The Managed Care Capitation model is better suited to corporate clients with low to medium budgets for employee healthcare programs and caters for all levels of employees within an organization. The scheme covers primary health care and secondary or tertiary care that requires pre-authorization. Members can elect only one primary provider while secondary and tertiary care is referred for specialist attention.
Silver Plus Plan
This is a low budget entry-level plan, suited for lower level employees in corporate organizations. This plan covers Outpatient consultations, Specialist consultations, Medicine supply, Radiological and Laboratory investigations, General admission ward, partial Maternity, physiotherapy, Dental care (which includes Scaling and polishing once a year), Optical care, Childhood immunization, Minor surgery and some Intermediate surgery.
Gold Plan
This is a medium budget plan designed to suit general employees within corporates. It is currently the highest selling plan. The plan covers Outpatient consultations, Specialist consultations, Medicine supply, Radiological and Laboratory investigations with CT scan once a year, General admission ward, full Maternity care, physiotherapy, Dental care (this includes Surgical extraction), Optical care (which includes Lenses and frames), Childhood immunization, Minor surgery, Intermediate surgery and Partly covered major surgery.
