Masca Medical Aid Society

Scheme Details

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PRINCIPAL CHRONIC SCHEME

For Senior Executives with chronic conditions like diabetes, dialysis etc. Offers a comprehensive cover under generous annual limit for chronic drugs. Medical Aid pays 90% for acute and chronic drugs up to the two separate annual drug benefit limits and 75% for cancer drugs and other conditions deemed by the society as essential and high cost on pre-authorization limited by the absolute annual benefit. Payments to All Providers of services in terms of tariff; shortfalls are possible. Free choice of Private hospital in a two bedded ward for all surgery. Public hospitals paid in full. Free choice of Private practitioners and specialists for MRI scans, pathology and other diagnostic procedures. Acute drugs accepted to annual limits. 10% co-payment met by patient. Referrals outside Zimbabwe by specialist medical practitioners are considered on merit provided prior approval from MASCA is obtained. Member pays up front initially and submits receipted accounts to Masca for a refund up to annual limit. Emergency Evacuations by Road or Air to the nearest referral center, accepted to specific limit. Grant-in-Aid benefits like dental, optical, appliances accepted up to the specific limits. Holiday Travel Worldwide through a contracted travel agent is available.