| HEALTH PLAN BENEFIT |
SPRINGTIDE COMPREHENSIVE |
| Hospital Access |
BAND 1 & 2 HOSPITALS |
| Out-patient Services |
COVERED |
| Out Patient Care and General consultation |
COVERED |
| Rare Specialist Consultation: Oncologist, Neurosurgeon, Nephrologist, Enterologist, Urologist, Immunologist, Neonatalogist, Endocrinologist, Rheumatologist. |
COVERED |
| Common Specialist Consultation: Cardiologist, General surgeon, Neurologist, ENT surgeon, Pediatrician, Obstetrician, Gynaecologist, etc |
COVERED |
| Prescribed Medications |
COVERED |
| Management of Chronic Conditions (HTN, DM etc.) |
COVERED |
| In-patient Services |
COVERED |
| Admissions (Including feeding) |
COVERED |
| Nursing care & Consumables |
COVERED |
| Prescribed Medications |
COVERED |
| Diagnostic services |
COVERED |
| Basic Radiological Investigations E.g. Plain X-ray & Ultrasonography (abdominal and Pelvic) |
COVERED |
| Laboratory Services- Histopathology, Hematological investigations, Microbiological investigations, Serology & Clinical chemistry |
COVERED |
| Spirometry, Electrocardiogram (ECG) |
COVERED |
| Advanced and Complex Investigations E.g. Echocardiogram, CT Scan, MRI, EEG-Electroencephalogram, etc. |
COVERED |
| Physiotherapy Sessions (Up to Approved Limits) |
COVERED |
| Prescribed Physiotherapeutic Appliances E.g. Cervical Collar, Crutches |
COVERED |
| Obstetrics and Gynecological Services (FAMILY SCHEME) |
COVERED |
| Antenatal Care (FAMILY SCHEME) |
COVERED |
| Induction of Labour, Assisted Delivery & Normal Delivery (FAMILY SCHEME) |
COVERED |
| Emergency or Medically Indicated Elective Caesarean Section (FAMILY SCHEME) |
COVERED |
| Post Natal Care (UP TO SIX WEEKS) |
COVERED |
| Family Planning Services - Pills, Injectable, IUCD, tubal ligation and Vasectomy (FAMILY SCHEME) |
COVERED |
| Fertility Services (Investigations only)- FAMILY SCHEME |
COVERED |
| Pediatric or Neonatal Services |
COVERED |
| Primary Care including Circumcision, Ear piercing and Exchange Blood transfusion |
COVERED |
| Special Baby Care Unit (Intensive care Unit-including Life Support, Phototherapy & Incubator care) |
COVERED |
| NPI Immunizations - BCG, Measles, DPT, Oral Polio, Vitamin A supplementation (0-18 MONTHS) |
COVERED |
| Additional Immunizations (Hepatitis B, Rotarix, HiB, Pneumococcal, MMR &Y-Fever) (0-18 MONTHS) |
COVERED |
| Accidents and Emergencies |
COVERED |
| Evacuation (Home/Hospital to Hospital & Road Side to Hospital) |
COVERED |
| Stabilization, Emergency drugs and Investigations (Including CT scan and MRI) |
COVERED |
| Intensive Care Unit (ICU) |
COVERED |
| Dental Services |
COVERED |
| Primary and Secondary Dental Care- Examination, Basic Dental treatment, Simple Amalgam or Composite Filling, Scaling and Polishing, Non-Surgical extractions, Pain therapy/ relief, Surgical Tooth Extraction, Root Canal treatment and Orthodontics. |
COVERED |
| Ophthalmological Services |
COVERED |
| Primary Eye Care- Consultation, Examination, Simple or Primary Infection or conditions and Medications |
COVERED |
| Biennial Optical Lenses & Frames |
COVERED |
| Eye Surgeries |
COVERED |
| Otolaryngologic (ENT) Services |
COVERED |
| Treatment of ENT diseases and removal of foreign bodies |
COVERED |
| ENT Surgeries |
COVERED |
| Surgical Services |
COVERED |
| Minor and Intermediate Surgeries/ Procedures |
COVERED |
| Anesthesia, Surgical supplies/Consumables, administration of Blood, etc. |
COVERED |
| Surgical Services |
|
| Renal Dialysis |
COVERED |
| On-Site Health Checks, Health Talks/ Education Forum |
COVERED |
| HIV/AIDS- Diagnosis + Treatment at Government Approved Centers |
COVERED |
