What is the reimbursement rule for hospitalisation?
On a general ward in a public hospital, 100% of the costs will be reimbursed.
The costs of hospitalisation on a semi-private ward in an approved clinic or a public hospital will be covered in accordance with the General Rule.
In a non-approved clinic, 80% of the costs will be reimbursed, with no limit on the costs borne by the member (no FCA accumulation).
In all cases, the supplement for a private ward is borne by the member.