primary healthcare cover for those who need access to private medical care at a reasonable price. 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 General radiology excluding MRI and CT scans
Dentistry Unlimited Pain and Sepsis, 2x oral hygiene visits per Beneficiary, Unlimited according to defined protocols
Optical 6-month waiting period, complete test, specified frames and lenses every 2 years
Specialist Consultations 5 per Family per year (pre-approval required)
Ultrasound 2 per pregnancy and 2 per Member per year (pre-authorisation required)
Paramedical (Psychologists, Physiotherapists, Occupational Therapists) 3 per Family per year (pre-approval required)

Contributions

Individuals
Main Member Adult Dependant Child
936 774 275
Groups
Main Member Adult Dependant Child
774 638 227


Topaz Plus Student Contribution

Main

461