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 3,002
2,404
1,069
26 30 3,403 2,719
1,069
31 35 3,801 3,018 1,069
36 40 4,326
3,433
1,069
41 45 4,812
3,800
1,069
46 50 5,242 4,125
1,085
51 55 5,772
4,522
1,085
56 60 6,216
4,865
1,085
61 65 6,678 5,222
1,085
66+
7,154 5,568
1,085
Groups
Age Band Main
Adult Child
0 25 2,755 2,099 915
26 30 3,027 2,314
915
31 35 3,260 2,497 915
36 40 3,671 2,829 915
41 45 4,107 3,148 915
46 50 4,416 3,402 925
51 55 4,817 3,708 925
56 60 5,324 4,095 925
61 65
5,649 4,332 925
66+
5,656 4,341 925