Topaz Plus

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Key Benefits

Hospital: Major Medical Expenses
Cover: in-hospital services payable to a maximum of 100% of Tariff

Overall Annual Benefit/Limit Cover – Benefits available only at Network Health Professionals
Hospitalisation 100%
Blood Transfusion 100%
Radiology 100%
GPs and Specialists In-hospital 100%

Day-to-Day Benefits

Benefit Cover
General Practitioners Unlimited consultations
Acute Medicine & Injections Unlimited
Chronic Medicine & Injections Unlimited
Pathology Specified tests only
Radiology Long Bones, chest, trauma and basic radiology (excluding MRI & CT Scan)
Dentistry Extractions, fillings & 2 oral hygiene visits per
beneficiary including pain and sepsis as per defined
list
Optical 6 months waiting period, complete test, specified frames and lenses every 2 years
Specialist Consultations 5 per Family per year (pre-approval required)
Sonar Scans (Pregnancy) 3 scans per Beneficiary per pregnancy
Paramedical (Psychologists, Physiotherapists, Occupational Therapists) 3 consultations/sessions per Family per annum

Contributions

Individuals
Age Band Main Adult Child
0 25 580 493 232
26 30 613 520 232
31 35 646 549 232
36 40 672 572 232
41 45 699 593 232
46 50 726 617 244
51 55 765 651 244
56 60 807 686 244
61 65 868 738 244
66+
933 792 244
Groups
Age Band Main Adult Child
0 25 509 433 204
26 30 538 457 204
31 35 567 482 204
36 40 590 502 204
41 45 613 521 204
46 50 637 542 214
51 55 672 571 214
56 60 709 603 214
61 65 762 648 214
66+
819 696 214


Topaz Plus Student Contribution

Main

492