LA Comprehensive
This Option has a Major Medical Benefit (MMB) for all in-hospital and large expenses. It provides cover for the Prescribed Minimum Benefit (PMB) Chronic Disease List (CDL) as well as for several Additional Chronic conditions (ADL). All approved chronic medicine is subject to a formulary and if medicine that is not on the formulary is used, a monthly Chronic Drug Amount applies for the condition.
The LA Comprehensive Option pays for day-to-day medical expenses from a Medical Savings Account (MSA). Once the MSA limits are depleted and the Annual Threshold for day-to-day claims is reached, further day-to-day expenses will be paid by the Scheme.
Only certain limits apply after the Threshold is reached.
