Primary Care Benefit |
Annual limit: ZMK 3 000 000 per member per annum |
| General Practitioner (GP) Consultations | Annual limit |
| Acute medicine | ZMK 800 000 per member per annum |
| Chronic benefit | ZMK 1 200 000 per member per annum |
| Dentistry | ZMK 500 000 per member per annum |
| Optometry | ZMK 500 000 per member per annum |
| Pathology and Radiology | Annual limit |
| |
Hospital Benefit |
Annual limit: ZMK 10 000 000 per member per annum
Benefits payable at 100% of agreed tariff (Zambia Price List).
Hospital benefit covers medical expenses incurred when hospitalised, including
doctors, specialists, operations, anaesthesia, etc. |
| Hospital limit | Annual limit ZMK 10 000 000 per member |
| Specialists, doctors, etc in hosptal | Included in hospital limit |
| Medicine to take home (TTO) | 3 days' supply |
