Opal

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Key Benefits

Hospital: Major Medical Expenses
AHB Cover: GP & Specialist in-hospital services payable 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% of cost
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%
Organ Transplant 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%

Ambulance and Evacuation Services

Benefit Cover
Emergency Ambulance & Flights 100%
Ambulance/Inter-hospital transfer 100%

International Medical Travel Insurance

Benefit Cover
Medical cover when travelling to foreign countries. For emergency cases only 100% of cost

Contributions

Individuals
Age Band Main Adult Child
0 25 1,712 1,066 474
26 30 1,894 1,198
474
31 35 2,063 1,346
474
36 40 2,312
1,522 484
41 45 2,532
1,669 484
46 50 2,713 1,824
484
51 55 2,952 2,012
484
56 60 3,148 2,159
484
60 65 3,351
2,308
484
66+
3,556
2,475 484
Groups
Income Band
Main Adult Child
0 3,990 1,541 998
285
3,991 5,270
1,775
1,132
327
5,271
8,060 1,901 1,175
351
8,061
11,850
1,954 1,260
360
11,851
13,320 2,186 1,400 403
13,321 15,100 2,421
1,540 447