Limited to PMBs (minimum benefits) via a restricted hospital network (DSPs)
Hospital network more restricted than for the Traditional Plan
In-Hospital GP/specialist procedures limited to PMBs.
100% of cost at contracted rate, unlimited for Bankmed Network Specialists (DSPs)
100% of Scheme Rate for non-DSPs
Chronic medication limit:
Access to 27 Prescribed Minimum Benefit (PMB) Chronic Disease List (CDL) conditions. Funded at 100% of Scheme Rate subject to Designated Service Providers (DSPs) and Scheme-approved medicine list (formulary)
This Plan does not have a Medical Savings Account (MSA) or an Above Threshold Benefit
This Plan has access to Bankmed Hospital Network DSPs.
No deductible payable on admission for PMBs. Limited to PMBs only