Masca Medical Aid Society

Scheme Details

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SUPERMASCA SCHEME

Top of the range scheme for Zimbabwe Executives (modest contribution).
Comprehensive cover under generous annual limit.
Payments to all providers of services in terms of US Dollar tariffs. Free choice of private practitioners and specialists for MRI scans, pathology and other diagnostic procedures. Awards for specialists at ZIM/US Dollar tariffs, and shortfalls are likely.
MASCA pays 90% for acute and chronic drugs and the patient pays 10% to the pharmacy under the two separate annual drug benefit limits. MASCA pays 75% for cancer drugs and other medical categories deemed by the society to be essential and high cost items on pre-authorisation limited by the absolute annual benefit. Any shortfalls can be claimed at 50% from PAYE.
Referrals outside Zimbabwe by specialist medical practitioners are considered on merit provided prior approval from MASCA is obtained. MASCA pays up front direct to the foreign practitioners/providers of services.
Members paying initially will be refunded in US Dollars on return to Zimbabwe.
Emergency evacuations by road or air to the nearest referral centre in Harare is accepted to the specific limit only.
Grant In Aid benefits like dental, optical, nebulizers and other appliances accepted up to the specific limits published.
Holiday travel worldwide through a contracted travel agent is available for emergency conditions. Costs incurred for minor injuries & ailments are refunded by MASCA on presentation of receipted accounts.