Information Pack I HEALTHCAREContents 1.0 WELCOME TO GLICO HEALTHCARE... 1.1 ABOUT GLICO HEALTHCARE 2.0 WHY INSURE WITH GLICO HEALTHCARE ... 3.0 BENEFIT SCHEDULE AND EXCLUSIONS .... 4.0 HOW TO ACCESS GLICO HEALTHPLAN WITH THE GHC CARD .. 5.0 REFUND PAYMENT AND PROCESS .. 5.1 PROCESS CYCLE ..... 6.0 TERMINATION OF MEMEBERSHIP .... 7.0 HOTLINESWelcome ine 1.0 WELCOME TO GLICO HEALTHCARE Dana eae ee AN Oe Ie DRE oes ote nSt hcg health with us; an excellent choice made. We cushion you for life! Our customers benefit from our in-depth specialist attention in the provision of comprehensive medical services esr enue iia eerste Snob Nao cusernG Cie haat eng sie soe Cec tartectt atc e sa oer Cot elo health care to its enrolled members in areas like waiting time at dinics, opening hours of clinics, sanitation Girona ted ae eee oe teMen terete ented Eur oe teeter eter extensive network of service providers (clinics, pharmacies, opticians, dental surgeons and diagnostic centers among others) in all 10 regions of the country, make us the company of choice in health service delivery. 1.1 ABOUT GLICO HEALTHCARE GLICO HEALTHCARE is a unique addition to GLICO GROUP and reflects the natural pedigree of the GROUP and it's progression in providing integrated and complete insurance services to the Ghanaian public. GLICO HEALTHCARE thus became the first Health Maintenance Organisation (HMO) to be established in Ener nme rent SMe De cee ee N ac Reda ee Mere ¥ Aprivate mutual health insurance scheme ¥ Committed to providing quality healthcare Pa Ree on Cone Me ce acer ert\ \ \\\ 20WHY oe. ny INSURE WITH2.0 BENEFIT SCHEDULE AND EXCLUSIONS GLICO Cover Benefit Table This table will give you an overall summary of the benefits we offer PRODUCT OPTION PLATINUI Services Pratl itas Neonatal care (incubator, phototherapy, congenital conditions, 04 Perey)3.0 BENEFIT SCHEDULE AND XCLUSIONS Cont MAJOR DISEASE BENEFITS ens nen het er sae eee ast cad) Investigations (CT Scan, MRI, Angiography) Cerrina niet} emer emar anche ered eee omeaeea es DAY-TO-DAY BENEFITS (Out-patient) Preyer eee en mene oer) Pretmoentret are Conn cngurecaee Me aecig suddenly, progress rapidly and are relatively short in duration) ¥ Consultations (GP and Specialists) (oa retary tency Prescribed medication Dera aso Coonrarat) aR esata ets ees Coe PARC Nae amet es ec O Cec Nc CT Scan, MRI a ¥ ra a PROev eS Nemec tc scone re eee Nn plaster of paris and stitches Auxiliary services such as physiotherapy, dietician and speech therapy Peer CIM cenontng [Blood test(LFTBU&E, FBC, Cholesterol, glucose), Hepatitis B Fue oE GP MUSE CEOCg Chronic Conditions Benefit (conditions that require medication Prieterenttanenta eerie erg eeqon heron) (Pre-autharisation and clinical protocols apply) + Consultations (GP and Specialists) Baier Caran cl Rae c cages okccnsc toc Ee sen os aces Basa cd Cessna nme Penne rina) PENSE SnnE Sr aeer eee ye ea Pe3.0 BENEFIT SCHEDULE AND EXCLUSIONS Cont. Bate et Out-patient/Minor Surgery Basic dentistry (This benefit covers the following dental treatments and services on an out-patient basis) Pere ener et dental procedures, including removal of teeth and roots, Paani see eae roommate Specialised dentistry Perse Been aga Ces Biers WE ent ee ent ea} Optical benefits (The following optical benefits are cov Cierra os eevee nfeatcte cies ccna Pa dup. Specialised radiology (All specialized radiology (in or out eee of hospital) is subject to pre-authorisation) CT scans and MRI Note: Referrals to UK, US and India for critical treatments will be based on benefit limits3.0 BENEFIT SCHEDULE AND EXCLUSIONS Cont. EXCLUSIONS Pai ea neettentee tester teeite at ew esa Tn esac eee reoteaes Meno Nee Does aes Gees PM ae ee ie Ege ected See ee ag ee ee eee cee emcees respect of any excess of claim beyond the amount to be reir v ng een er ean en oaeeak arate tog eater a enor tel greesesl eam OOO OO4.0 HOW TO ACCESS GLICO HEALTHPLAN WITH THE GHC CARD Identify the GHC sticker p Present the GHC card Get the Medical attention needed t Sign the GHC claims form 10 ag PE5.0 REFUND PAYMENT AND PROCESS Members may attend facilities not accredited by GHC and pay cash when in life threatening emergencies. With referrals from GHC accredited provider with pre-authorization, claims must ier ome MUR URe ley a Ee lel Re etc oeaN ae OTe (enim eae Me RCC Mola) campus for excellent acadmic result. SPEAK TO US TODAY MIGAECAHEALTHCARE5.1 PROCESS CYCLE Fill GHC Claim form Meee eT Rene eyes Peer erent neiy request forms Rent ereserecect| : within 10 working Cerro rte ets Receipt for medical Pee ean ery Perec Genero w coy Bicreson een CMe by the HR manger Ertecritiee Rees Refunds should be Bionic hr 30 days, except in Pir! Polyeht elites 136.0 TERMINATION OF MEMBERSHIP A person ceases to be a member of GHC only when: v GHC has been notified in writing and ¥ Cards of the member(s) have been surrendered to the scheme 7.0 HOTLINES CLIENTS RELATIONS NUMBERS: 0209995035 0261589927 0261589926 0202222162 0200203 967 COR (ele Aaa e alec sa 0302 218500