BenefitSilverGoldDiamondPlatinumRemarks
Outpatient general/ Specialist
consultation
CoveredCoveredCoveredCoveredGeneral/ non specialist/specialist consultations
AdmissionsCoveredCoveredCoveredCoveredAccomodations for in-patient,hospital ward, feeding,
accomodation for parent
PhysiotherapyCoveredCoveredCoveredCoveredSupportive devices i.e cervical collar,cruches,walker,number
of session $ etc
RadiologyCoveredCoveredCoveredCoveredX rays, Ultra sound scans and e.t.c
Laboratory and diagnostic testsCoveredCoveredCoveredCoveredHeamatology.chemistry,microbiology&parasitology,immunol
ogy,infertility care etc
Accidents and EmergenciesCoveredCoveredCoveredCoveredResuscitative care for accident and emergency cases
Prescribed medications/drugsCoveredCoveredCoveredCoveredGeneric and branded drugs
Routine immunizationsCoveredCoveredCoveredCoveredNPI and NON-NPI
Minor surgeries and proceduresCoveredCoveredCoveredCoveredTerms and condition applies
Intermediate surgeries and
procedures
CoveredCoveredCoveredCoveredTerms and condition applies
Major surgeries and proceduresCoveredCoveredCoveredCoveredTerms and condition applies
Obstetrics and Gynecological
services
CoveredCoveredCoveredCoveredNormal delivery, C section,antenatal care, neonatal
care,family planning,scbu etc
Primary Dental careCoveredCoveredCoveredCoveredRoot canal,scalling$plishing,incision$
drainage,routine,operculectomy and etc
Secondary Dental careCoveredCoveredCoveredCoveredGingival curettage,composite amalgam filling,surgical
extraction and etc
Telemedicine and TeleconsultationCoveredCoveredCoveredCoveredUnlimited consultations,pharmacy care, laboratory
investigations
Ophthalmological servicesCoveredCoveredCoveredCoveredBasic occular tests, Advanced occular test and etc
Eye glassesCoveredCoveredCoveredCoveredLenses and Frames including contact lenses
HIV/AIDS Care and TreatmentCoveredCoveredCoveredCoveredconsultation,screening and testing,counselling,drug therapy
Advanced/complex
investugations[CT scan $ MRI scan]
Not coveredNot coveredCoveredCoveredDoppler ultrasound
scan,endoscopy,colonoscopy,hysteroscopy,ECG and etc
Additional immunization for 0-
5years[hepatitis,MMR,Pneumo
Not coveredCoveredCoveredCoveredNPI and NON-NPI
Dental surgical extractionsCoveredCoveredCoveredCoveredTerms and condition applies
Intensive care servicesCoveredCoveredCoveredCoveredICU and ICU related care
AmbulanceCoveredCoveredCoveredCoveredTerms and condition applies
Cancer careCoveredCoveredCoveredCoveredOncologist visit,surgical care,chemotherapy,cancer related
radiolopgical tests etc
Wellness Check [ Work place]CoveredCoveredCoveredCoveredGym,spa,mammography,PSA,Pap smear,massage and etc
Family planningCoveredCoveredCoveredCoveredTerms and condition applies
Mental healthCoveredCoveredCoveredCoveredTerms and condition applies
Renal Care[Dialysis]CoveredCoveredCoveredCoveredTerms and condition applies
Advanced Laboratory InvestigationsCoveredCoveredCoveredCoveredImmunofluorescense assay,creatinine
phosphokinase, SFA, TFT and etc