BENEFIT
COVERED EXPENSES
MAXIMUM COVER
(employed in the provision of home help services).
These support services and personal items do not need to be medically necessary.
Covers reasonable charges of cardiac surgery or non-invasive cardiac procedures when referred by a specialist including:
> Cardiac surgeon and perfusionist fees
> Cardiologist and radiologist fees
> Anaesthetist fees
> Diagnostic fees
Unlimited.
> Hospital fees including:
Includes pre- admission and post discharge below.
Cardiac surgery/ procedures performed in a private hospital
–
Accommodation
–
Operating theatre fees
Excess applies.
–
Intensive/coronary care unit fees
– Ancillary hospital charges including: anaesthetic supplies, dressings, pathology tests, ECG, postoperative physiotherapy, medication (prescribed and taken while in hospital), stents including drug eluting stents, angioplasty catheters
– Cardiac prostheses (separate maximum cover may apply).
Covers reasonable charges of medically necessary oral surgery*, performed by an oral surgeon , when referred by a registered medical practitioner including:
> Oral surgeon fees
> Anaesthetist fees
> X-rays
> Hospital or day stay clinic charges (if applicable)
> Ancillary charges including: dressings, medication (prescribed immediately post surgery), anaesthetic supplies.
Unlimited
Includes pre- admission and post discharge below.
*Oral surgery procedures covered are:
Oral surgery performed in a private hospital or day stay clinic
> Removal of impacted wisdom teeth (procedure is only covered from 12 months after the commencement of this cover). > Removal of unerupted teeth (procedure is only covered from 12 months after the commencement of this cover).
Excess applies.
> Treatment of cysts, soft tissue swellings and enlargements.
> Temporomandibular joint surgery when surgical treatment is considered medically necessary. Cover is not provided for root canal treatment, dental repair or implants. Cover is also not provided for orthodontic treatment or orthognathic surgery of any kind. Covers dental evaluation and treatment performed by an oral surgeon or a dental practitioner , on the recommendation of the treating registered medical specialist as a precursor to the following treatments where those treatments are covered by your policy: > Chemotherapy and immunotherapy using antiresorptive drugs. > Radiotherapy treatment (head and neck).
$1,500 per life assured per policy year .
Dental evaluation and treatment prior to qualifying treatments
No excess applies.
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711 ABH-BS version 8 Effective 08 April 2022
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