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Additional Notes
A

We will reimburse 50% of the amount paid by you or your dependants for; check-ups, x-rays, scale & polish, fillings and extractions up to the maximum amount.

B

We will reimburse 75% of the amount paid by you or your dependants for optical services (excluding daily disposable contact lenses) up to the maximum amount

Note: We will not reimburse costs in relation to renewal of or repair to existing glasses; the purchase of frames without lenses; the purchase of frames without a changed prescription lens or lenses; the purchase of prescription sunglasses; or any form of daily disposable contact lenses.

C

We will reimburse 75% of the amount paid by you or your dependants for the benefit shown to the maximum amount

D

We will reimburse 75%of the amount paid by you or your dependants for the benefits shown to the maximum amount

E

You are entitled to this benefit after a 10 month waiting period between the date your cover commenced and the birth of your baby.

We will pay for a single sum benefit to one parent only for each child born to you or your spouse while a member of this plan. We will not make this payment to any of your children.

Note: The Original birth certificate must be submitted along with the claim form when claiming this benefit. The birth certificate will be returned to you in exactly the same condition in which we received it.

F

We will pay the following amount for each night you or your dependants stay in hospital for in-patient treatment. Please refer to the terms & conditions for the conditions excluded from cover. only if referred by GP

G

We will pay the following amount for each day case treatment, investigation or diagnosis in a recognized hospital up to a maximum of 10 admissions in any one year of insurance.

Note: Hospital day case treatment benefit does not apply to the period immediately prior to or following an overnight in-patient stay. This does not cover out-patient attendance. only if referred by GP

H

We will pay for one parent only for each night the parent has accompanied a dependant child under 12 years of age who has been admitted as an in-patient overnight.

Note: Claims must be supported by written confirmation from the hospital from the hospital authorities of the period that the parent accompanied the child overnight.

I

Overnight stays in psychiatric facilities will be regarded in the same way as hospital in-patient stays. only if referred by GP

J

We will 50% up to the annual maximum if recommended by a specialist immediately after hospital treatment. Maximum entitlement 180 days per year of insurance.

K

Helpline to provide advice and support to employees/dependents (over 18) facing issues associated with stress and, where appropriate, includes face to face counselling.