Individuals Wellness Plan Packages Deluxe

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4thFloorFidelityHouse66JuliusNyerereWay,HarareTel:75092734,78114148Fax:751723

INDIVIDUALS WELLNESS PLAN


Packages

Membe
r

Spouse

Child
18

under

Child above
18

Other
dependants

Executive private hospital facilities - GROUP 1 (Avenues,

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

Rock foundation, Trauma centre, West end ER, Mater dei)


Private Practitioners, Private Wards, Emergency rooms,
Specialist treatment
Private hospital facilities - GROUP 1 (Avenues, Rock
foundation, Trauma centre, West end ER, Mater de)
Private Practitioners, General Wards, Emergency rooms,
Specialist treatment
Private hospital facilities - GROUP 2 (West end, Baines,
Belvedere maternity, St Annes, Claybank, Dandaro,
Murambi)
Private practitioners, Emergency rooms, Specialist
treatment
Private hospitals - GROUP 3 (PSMI clinincs, saburban
hospital, Borodaile, Harare east memorial, Malborough)
General Practitioners
No emergency rooms
Government Hospitals, Mission Hospitals, Municipal Clinics

No emergency rooms, No Specialist Treatment

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

Admission and treatment at a hospital, general consultation, upgrading to a


higher package
Spectacles, CT & MRI scans, special treatment
Maternity benefit
Foreign specialist treatment, homes providing care
Chronic medication for cancer drugs, haemodialysis, chemotherapy

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%

*NB- Cut of age for new registrations is 55 years

Access
75%
75%
75%
75%
75%
90%

Express
70%
65%
65%
65%
75%
90%

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