Individuals Wellness Plan Packages Deluxe
Individuals Wellness Plan Packages Deluxe
Individuals Wellness Plan Packages Deluxe
Membe
r
Spouse
Child
18
under
Child above
18
Other
dependants
Deluxe
119
119
67
88
139
Grand
92
92
58
79
108
Access
59
59
32
49
67
Express
Foundatio
n
Facilities
36
36
18
30
43
18
18
13
16
22
Benefits Structure
BENEFIT
Global limit
Institutions
Consultation
DELUXE
15,000
Treatment
at
Group 1 Private
institutions
100% of AHFoZ
GRAND
10,000
Treatment at Group
1
Private
institutions
100% of AHFoZ
ACCESS
8,000
Treatment at Group
2 Private institutions
EXPRESS
FOUNDATION
5,000
3,000
Treatment at Group 3 Treatment and public
Private institutions
institutions only
100% of AHFoZ
100% of AHFoZ
100% of AHFoZ
Specialist
Treatment
Hospitalisation
Maternity
Drugs
Optical
Dental
Maternity
Maternity
Waiting
periods
100% of AHFoZ
80% of AHFoZ
75% of AHFoZ
65% of AHFoZ
5,000
From Hosp (once
in 2 years)
1,000
500
1,500
90% of Ahfoz
Antenatal visits
9
Post natal visits
5
Ultra sound scans
-2
Standard to apply
4,000
From Hosp (once in
2 years)
800
300
1,000
80% of Ahfoz
Antenatal visits 9
Post natal visits 5
Ultra sound scans 2
3,000
From Hosp (once in
2 years)
600
250
600
75% of Ahfoz
Antenatal visits 9
Post natal visits 5
Ultra sound scans 2
2,000
From Hosp (once in 2
years)
500
200
450
65% of Ahfoz
Antenatal visits 9
Post natal visits 5
Ultra sound scans - 2
1,500
From Hosp (once in 2
years)
300
150
150
100% Govt fees
Antenatal visits 9
Post natal visits 5
Ultra sound scans - 2
Standard to apply
Standard to apply
Standard to apply
Standard to apply
Waiting periods
3 months
6 months
9 months
12 months
24 months
Shortfall Table
Benefit
Surgery & Anesthetist
MaternityNormal Delivery
Maternity C-Section
Dental
Optical
Scans
Deluxe
100%
100%
90%
90%
90%
90%
Grand
80%
80%
80%
80%
80%
90%
Access
75%
75%
75%
75%
75%
90%
Express
70%
65%
65%
65%
75%
90%