LA Core

This benefit 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) conditions as well as for several Additional Disease List (ADL) conditions. For CDL conditions, all approved chronic medicine is subject to a medicine list (formulary) and if the formulary is not used, the medicine is paid up to a monthly Chronic Drug Amount (CDA).

The LA Core Option pays for day-to-day expenses from a Medical Savings Account (MSA). Thereafter, cover for day-to-day claims for GPs, Specialists, acute medicine, radiology, pathology, dentistry and optical benefits is provided by the Scheme from the Extender day-to-day benefit.

The EDB benefit is limited in accordance with the number of beneficiaries registered on the membership.