Sapphire

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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%
Dialysis/Organ Transplant 100%
Refractive Surgery 100%
Maternity
  • Confinement – Full Procedure
  • 12 Antenatal Consultations per Beneficiary
  • 6 Sessions, Ante/ Postnatal 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

Day-to-Day Benefits

Benefit Cover
General Practitioners and Specialists 100%
Dentistry 100%
Medicine & Injections
  • Acute
  • Chronic
  • Essential Vaccination/Immunisation (As per WHO guidelines)
  • Self-Medication

80%
80%
100%
100%
Optical 100%
Primary Health Care Services 100%
Auxiliary Services 100%
Specified Illness Conditions 100%

Contributions

Individuals
Age Band Main Adult Child
0 25 2,887
2,312
1,028
26 30 3,272 2,614
1,028
31 35 3,655 2,902
1,028
36 40 4,160
3,301
1,028
41 45 4,627
3,654
1,028
46 50 5,040 3,966
1,043
51 55 5,550
4,348
1,043
56 60 5,977
4,678
1,043
61 65 6,421
5,021
1,043
66+
6,879
5,354
1,043
Groups
Age Band Main
Adult Child
0 25 2,624 1,999
871
26 30 2,883
2,204
871
31 35 3,105 2,378
871
36 40 3,496
2,694
871
41 45 3,911
2,998
871
46 50 4,206
3,240
881
51 55 4,588
3,531
881
56 60 5,070 3,900
881
61 65
5,380
4,126
881
66+
5,387
4,134 881