Emerald Plus - Our Benefits - Options and Benefits | NMC

Emerald Plus

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Key Benefits

Hospital: Major medical expenses

AHB Cover: GPs and specialists in-hospital services payable to a maximum of 150% of the NAMAF tariff

Benefit Cover
Accommodation and Theatre 100%
Physiotherapy and Biokinetics (In-hospital) 100%
Post Rehabilitation
Physiotherapy, Biokinetics and Occupational Therapy
100%
MRI and CT Scans 100%
Internal Appliances and Materials 100% of Cost
Oncology
  • Consultations and Procedures Out-of-Hospital
  • MRI/CT Scans and Other Specialised Radiology Procedures In and Out-of-Hospital
  • Radiation Oncology (Referral from a medical specialist only)
  • Oncology Medication (Chemotherapy, radiotherapy and hormone therapy)
  • Hospitalisation and Related Procedures In-Hospital
100%
Dialysis/Organ Transplant 100%
Corrective Eye Surgery – All-inclusive
  • Refractive Surgery
  • Cataract Surgery and Lens Implants
100%
Maternity - Confinement – Full Procedure
  • Confinement – full procedure
  • 12 Ante-natal consultations per Beneficiary
  • Six sessions, ante-/post-natal classes and education
  • Three sonar scans per Beneficiary per pregnancy
100%

Day-to-Day Benefits

Benefits are paid from the Day-to-Day Back-Up benefit.


Benefit Cover
General Practitioners and Specialists
100% 
Dentistry
Medicine and Injections
Optical
Primary Health Care Services
Auxiliary Services
Specified Illness Conditions

Contribution Tables


Individual Contributions
Age Band Main Adult Child
0 25 1,875 1,230 434
26 30 2,011 1,326 434
31 35 2,153 1,426 434
36 40 2,303 1,521 433
41 45 2,461 1,641 433
46 50 2,608 1,746
433
51 55 2,788 1,879
433
56 60 2,943 1,986
433
61 65 3,091 2,099 433
66+ 3,255 2,206 433
Group Contributions
Age Band Main Adult Child
0 25 1,875 1,230 434
26 30 2,011 1,326 434
31 35 2,133 1,372 434
36 40 2,248 1,432 433
41 45 2,358 1,527 433
46 50 2,502 1,631 433
51 55 2,562 1,683 433
56 60 2,672 1,771 433
61 65 2,843 1,885 433
66+ 2,894 1,922 433