Table of Benefits
| Annual Benefit Limits* | 10◦N | 20◦N | 30◦N |
| Annual Benefit Limits | $100,000 | $200,000 | $300,000 |
| GP Consultations | 15 per year | 20 per year | 25 per year |
| Physiotherapy Sessions | 15 per year | 20 per year | 25 per year |
| Dialysis | $5,500 | $7,700 | $11,000 |
| Optical Appliances | $1,000 | $1,500 | $2,000 |
| Dental | $2,000 | $2,500 | $3,000 |
| Medicines and Drugs | $2,200 | $2,800 | $3,300 |
| Psychiatric Care | $1,799 | $2,398 | $3,597 |
| Radiology & Imaging | Paid in full | Paid in full | Paid in full |
| Pathology (In-Patient) | Paid in full | Paid in full | Paid in full |
| Patholgy (Out-Patient) | $1,000 | $1,500 | $2,000 |
| ARV/ART | $1,000 | $1,500 | $2,000 |
| Special Benefits | |||
| External Appliances | $6,000 | $8,000 | $10,000 |
| Hearing Aid | $1,000 | $1,500 | $2,000 |
| Glucometer/Nebuliser | $500 | $1,000 | $1,500 |
| Road/Air Ambulance | Paid in full | Paid in full | Paid in full |
| Funeral Services | $1,100 | $1,300 | $2,100 |
Waiting periods apply to use of routine benefits:
– 6 months for routine dental services
– 6 months for optical appliances (benefit available every 2 years)
– 12 months waiting period for use of maternity benefits
– 12 months waiting period for routine, wellness and good health check ups
- All claims are subject to settlement at reasonable and customary rates
- All benefits are pro-rated accordingly if the join date is after January
- Members can use private facilities in Zimbabwe and other territories as listed in the terms & conditions
- New members are required to pay three months contributions on enrolment
- Orthodontic benefits are subject to board approval
- The hearing aid benefit is available once every 5 years
- The costs of drugs available as over the counter purchases cannot be claimed
- A $10 excess (charged to the member) applies on each general practitioner, dental and optical consultation claim
- Rates and benefits are subject to change with notice being given. Date of last revision: April 2021
- Correct at the time of going to print as per month indicated.
