H. Benefits – what you are covered for
Your Private Health Cover policy provides cover for each life assured for the reasonable charges of the following:
Benefit
Benefit entitlement
Maximum cover
Private Health Cover and Private Health Plus
Covers the costs associated with surgery. Surgery must be performed in an approved facility by a registered medical specialist or an oral surgeon.
SURGERY
The excess applies to any claims under this benefit.
Cover is provided for the following costs:
>
Surgeon’s fees
>
Oral surgeon’s fees
>
Cardiologist’s fees
>
Anaesthetist’s fees
>
Perfusionist’s fees
>
Radiologist’s fees
Inpatient treatment costs
> Hospital fees including:
Unlimited
−
Accommodation
−
Operating theatre fees
−
Intensive/coronary care unit fees
−
Ancillary hospital charges
− Disposable laparoscopic equipment
−
Prostheses
Consultations with a registered medical specialist or oral surgeon (including second opinions) and diagnostic imaging and tests referred by a registered medical specialist or oral surgeon directly relating to the approved surgery, performed within twelve months before or after surgery. Physiotherapy , occupational therapy and prescription costs directly relating to the approved surgery provided within six months after surgery on the recommendation of a registered medical specialist or oral surgeon .
Outpatient treatment support costs
712 PH-UMB version 9 Effective 8 April 2022
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