Services - Fijicare

Silver Plan

We provide the best medical plans for:

• Silver Hospitalisation plan (Compulsory)
• Outpatient Nominated
• Silver Optical
• Silver Dental

Your Benefits	Limitation
Medivac	FJ$170,000 per disability
Overseas medical evacuation where the medical practitioner chosen by FijiCare certifies the need for a treatment, which is not available locally. FijiCare will evacuate the patient to a preferred hospital in India. FijiCare will make all necessary arrangement including airfare, accommodation and meals. If a accompany relative or medical attendant is medical necessary and approved by by FijiCare, we will pay for the expenses.
In any other hospital arranged by you either in New Zealand, Australia or India, FijiCare will reimburse the equivalent cost from our preferred hospitals in India.
Local Hospitalisation	FJ$15,000 per disability
Medical treatment expenses incurred as a bed patient in any Government operated hospital in Fiji. If treatment is not available in any Government Hospitals, FijiCare requires a letter of confirmation from the Ministry of Health to confirm that treatment is not available and we will refer the patient to the Suva Private Hospital for treatment.
Daycare treatment
Treatment at any private clinic or at the FijiCare Medical Center if treatment is not available through Government hospital. *Treatment for gall stones/kidney stones will be undertaken at Suva Private Hospital.
Outpatient Nominated (optional)	Unlimited
This plan will cover you for consultation with your nominated doctor within our penal of doctors and prescription to the pharmacy within our penal of pharmacies.
Your Benefits	Limitation
Optical Care (Optional)	FJ$300.00 per person per annum
This is a reimbursement plan, which covers 85% of the total cost charged.
Dental Care (Optional)	FJ$500.00 per person per annum
This is a reimbursement plan, which covers 85% of the total cost charged.
Funeral Policy	Age band for sums insured
This is a death only benefit World wide cover Death by any cause followed by a funeral. The benefits are payable on the event of the funeral. This is subject to 75% of the membership joining the scheme and a minimum of 50 members in any group scheme.	20 to 30years - FJ$12,000 31 to 39 years - FJ$10,000 40 to 45 years - FJ$8,000 46 to 49 years - FJ$6,500 50 to 55 years - F$5,000 56 to 60 years - F$2,500 61 to 65 years - F$1,500

Who's covered?

• Policy holder and the legal spouse of the Insured, other than a legally separated spouse.
• An Insured’s unmarried or legally adopted child whose age ranges between fourteen (14) days and under nineteen (19) years and who is totally dependent on the Insured for support.
• An Insured’s unmarried child or legally adopted child over the age of nineteen (19) years and under the age of twenty two (22) years if attending full time college or university and who is totally dependent on the Applicant for support.

• Maximum age limit is 65 years.
• Pre-existing conditions not covered.

• All Congenital conditions
• Palliative Treatment
• All conditions related to HIV.
• All conditions related to Sexually Transmitted Diseases.
• Any sickness or illness which occurs while traveling outside the Geographical Limits of Fiji.
• Pre-existing conditions not covered.

• Confirmed long-term disorders such as Asthma, Hypertension or Diabetes, vitamins and dietary supplements.
• Over the Counter Drugs.
• X-rays and blood tests.
• Prescriptions & pharmaceutical benefits for confirmed long term conditions including Asthma, Diabetes & Hypertension.