Topaz Plus

Sign in Register Annoucements
Affordable primary healthcare cover for those who need access to private medical care at a reasonable price. The option provides medical services to members through a network of private healthcare providers at reasonable monthly contributions.

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 35
822 680 242
36 60
1,096
907 323
Groups
Age Band Main Adult Child
0 35 698 575 205
36 60
929 767
273


Topaz Plus Student Contribution

Main

553