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Pocket Guide
Schedule of included medical services
Admission (inpatient services)
| Hospitalisation (admission) | Benefits pre-approved by UgaMed administration |
| Emergency transfer | Covered within Uganda by road ambulance |
| Admission wards | Covered equivalent to a shared semi-private ward |
| Consultation and treatment | Covered by GPs and specialists |
| Surgery | Covered within limit |
| Pathology | Covered at UgaMed approved service provider |
| Laboratory | Covered at UgaMed approved service provider |
| Prescribed drugs | Covered NDA approved drugs at UgaMed approved service provider |
| Appliances | Covered fully equipped labs, consultation rooms, wards, ICU unit, x-rays, CT scan, ultrasound from UgaMed approved providers |
| X-rays | Covered at UgaMed approved service provider |
Outpatient services (general consultancy / doctors visits)
| Doctor visits 100% | Benefits |
| Consultation, treatment, day surgery, pathology, laboratory, appliances, x-rays, prescription drugs | Covered at UgaMed approved service providers |
Additional outpatient benefits
| Benefits | |
| Treatment of eye infections and simple surgical procedures such as mimobian cysts | Covered by physician, specialists at UgaMed approved service provider |
| Physiotherapy | By physician, specialists at UgaMed approved service provider |
| Dental: cleaning, black amalgam filling, extraction | At Basil's or Pan dental within limits |
| Cosmetic dentistry, crowns, RCT, bridges and reconstructive work | Not covered |
| Vaccinations as per UNEPI requirements | Covered |
| VCT | Covered |
| ARV treatment | Covered for 1st line treatment under the Government scheme |
| Treatment of pre-existing conditions such as, but not limited to, diabetes, asthma, hypertension | By physician, specialists at UgaMed approved service provider within general limits |
Hospital outpatient services (day surgery)
| Hospital outpatient services (Day surgery) all hospital services are at UgaMed approved service | Benefits |
| Doctors Visits 100% at out patient level of any approved clinic or hospital where there is no admission or in a hospital and or clinic with admission facilities as an admitted patient. | |
| Consultation, Treatment, Pathology, Laboratory, Prescribed Drugs | Covered at Ugamed Approved Service Provider |
| Appliances Fully equipped labs, consultation rooms, wards, ICU unit, theatre including X Rays, C T Scan, Ultrasound | Covered at Ugamed Approved Service Providers |
Maternity benefits (optional at additional cost, available only for groups)
| Antenatal Care ,pre natal care & Normal Delivery | Covered at Ugamed Approved Facility |
| Caesarian Section | Covered for Emergency C and medically necessary C Section Only |
| Post Natal Care | Covered |
| Anti-retroviral drugs during delivery | Covered |