Masca Medical Aid Society

Scheme Details

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STANDARD SCHEME

For Skilled Personnel this scheme bridges the gap between the upmarket and lower schemes. It covers 7 days per illness in Private hospitals (Three bedded ward) for all surgery. Covers hospitalization in public hospitals and municipal clinics up to the annual award. Payments to all providers of service in terms of the tariff however shortfalls are possible. Accepts routine pathology, x-rays etc. but no MRI scans and allergy tests. 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. 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 Travel Worldwide through a contracted travel agent is available