-
8/2/2019 Big Corporate Options Rates Benefits 2011
1/5
Consultations 16 visits per member per annumAcute medicine MT 57
800Chronic benefit MT 105 800Procedures MT 99 200Dentistry
(specialized) MT 23 100Optometry MT 16 500Radiology Incl in
procedure benefitPathology Incl in procedure benefit
Maternity benefit4 Visits, 2 Ultrasound exams, 1 Full
bloodcount, 1 Elisa test, ARV syrup for new born
Supplements MT 1 200HIV / AIDS benefit Wellness
programPhysiotherapy MT 16 500Ancillary services MT 19 800
High care, Intensive care treatment 10 days per
admissionPsychiatric Hospitalisation 7 days per annumInternal
prosthesis MT 103 600 per prosthesisExternal medical appliances MT
24 000 per family per annumMRI / CT Scans 1 body region per
beneficiary per annumSecondary / Step down facilities MT 103 600
per family per annumOrgan transplants MT 343 200 per family per
annumRenal Dialysis MT 309 100 per family per annumOncology /
Chemotherapy Subject to enrolment on oncology program
Description MtnMain member 4,565.00
Adult dependant 3,425.00Child dependant 1,670.00
P'La Saude - Platinum Option 1
Primary Care Benefit - MT 368 900 per member per annum
Hospital Benefit
No overall annual hospital limit
Benefits payable at 300% of agreed tariff (Mozambique Price
List)
Total Monthly Premiums
Hospital benefit covers medical expenses incurred when
hospitalised, including doctors, specialists,operations,
anaesthesia, etc
Special Benefits
24-hour health advice lineEmergency evacuation to South
Africa
HIV / AIDS wellness and management program
-
8/2/2019 Big Corporate Options Rates Benefits 2011
2/5
Consultations 13 visits per member per annumAcute medicine MT 34
700Chronic benefit MT 62 900Procedures MT 59 500
Dentistry (specialized) MT 13 300Optometry MT 10 000Radiology
Incl in procedure benefitPathology Incl in procedure benefit
Maternity benefit4 Visits, 2 Ultrasound exams, 1 Full
bloodcount, 1 Elisa test, ARV syrup for new born
Supplements MT 1 200HIV / AIDS benefit Wellness
programPhysiotherapy MT 10 000Ancillary services MT 11 600
High care, Intensive care treatment 10 days per
admissionPsychiatric Hospitalisation 7 days per annumInternal
prosthesis MT 103 600 per prosthesisExternal medical appliances MT
24 000 per family per annumMRI / CT Scans 1 body region per
beneficiary per annumSecondary / Step down facilities MT 103 600
per family per annumOrgan transplants MT 343 200 per family per
annumRenal Dialysis MT 309 100 per family per annumOncology /
Chemotherapy Subject to enrolment on oncology program
Description MtnMain member 3,450.00
Adult dependant 2,760.00Child dependant 1,440.00
P'La Saude - Platinum Option 2
Primary Care Benefit - MT 225 800 per member per annum
Hospital Benefit
No overall annual hospital limit
Benefits payable at 300% of agreed tariff (Mozambique Price
List)
Total Monthly Premiums
Hospital benefit covers medical expenses incurred when
hospitalised, including doctors,
Special Benefits
Emergency evacuation to South Africa24-hour health advice
line
HIV / AIDS wellness and management program
-
8/2/2019 Big Corporate Options Rates Benefits 2011
3/5
Consultations 10 visits per member per annumAcute medicine MT 14
000Chronic benefit MT 21 200Procedures MT 19 800Dentistry
(specialized) MT 4 700Optometry MT 3 300Radiology Incl in procedure
benefitPathology Incl in procedure benefit
Maternity benefit4 Visits, 2 Ultrasound exams, 1 Full
bloodcount, 1 Elisa test, ARV syrup for new born
Supplements MT 1 200HIV / AIDS benefit Wellness
programPhysiotherapy MT 3 300Ancillary services MT 3 900
High care, Intensive care treatment 10 days per
admissionPsychiatric Hospitalisation 7 days per annumInternal
prosthesis MT 103 600 per prosthesisExternal medical appliances MT
24 000 per family per annum
MRI / CT Scans 1 body region per beneficiary per annumSecondary
/ Step down facilities MT 103 600 per family per annumOrgan
transplants MT 343 200 per family per annumRenal Dialysis MT 309
100 per family per annumOncology / Chemotherapy Subject to
enrolment on oncology program
Description MtnMain member 2,415.00
