Masca Medical Aid Society

Scheme Details

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HOSPITAL & CLINIC SCHEME

For Semi Skilled Workers at minimal affordable price. Covers basic day to day primary health care with one’s selected private doctor and drugs so prescribed. 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. Provision for Private Hospital admissions in general ward at 50% of the tariff. Patient pays the other 50% direct to the hospital. However, this is by referral from the public facility and pre-authorization by MASCA. Public hospitals and municipal clinics paid in full up to the annual award. Routine diagnostic procedures for x-rays, pathology etc., but no MRI scans and allergy tests. Emergency Evacuations by Road or Air to the nearest referral center, accepted up to the specific limit. Grant-in-Aid benefits like dental, optical, appliances accepted up to the specific limits. Holiday Worldwide Travel through a contacted travel agent is available.