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UgaMed Executive
Benefits
Minimum Number
30 members
Inpatient Benefits
Hospital accommodation and nursing expenses
Semi-private ward at UgaMed-approved hospitals
Physicians', surgeons', consultants' and anaesthetists' fees
Covered within overall limits
Cost of prescribed medicines and dressings
Covered within overall limits
Prescribed laboratory tests and x-rays
Covered within overall limits
ECGs, CT scans and other diagnostic tests and procedures
Covered within overall limits
Operation theatre charges
Covered within overall limits
Intensive care and high dependency unit
Covered within overall limits
Physiotherapy
Covered
General surgery, orthopaedic surgery, gynaecology, paediatrics, internal medicine, cardiology, opthalmology
Covered within overall limits
Treatment of chronic and pre-existing illnesses including HIV, opportunistic infections, hypertension
Covered within overall limits
Outpatient Benefits
Doctors consultations, specialist consultations, surgeons; and anaesthetists' fees
Covered within overall limit
Cost of prescribing medicines and dressings
Covered within overall limit
Prescribed laboratory tests and approved x-rays
Covered within overall limit
ECGs, CT scans and other approved diagnostic tests and procedures
Covered
HIV cover or ART
1st line
Outpatient surgery
Covered
UNEPI immunisations
Covered
Family planning including contraceptive pills and Norplant
Covered
Emergency Road Ambulance within Uganda
Covered
Treatment of chronic and pre-existing illnesses including HIV, opportunistic infections, hypertension
Covered
Dental Treatment
Annual check-up, x-rays, cleaning, scaling and polishing, ordinary extraction, black amalgam fillings, root canal
Covered up to 300 000 shs
Opthalmology Benefits
Annual eye check up, visual acuity tests, treatment of eye infections, simple outer eye surgical procedures such as removal of miobian cysts
Covered
Optical Benefits
Provision of plain lenses and frames, reading glasses, bifocal and multifocal lenses up to 100 000 per annum
Covered
Maternity Expenses
Antenatal care, normal delivery, emergency and medically necessary c-sections, 1 month outpatient cover for baby on mother's membership
Covered within the inpatient limit
Service Providers
Kampala Area Hospitals
Paragon Hospital
Bugolobi Nursing Home
Kololo Hospital
Nsambya Hospital
Mulago Hospital
Kampala Area Clinics
SAS Clinic
Kampala Children's Clinic
Victoria Medical Centre
Kampala Family Clinic
Specialists Centre
Industrial Medical Services
The Surgery
St Catherine Clinic
May clinic
Busingye Medical Centre
Ntinda Family Doctors
Case Medical Centre
Paragon Hospital Annex
Dental Units
Basils Dental
Pan Dental
Countrywide Treatment
Covered - limited to UgaMed approved centres
Price List
| Overall annual limit - UGX | 10m | 20m |
| Below 50 people | 450 000 | 540 000 |
| 50 - 500 | 400 000 | 490 000 |
| 500 - 1 000 | 350 000 | 440 000 |
| 1 000 and above | 300 000 | 390 000 |