This rider can be attached to the Group Hospital and Surgical (GHS) plan. This rider covers large claim amounts that would otherwise be limited by the GHS plan. The plan type selected for this rider must be the same plan type as the GHS plan.
| Benefit Schedule | Plan 1 | Plan 2 | Plan 3 | Plan 4 | Plan 5 |
|---|---|---|---|---|---|
| Maximum limit per disability | |||||
Eligible medical expenses payable for:
|
$100,000 | $100,000 | $80,000 | $60,000 | $40,000 |
| Type of Hospital | Private | Restructured | Private | Private | Restructured |
| Room and Board (Standard) – Payable from 121 days onwards | 1 Bed | 1 Bed | 2 Bed | 4 Bed | 4 Bed |
| Intensive Care Unit (ICU) High Dependency Ward (HDW) Coronary Care Unit (CCU) |
Payable in excess of the GHS plan up to the maximum limit shown above | ||||
| Other Hospital Services | |||||
| Surgical Expenses | |||||
| Daily In-Hospital Physician’s Consultation | Pays from 121 days onwards | ||||
| Surgical Implants | $5,000 | $5,000 | $3,000 | $2,000 | $2,000 |
| Co-payment | 10% | 10% | 10% | 10% | 10% |
