REAL Health
SECTION B – REAL HEALTH BENEFITS
HOSPITAL SURGICAL BENEFIT (NON CANCER)
1 We will reimburse You for the Usual, Customary and Reasonable expenses incurred for surgery in an Approved Facility in New Zealand, where You have been admitted upon referral by a Registered Medical Specialist or Oral Surgeon for non-cancer treatment. These costs are unlimited. An Annual Excess applies.
Costs for the following is provided under this Benefit : Surgeon’s fees Anaesthetist’s fees Perfusionist’s fees Hospital fees including: o Accommodation o Operating theatre fees o Intensive/coronary care unit fees o Prostheses o Ancillary hospital charges
Cardiologist’s fees
Prescription medicines (including Non PHARMAC funded medicines (excluding chemotherapy) ) for the Life Assured ’s stay at an Approved Facility and are administered during their admission for surgery, as well as thirty (30) days worth of take home approved medicine after their discharge from an Approved Facility . Conditions apply, refer to the Non-Pharmac Subsidised Drugs Benefit . Diagnostic Procedures and Specialist consultations, performed twelve (12) months prior and post-surgery, are covered, provided they relate directly to the approved surgery, and have been recommended by a Registered Medical Specialist . We will cover the costs of the surgical removal of wisdom teeth (totally impacted and totally un-erupted, or totally impacted and partially un-erupted), performed by a Dentist or Oral or Maxillofacial Surgeon (must be referred by a Dentist ). Surgery must be performed in an Approved Facility .
Please note that surgery costs in relation to cancer treatment are covered under the Cancer Treatment Benefit and not this Benefit .
REAL Health – 0324
Page 11 of 26
Powered by FlippingBook