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NI Gold Health Plan

NI Gold Health Plan

The NI Gold Health Plan is an innovative health care programme for pensioners under the National Insurance Scheme (NIS) that came into effect December 2003.

The benefits include:

  • Doctor’s Visits

  • Prescription Drugs

  • Diagnostic Services

  • Dental/Optical Services

  • Surgeon’s Fee

  • Hospital Room & Board

Below is a table outlining the benfits and conditions

TABLE OF HEALTH BENEFITS
 
Benefits
Conditions
Max.
Hospital Room & Board
per night
$800
Hospital Miscellaneous
per disability
$6,000
Hospital Outpatient
per disability
$2,000
Surgeon’s Fee
per procedure (co-pay $1,000)
$30,000
Assistant Surgeon’s Fee
per procedure (co-pay $500)
$12,000
Anesthetist’s Fee
per procedure (co-pay $500)
$12,000
Doctor’s Visit
maximum 1 per day
$500
Consultation
referral only (per visit)
$1,000
Dental & Optical
per year (co-pay 10%)
$3,000
Diagnostic Services
per year (co-pay 10%)
$4,000
Prescription Drugs
per year (co-pay 10%)
$5,000
 

 


 
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