Adult dependant 2,015.00Child dependant 1,150.00
Emergency evacuation to South AfricaHIV / AIDS wellness and
management program
Total Monthly Premiums
Primary Care Benefit - MT 89 000 per member per annum
P'La Saude - Platinum Option 3
Hospital Benefit
No overall annual hospital limit
Benefits payable at 300% of agreed tariff (Mozambique Price
List)Hospital benefit covers medical expenses incurred when
hospitalised, including doctors,
Special Benefits
24-hour health advice line
PlC 3
-
8/2/2019 Big Corporate Options Rates Benefits 2011
4/5
Consultations 10 visits per member p.aAcute medicine MT 6
800Chronic benefit MT 10 600Procedures MT 10 000Dentistry
(specialized) MT 2 300Optometry MT 2 000Radiology Incl in procedure
benefitPathology Incl in procedure benefit
Maternity benefit4 Visits, 2 Ultrasound exams, 1 Full
bloodcount, 1 Elisa test, ARV syrup for new born
Supplements MT 1 200HIV / AIDS benefit Wellness
programPhysiotherapy Incl in procedure benefitAncillary services No
benefit
Hospital limit MT 686 400 per hospital episodeSpecialists,
doctors, etc in hospital Included in hospital limitWard fees
(general ward) Included in hospital limitHigh care, intensive care,
neonatal care 10 days per admission
Psychiatric Hospitalisation 7 days per annumInternal prosthesis
MT 103 600 per prosthesisExternal medical appliances MT 24 000 per
family per annumMRI / CT Scans 1 body region per beneficiary per
annumSecondary / Step down facilities MT 103 000 per family per
annumOrgan transplants MT 343 200 per family per annumRenal
Dialysis MT 309 100 per family per annumOncology / Chemotherapy
Subject to enrolment on oncology programMedicine to take home (TTO)
7 days supply
Description MtnMain member 2,300.00
Adult dependant 1,900.00Child dependant 1,095.00
Primary Care Benefit - MT 50 600 per member per annum
P'La Saude - Bronze Option 1
Total Monthly Premiums
Hospital Benefit
Hospital annual limit - MT 2 744 500 per beneficiary
Benefits payable at 100% of agreed tariff (Mozambique Price
List)Hospital benefit covers medical expenses incurred when
hospitalised, including doctors,
Treatment options available in Mozambique only
Special Benefits
Health advice lineEmergency evacuation
HIV / AIDS wellness and management program
BRNC 1
-
8/2/2019 Big Corporate Options Rates Benefits 2011
5/5
Consultations 10 visits per member p.aAcute medicine MT 6
800Chronic benefit MT 10 600Procedures MT 10 000Dentistry
(specialized) MT 2 300Optometry MT 2 000Radiology Incl in procedure
benefitPathology Incl in procedure benefit
Maternity benefit4 Visits, 2 Ultrasound exams, 1 Full
bloodcount, 1 Elisa test, ARV syrup for new born
Supplements MT 1 200HIV / AIDS benefit Wellness
programPhysiotherapy Incl in procedure benefitAncillary services No
benefit
Hospital limit MT 686 400 per hospital episodeSpecialists,
doctors, etc in hospital Included in hospital limitWard fees
(general ward) Included in hospital limitHigh care, intensive care,
neonatal care 10 days per admission
Psychiatric Hospitalisation 7 days per annumInternal prosthesis
MT 103 600 per prosthesisExternal medical appliances MT 24 000 per
family per annumMRI / CT Scans 1 body region per beneficiary per
annumSecondary / Step down facilities MT 103 000 per family per
annumOrgan transplants MT 343 200 per family per annumRenal
Dialysis MT 309 100 per family per annumOncology / Chemotherapy
Subject to enrolment on oncology programMedicine to take home (TTO)
7 days supply
Total Monthly Premiums
Description MtnMain member 1,990.00
Adult dependant 1,635.00Child dependant 920.00
HIV / AIDS wellness and management program
P'La Saude - Bronze Option 2 Mozambique only
Primary Care Benefit - MT 50 600 per member per annum
Hospital Benefit Mozambique only
Hospital annual limit - MT 2 744 500 per beneficiary
Benefits payable at 100% of agreed tariff (Mozambique Price
List)Hospital benefit covers medical expenses incurred when
hospitalised, including doctors,
Treatment options available in Mozambique only
Special Benefits
Health advice lineNo emergency evacuation to South Africa
BRNC 2
