Prescribed minimum benefits (PMBs)
Link plan
-
Treatment plan services
No benefit
-
Hospitalisation
Paid at UPFS rate at a State hospital
In the case of an emergency or if a State hospital is not accessible in terms of the set criteria,authorisation will be considered for admission to a hospital on the Universal Healthcare private hospital network as secondary DSP and paid at the negotiated rate
The co-payment for the voluntary use of a non-DSP will be the amount equal to the difference between the total cost incurred in respect of the hospital services, including all related medical services, and the cost that would have been payable to the DSP (State hospital)
Pre-authorisation required
Please call 0861 686 278100%
at UPFS rate