Community Care

  • Private nursing and hospices - in patient services at an approved facility
    In lieu of hospitalisation only. Nursing services and sub-acute facilities.

    Subject to submission of healthcare provider's comprehensive treatment plan and Scheme approval. Frail care services are not included.

    Subject to OAL

    100%

    of cost

  • Rehabilitation
    Physical rehabilitation

    Subject to submission and approval of a treatment plan.

    27 days per family per annum (except for PMBs)
    Subject to OAL

    100%

    of Scheme rate

    Psychiatric/Substance abuse

    To treat abuse or dependence on psychoactive substances, including alcohol.

    Benefit of 21 days per beneficiary per annum in SANCA-approved facility
    Subject to OAL

    100%

    of Scheme rate

  • Blood transfusion and technologists
    Bags, pouches and flanges.

    Subject to pre-authorisation

    Subject to OAL

    100%

    of Scheme rate

  • Alternative medical services

    Subject to available MSA

    Homeopaths and chiropractors, chiropodists, naturopaths and osteopaths. Including all services.

    100%

    of Scheme rate

  • Other medical services
    Speech therapy

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Audiology

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Occupational therapy

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Podiatry

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Dieticians

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Social workers

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Educational and remedial counselling

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Marriage counselling

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Orthoptists

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate

    Clinical psychologists

    Subject to available MSA

    No pre-authorisation required

    100%

    of Scheme rate