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The Ebony Plan

The Generation Health Ebony Plan gives members access to private and state-aided facilities with an option to manage an MSA.  Ebony Plan current major benefits are detailed below and are paid according to AHFoZ tariffs unless otherwise stated.   The Generation Health membership year is January to December and members who join during the course of the year are awarded pro-rated benefits

 
  Benefits   Award Limit
  Insured annual limit per registered   beneficiary USD10 800 per person per year.
  Hospitalisation Covered for General Wards
  Theatre fees, operations and ICU  Overall limits apply
  Maternity Covered at 70% of AHFoZ award as a grant-in-aid.
  Prosthesis - internal
                  - external


USD450 per person per annum.
USD300 per person per annum.
  

  Chronic medication (benefit available
  upon registration on CCN)
USD300 per person per annum
  Antiretroviral medication Benefit available upon registration on CCN.  Please contact the Fund for detailed   information.
  Hearing Aids USD360 per person lifetime award.
  Glucometers, nebulisers, etc. USD150 per person every four years
  Ostomy bags USD 300 per annum

  Dental

USD1 500 per person per annum.
 

  Orthodontic No Benefit.
  Optical  USD300 per person every 2 years.  MSA  may be used to top up this benefit
  Rehabilitation USD260 per person per annum

MSA Funded Out of Hospital Benefits
  Out-patient consultations with General   Practitioners and Specialists Paid per AHFoZ tariff or in full.
  Alternative medical practitioners
  (Chiropractors, chiropodists, naturopaths,   osteopaths, homeopaths, etc.)
Paid per AHFoZ tariff or in full.
  Acute medication Paid in full up to benefit available.
  • The MSA is a family account
  • Members can opt to have their out-patient consultations awarded in full, above the
    AHFoZ tariff, as long as their MSA is adequately funded.  
  • It should be noted that the instruction to award claims in full has to be in writing and fromthe principal member

 

 

To compare with the Benefit Limits of other plans click here