Inpatient and Daycare Ush 30 million overall annual limit Ush 15 million accident hospitalisation limit Ush 15 million illness hospitalisation limit 100% coverage of accident, emergency, intensive care and theatre costs
Valid worldwide Hospital accommodation Nursing fees, medical expenses and ancillary charges Surgeons’, consultants’, anaesthetists’, and medical practitioners’ fees Prescribed medicines and drugs Reconstructive surgery following an accident or following surgery for an eligible medical condition Internal prostheses X-rays MRI and CT scans Pathology, diagnostic tests and procedures Oncology tests, drugs and consultation fees, including cover for chemotherapy and radiotherapy Accidental damage to natural eyes Accidental damage to natural teeth Psychiatric treatment Physiotherapy, if referred by a general practioner or specialist Parent accommodation for member parent with a member child under 8 years of age in hospital Selected pre-existing and chronic conditions HIV/AIDS management Maternity Ush 900,000 normal delivery limit Ush 1.5 million caesarean section delivery limit Outpatient Unlimited annual outpatient limit Primary consultations and treatment - include medical practioners' fees, prescribed medicines, drugs and dressings X-rays, pathology, diagnostic tests and procedures Specialists and consultation fees Physiotherapy if referred by a medical practioner or consultant or specialist Oncology tests, drugs and consultation fees including cover for chemotherapy and radiotherapy MRI and CT scans Out-patient surgical operations Upto Ush 1.5 million limit on psychiatric treatment Antenatal treatments and examinations Post hospitalisation treatment Selected pre-existing and chronic conditions HIV/AIDS management Optometry Optometry cover up to Ush 200,000 annual limit All prescribed lenses, excluding contact lenses Dental Dental cover up to Ush 200,000 annual limit Consultation, simple extractions, difficult extractions, fillings (temporary, permanent, amalgam, composite GIC). Scaling and polishing, gum surgery, root canal treatment, pulpotomy and minor oral surgery
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