Benefit
Benefit entitlement
Maximum cover
Private Health Cover and Private Health Plus
Covers the cost up to the maximum cover for this benefit for surgery for any of the following congenital conditions :
> umbilical hernia;
> inguinal hernia;
> undescended testes;
> hydrocele;
> tongue tie;
CONGENITAL CONDITIONS SURGERY BENEFIT
> phimosis;
$2,000 per life assured per lifetime
> squint.
The surgery must be performed in an approved facility by a registered medical specialist or oral surgeon , or by a general practitioner .
Prior approval must be obtained before the surgery takes place.
The pre-existing conditions exclusion does not apply to the Congenital Conditions Surgery benefit.
Subject to the maximum cover for this benefit, more than one claim may be made under this benefit.
No excess is payable for any claims under this benefit.
Covers the cost up to the maximum cover for this benefit of the following diagnostic tests and imaging at an approved facility when referred by a registered medical specialist irrespective of whether surgery occurs:
> Angiogram
> Arthroscopy
> Capsule endoscopy
> Colonoscopy
> CT scans
$200,000 per life assured per policy year
> Cystoscopy
MAJOR DIAGNOSTIC IMAGING AND TESTS
> Gastroscopy
> Hysteroscopy
> Laparoscopy
> MRI scans
> Myelogram
> Myocardial perfusion imaging
> PET/CT
> Scintigraphy The excess applies to any claims under this benefit.
712 PH-UMB version 9 Effective 8 April 2022
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