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Essential Plan

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