Emerald Plus

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KEY BENEFITS

Hospital: Major Medical Expenses
Day to Day: Paid from Backup Benefit
AHB Cover:
GPs & Specialists in-hospital services paid up to a maximum of 225% of NAMAF Tariff.

Benefit Cover
Accommodation and Theatre 100%
Physiotherapy & Biokinetics (post-rehabilitation) 100%
MRI & CT Scans 100%
Internal Appliances & Materials 100%
Oncology – (All-inclusive In and Out of Hospital)

  • Consultations and Procedures
  • Hospitalisation
  • Radiation Oncology (Referral from a medical specialist only)
  • Oncology Medication (Chemotherapy, Radiotherapy and Hormone Therapy)
100%
Dialysis/Organ Transplant 100%
Refractive Surgery 100%
Maternity
  • Confinement – Full Procedure
  • 12 Ante-natal Consultations per Beneficiary
  • 6 Sessions, Ante / Post-natal Classes & Education
  • 3 Sonar Scans per Beneficiary per Pregnancy

100%
100%
100%
100%
Day-to-Day Backup Benefit
Benefit Cover
General Practitioners & Specialists
100% (Paid from Day-to-Day Back-Up Benefit)
Dentistry
Medicine & Injections
Optical
Primary Health Care Services
Auxiliary Services
Specified Illness Conditions

Contribution Tables

Emerald Plus Individual Contributions
Age Band
Main Adult Child
0 25 1,464 961
340
26 30 1,571 1,036 340
31 35 1,681 1,114 340
36 40 1,833 1,211 345
41 45 1,959 1,306 345
46 50 2,076 1,390
345
51 55 2,219 1,496
345
56 60 2,342 1,581
345
61 65 2,461 1,671 345
66+
2,591 1,756 345
Emerald Plus Group Contributions
Age Band
Main Adult Child
0 25 1,503 987 334
26 30 1,613 1,065 334
31 35 1,682 1,082 334
36 40 1,772 1,129 339
41 45 1,859 1,204 339
46 50 1,972 1,286 339
51 55 2,020 1,328 339
56 60 2,107 1,397 339
61 65 2,241 1,486 339
66+
2,282 1,515 339