| Plan | A | B1 | B2 |
|---|---|---|---|
| Room, board and medical-related services including meals, prescriptions, professional charges, investigations, procedures and miscellaneous charges (per day) | $500 | $400 | $150 |
| Intensive care unit and medical-related services including meals, prescriptions, professional charges, investigations, procedures and miscellaneous charges (per day) | $1,000 | $800 | $300 |
| Surgery limits table: | |||
| 1 | $500 | $400 | $150 |
| 2 | $1,000 | $800 | $300 |
| 3 | $1,500 | $1,200 | $450 |
| 4 | $2,500 | $2,000 | $750 |
| 5 | $3,500 | $2,800 | $750 |
| 6 | $5,000 | $4,000 | $750 |
| 7 | $6,500 | $5,200 | $750 |
| Surgical implants (per year) | $2,000 | $1,600 | $1,000 |
| Other outpatient hospital treatment: - Renal dialysis (per month) - Erythropoietin (per month) - Cyclosporin (per month) - Radiotherapy for cancer (per year) - Chemotherapy for cancer (per year) - Immunotherapy for cancer (per year) |
$2,000 $500 $500 $4,000 $4,000 $4,000 |
$1,600 $400 $400 $3,200 $3,200 $3,200 |
$600 $200 $200 $1,600 $1,600 $1,600 |
| Limit per policy year | $80,000 | $60,000 | $20,000 |
| Limit per life time | $240,000 | $180,000 | $70,000 |
