Routine care and medicines tied to the outpatient allocation.
Consultation
Pharmacy
General practitioner visits
Hospital admissions and related specialist investigations.
Hospitalization
Laboratory
Radiology
Basic dental services are limited to the annual dental allocation.
Basic dental care
Routine extractions
Pain management
Vision care support is limited to the optical allocation.
Eye tests
Frames
Lenses
Emergency care is available within the emergency cap and pre-authorisation rules.
Emergency room care
Ambulance support
Urgent stabilization
Service access
Consultation
Pharmacy
Hospitalization
Laboratory
Radiology
Dental
Optical
Emergency
Access notes
- Principal member pricing is used for the subscription quote base.
- Dependant charges are driven by the tiered dependant rates.
- Exact service approval still depends on eligibility, provider network, and claim rules.