| |
Services
of a Physician including surgical
services |
| |
Room and Board
according to the type of plan
|
| |
General Nursing
Service |
| |
Use of operating
room and recovery room |
| |
Anesthesia
and its administration |
| |
Drugs and
medications during confinement |
| |
Oxygen and
its administration |
| |
Dressings,
plaster casts and other medical
supplies |
| |
Laboratory
tests and other necessary diagnostic
services |
| |
Transfusion
of blood and other blood elements,
except the cost of blood screening |
| |
Dialysis,
chemotherapy and similar treatment
procedures up to the maximum
plan limit if medically indicated. |
| |
Confinement
in Intensive Care Unit up to
the maximum limit |
| |
Ambulance
service |
| |
No admission
deposit in any affiliated hospital |
