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Luscious Palm Leaves

Medical Care Cover

Experience peace of mind with a thorough overview of your medical benefits. Take the steps to secure your health today and enjoy the coverage you deserve. Don't wait. Prioritize your well-being now!

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Key Features

  • 100% reimbursement policy for reasonable and customary medical expenses incurred within specified sub-limits. No deductibles applied.

  • Nil policy exclusions other than being of criminal in nature and against standard public acceptable practise.

  • Medical repatriation advance cash payment not exceeding 50% of estimated cost on receipt of satisfactory documents being furnished by the eligible assured member.

Medical Care Benefits and Limits

As members, you are entitled to the below Medical Benefits in a calendar year. 

No

Benefit

Reimbursement Limit

1.

In-Patient Treatment Including:

  • Prescribed medication.

  • Intensive Care Unit related services

K500 per day subject to maximum of 30 days

2.

Pre-Hospitalization 15 days

before post-hospitalization 30 days after

K5,000 per calendar year

3.

Dental Services

K2,000 per eligible member calendar year

4.

Optical

K2,500 per calendar year

General Practitioner Consultation

5.

K5,000 per eligible member per calendar year

6.

Specialist Consultation on Referral 

K2,500 per calendar year

7.

Pregnancy

  • Pre-natal

  • Childbirth

K2,500 per calendar year

  • Post Natal

Additional Benefit

K1,000 per calendar year

  • Newborn Baby

  • Care benefit

  • Health Check up

  • Vaccination

8.

   Diagnostics        

  •     X-Ray

  •     Ultrasound

  •     Haematology

  •     Clinical Micros copy

K2,500 per diagnostics investigation per calendar year

9.

  MRI & CT scan    

K2,500 per calendar year

10.

Renal Dialysis & any major chronic illnesses upon approval by PSNA.

K10,000 per calendar year

11.

  Oncology            

  •     Chemotherapy

  •     Radiotherapy Immunotherapy

K10,000 per calendar year

12.

Ambulance Services  (Land/Air/Sea)

K2,000 per calendar year

13.

Incidental overseas medical.    

14.

 Medical Repatriation.

K50,000 maximum aggregate per calendar year to the nearest available Medical. Facility in Australia, Singapore or Philippines, with consent from PSNA.

The association at its own discretion allow advance cash payment not exceeding 50.0% of the estimated cost upon satisfactory documents 

being furnished upon the request by the eligible member.

K50,000 maximum aggregate per calendar year

K2,500 per calendar year

Submitting a Medical Expense Claim

When submitting a medical expense claim, you will need to submit the following documents:​​

  1. Medical Expense Claim Form

  2. Medical Invoice

Send to claims@niucare.com.pg. Wait 48 hours before you do a follow up on your claim. 

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