Priority Hospital Care Benefits & Limits
Your Benefits Limits
Day Care, Hospitalisation, Surgical and Medical Treatment at Suva Private Hospital*(waiting period 90 days) $120,000 annual limit per condition.
Hospital bed and all related services and charges 80% of charged costs with inner limits.
Consultant/Surgeon As charged but not more than the prescribed amount set according to Theatre Bands
 Prosthesis 80% of charged costs subject to the limits agreed with the Suva Private Hospital.
 Air Transportation Subsidy  Maximum $150 per trip up to 2 trips per confinement.
Co-Share Payment Limit 20% of charged costs to a maximum of $2000 per policy year per condition
Day Care, Hospitalisation, Surgical and Medical Treatment  any Government Public Hospital* (If preferred)
$10,000 annual limit per condition.
Hospital bed and all related services and charges  As charged but not more than Public Health Schedule of Fees.
Prosthesis As charged up to $1,000 per Condition.
 Cash Allowances
 
$50 per day provided the hospital stay is more than 48 hours. Maximum of $1,000 per stay
Visiting Consultants
 
As charged but not more than the Australian Commonwealth Medical Benefit Schedule of Fees (CMBS).
Local Consultants
 
 As charged but not more than Public Health Schedule of Fees.
Overseas Treatment* (requires prior approval) 90 days waiting period. )
Treatment provided by a preferred provider and treatment not available locally.
 
100% of charged costs with inner limits. Maximum of $500,000 per Condition.
 
Treatment provided by a non- preferred provider and treatment not available locally.
 
80% of charged costs with inner limits. Maximum of $150,000 per Condition.
Treatment provided by a non-preferred provider and treatment available locally.
 
80% of charged costs with inner limits. Maximum of $100,000 per Condition.
Loyalty Benefit*
Funeral Cover
(after one year of cover)
 
$1,500 per person.
 
Free Medical Check up at Suva Private Hospital
 
Once every two years after two full years of continuous cover at the Suva Private Hospital.
Maternity Benefit*
Applicable for Suva Private Hospital, Australia or New Zealand.
 
80% of charged cost up to $3,500.
 


 Attachable Optional Benefits
Priority Outpatient Care*
Premium $215.00 per person per annum
 
Simply nominate your provider from our list of preferred providers around Fiji including Suva Private Hospital’s 24-hour clinic. This benefit covers consultation with General Practitioners, Specialist and Diagnostic Services.
 
Optical and Dental Benefit*
(12 months waiting period )
Premium $156.00 per person per annum
-optical
-dental
Annual limit of $500.





80% reimbursement of charged costs up to $250 for any twelve months.

80% reimbursement of charged costs up to $250 for any twelve months.
 
Allied Health Services Benefit*
(12 months waiting period)
Premium $125.00 per person per annum

Acupuncturist, Chiropractor, Dietitian, Osteopath, Occupational Therapist, Orthoptist, Podiatrist, Physiotherapist, Speech Therapist
 
Annual limit of $200.

80% reimbursement of costs up to $24 per treatment up to a maximum 6 treatments in any twelve months for each type of service.
 


































Age Band of Primary Insured Single
($)
Family
($)
0-14 90

 
15-19
 
110
 

 
20-24
 
465
 
1,140
 
25-29
 
673
 
1,496
 
30-34
 
694
 
1,538
 
35-39
 
729
 
1,608
 
40-44
 
771
 
1,692
 
45-49
 
905
 
1,960
 
50-54
 
1,053
 
2,256
 
55-59
 
1,444
 
3,038
 
60-64
 
1,935
 
4,020
 
65-69
 
2,177
 
4,504
 
70-75
 
2,177
 
4,504


































Important Notes
Information in this web page is not legally binding. All details however are outlined in the Insurance Policy Document.
 

*Terms and Conditions apply
  • Maximum limits stated are annual amounts.
  • Pre-existing Conditions will only be covered after 24 consecutive months of cover.

**Family Rate includes primary insured, spouse and six dependant  children or a single parent and six dependant children.
  1. For a family with more than six children, the premium rates for age band 0-14 and 15-19 will apply from the seventh child onward.
  2. The premium rates for age band 0-14 and 15-19 are only available under the family plan. Therefore a single adult aged 18 willneed to take out the 20-24 age band rate.
  3. The 20-24 age band premium rate will apply to a family where the primary insured is under the age of 20.
  4. All dependants must be totally reliant on and related to the Primary Insured by being the spouse or partner or biological or adopted single child under the age of 18 years or under    the age of 25 years if on full time studies in an accredited recognised educational institution. Proof of being a dependant may be required.
How to Apply
Click here to download a Health Insurance Application form or call 132 888 and contact your Life & Health Insurance Agent. Alternatively,you can also click here to contact or visit your nearest Life & Health Insurance Sales Office.

 
 
 
 
 
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