Overall limit
Overall Annual Benefit limit
Facility Admission
Hospitalisation
Ward Admission
Pre-notification required
ER Consultations
Outpatient
GP Consultations
Outpatient
Specialists
Outpatient
Surgical Procedures
Chronic Medication
Acute Medication
Oncology
Chemotherapy & Radiotherapy
Members must register on the Oncology Program
Organ Transplant
MANUKA
Annual Limit
Overall limit
Overall Annual Benefit limit
13,000.00
Facility Admission
Hospitalisation
5,000.00
Ward Admission
Pre-notification required
B – F & Gen. Wards10
ER Consultations
Outpatient
500.0
GP Consultations
Outpatient
400.00
Specialists
Outpatient
500.00
Surgical Procedures
Accrues to hospital limit
Chronic Medication
800.00
Acute Medication
600.00
Oncology
Chemotherapy & Radiotherapy
Members must register on the Oncology Program
Accrues to Hospital limit
Organ Transplant
Accrues to Hospital limit
LAVENDER
Annual Limit
Overall limit
Overall Annual Benefit limit
21,000.00
Facility Admission
Hospitalisation
8,000.00
Ward Admission
Pre-notification required
B – F & Gen. Wards
ER Consultations
Outpatient
700.0
GP Consultations
Outpatient
500.00
Specialists
Outpatient
700.00
Surgical Procedures
Accrues to hospital limit
Chronic Medication
1,200.00
Acute Medication
1,000.00
Oncology
Chemotherapy & Radiotherapy
Members must register on the Oncology Program
Accrues to Hospital limit
Organ Transplant
Accrues to Hospital limit
CLOVER
Annual Limit
Overall limit
Overall Annual Benefit limit
33,000.00
Facility Admission
Hospitalisation
13,000.00
Ward Admission
Pre-notification required
All (P, G, M, I) 2 bedded wards
ER Consultations
Outpatient
1,000.0
GP Consultations
Outpatient
700.00
Specialists
Outpatient
1,000.00
Surgical Procedures
Accrues to hospital limit
Chronic Medication
1,500.00
Acute Medication
1,300.00
Oncology
Chemotherapy & Radiotherapy
Members must register on the Oncology Program
Accrues to Hospital limit
Organ Transplant
Accrues to Hospital limit