| |
 |
| Table of Benefits |
Mega Plan |
Personal Care |
| |
MEGA |
ULTRA |
Standard |
Executive |
Premier |
|
INPATIENT & DAILY BENEFIT |
|
|
|
|
|
|
Max payable per disability |
5,000,000 |
20,000,000 |
1,500,000 |
2,000,000 |
3,000,000 |
|
Room & Board |
8,000 |
16,000 |
1,500 |
3,000 |
5,000 |
|
ICU |
Full Cover |
Full Cover |
3,000 |
6,000 |
10,000 |
|
HOSPITAL GENERAL EXPENSES |
|
|
|
|
|
|
Misc Services, inc drugs,
dressings, X-ray, lab tests,
Operating room |
Full Cover |
Full Cover |
20,000 |
30,000 |
50,000 |
|
Emergency treatment -
1st visit within 24 hrs
& 15 days follow up |
Full Cover |
Full Cover |
4,000 |
6,000 |
10,000 |
|
Ambulance |
Full Cover |
Full Cover |
- |
- |
- |
|
SURGICAL FEE |
Full Cover |
Full Cover |
40,000 |
50,000 |
80,000 |
|
PHYSICIANS FEE |
Full Cover |
Full Cover |
500 |
800 |
1,200 |
|
Specialist Fee |
Full Cover |
Full Cover |
4.000 |
6,000 |
10,000 |
|
Personal Accident |
200,000 |
400,000 |
50,000 |
75,000 |
100,000 |
|
EMERGENCY ASSISTANCE |
|
|
|
|
|
|
Evacuation |
1,000,000 |
1,000,000 |
- |
- |
- |
|
Repatriation |
- |
- |
- |
- |
- |
|
Repatriation of mortal remains |
- |
- |
- |
- |
- |
| |
|
|
|
|
|
|
OPD - OUTPATIENT BENEFITS |
Optional |
Optional |
Optional |
Optional |
Optional |
|
EXPANDER BENEFITS |
- |
- |
Optional |
Optional |
Optional |
| |
|
|
|
|
|
|
Annual Travel Cover |
- |
Included |
|
|
|
| |
|
|
|
|
|
|
NOTES |
Members who join within 6 months of the next age table limit will be charged the next age table limit premium. |
|
NSI MEDICAL INSURANCE