| Contribution |
K520.00 per person per month |
| Annual Limit |
K150,000.00 |
| Medical Institutions |
Government and Mission Hospitals and Clinics Registered with the Society
|
| |
Services |
Type |
Coverage |
Ambulance Services
MASM EMS - Within 30 KM Radius
MASM EMS - Outside 30 KM Radius
|
K 2500.00 call up charge
50% of the per kilometre charge
|
Anaesthetic Charges (Linked to Admission)
|
Government & Mission Hospitals Private Hospitals |
100% - subject to tariff
NIL |
| Blood Transfusions |
Mission & Private Institutions |
100% - subject to tariff |
| Consultation |
Government, Mission |
100% -subject to tariff |
General Practitioner
Paramedics
Local Private Specialists
|
100% -subject to tariff
NIL
NIL |
Dentistry
(excluding inlays,crowns &
bridges) |
Government, Mission, Private |
100% Subject to stipulated limit per person per membership year. |
| Drugs |
Supplied to In-Patient |
100% - subject to annual cover and tariff |
| Foreign Treatment |
NIL
|
| Lab / X-ray |
Government, Mission |
100% - subject to tariff |
| Major Medical & Surgical Procedures |
Government, Mission |
100% - subject to tariff. Not covered in the first three months. |
| Maternity |
100% in government and mission hospitals only
|
| Minor Procedure |
Government, Mission |
100% - subject to tariff |
Optical Care
(excluding spectacles) |
Government, Mission |
100% - subject to tariff |
| PVT Hospital Treatment |
NIL
|
| Physiotherapy |
Government, Mission |
100% - subject to tariff & referral |
| Ward Fees |
Government, Mission |
100% - subject to tariff. Not covered in the first three months. |
also see general exclusions
|
|
|
