Select a scheme and option
View the benefits, health management programmes and chronic conditions covered by your patient’s medical scheme and option.
| Benefit summaries | |
|---|---|
| In-hospital benefits |
Annual benefits for hospitalisation and other major medical services. |
| Out-of-hospital benefits |
Annual benefits for day-to-day medical services. |
| Healthcare programmes Members need to register on health management programmes to gain access to the benefits outlined below. | |
|---|---|
| Medicine risk management programme |
The Medicine Risk Management Programme aims to manage the chronic medicine usage of patients to ensure that quality care through integrated healthcare and holistic patient management take place. Please email [email protected] to register a member on the Medicine Risk Management Programme. |
| Maternity programme |
The maternity programme is specifically designed to actively empower and provide knowledge for a safe and healthy pregnancy and delivery. It provides essential tools to ensure that you receive the best possible care. Please call 0861 888 109 to register a member on the programme. |
| HIV Programme (LifeSense Disease Management) |
The purpose of the LifeSense Disease Management Programme programme is to assist with maintaining ARV adherence. The programme is aimed to assist patients to maintain a healthy and productive lifestyle. Please call 0860 50 60 80 or email [email protected] to register a member on the programme. |
| Palliative care programme |
Palliative care is specialised medical care for people living with a serious illness and is focused on providing relief from the symptoms and stress of their condition(s). It is based on the needs of the patient, not on the patient's prognosis (the likely course or outcome of a medical condition). Please click here to apply for palliative care services. |
| Oncology programme |
The primary function of the Oncology Programme is to pre-authorise oncology treatment and to interact with oncologists regarding treatment plans for cancer patients. The Programme includes member education, the promotion of wellness and pre-authorisation which grants access to medication and hospital benefits. Please email [email protected] to register a member on the programme. |
| Chronic condition lists | |
|---|---|
| Prescribed minimum benefits (PMB) | |