Health Insurance

Nothing is more important than being healthy to enjoy everything our beautiful island has to offer. A good health insurance will provide you peace of mind and, make sure that you always have access to the best medical facilities available in the country.

 

The Health Insurance offered by Swan General Ltd branded “Protect Health Insurance” is the most cost effective available on the market. This policy will cover you for any admission in a medical facility for illness or surgery, including child delivery and congenital surgeries. The Protect Health Insurance also refunds day to day medical expenses including doctors’ consultations, prescribed medication, dental and optical treatments. Additional Inpatient benefits are also available to cater for major treatments (Catastrophe).

Inpatient (Limit of Indemnity as per below)
Benefits Limits
Medical & Surgical treatment Rs 125,000 (Being the limit for any one illness/accident)
Child birth (Normal delivery & C-Section):
• Obstetric Care
• Obstetric Cash Benefits

Rs 75,000 (Annual limit)
Rs 30,000 (Annual limit)
Congenital surgery Rs 100,000 (Lifetime Limit)
Assisted reproduction Rs 75,000 (Lifetime Limit)
Road ambulance Rs 25,000 (Annual Limit)
Psychological trauma Rs 25,000 (Annual Limit)
Funeral benefits Rs 20,000
Excess Nil
Outpatient (Overall Annual Limit)
Benefits Limits
Medical benefits (Consultation/Medication) Rs 40,000
Consultations Included in Medical benefits
Prescribed medication Included in Medical benefits
Pre-Natal expenses Rs 4,000
Optical benefits Rs 8,000
Dental benefits Rs 20,000
Psychological trauma (counselling) Rs 4,000
Excess 20% of costs subject to a minimum of Rs 250 for each and every claim
Catastrophe (Limit of Indemnity per illness/accident)
Limits Available
Rs 1,000,000
Rs 2,000,000
Rs 3,000,000
Rs 4,000,000
Rs 5,000,000
Excess Rs 125,000 for any one illness/accident

TERMS AND CONDITIONS:

1. Pre-existing conditions

2. Costs incurred outside Mauritius

3. Vitamins, minerals, boosters etc

4. Cosmetic treatment

5. Mental illness

6. Sleep disorders

7. Preventive treatment

8. AIDS

9. Chronic illnesses

10. Termination of pregnancy

 

TERMS AND CONDITIONS:

1. Age Limits:

To join scheme: 60 years

To stay on scheme: 75 years

2. Waiting periods

General waiting period: 3 months

Pregnancy and child delivery: 12 months

3. Application form duly completed to be submitted

4. Claims experience for last 3 years should be provided if already insured

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+230 4035900

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