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Medical Care Cover

Experience peace of mind with a thorough overview of your medical benefits. Take the steps to secure your health today and enjoy the coverage you deserve. Don't wait. Prioritize your well-being now!

Key Features

  • 100% reimbursement policy for reasonable and customary medical expenses incurred within specified sub-limits. No deductibles applied.

  • Nil policy exclusions other than being of criminal in nature and against standard public acceptable practise.

  • Medical repatriation advance cash payment not exceeding 50% of estimated cost on receipt of satisfactory documents being furnished by the eligible assured member.

Medical Care Benefits and Limits

As members, you are entitled to the below Medical Benefits in a calendar year. 

8.

No

Benefit

1.

In-Patient Treatment Including:

  • Prescribed medication.

  • Intensive Care Unit related services

Pre-Hospitalization 15 days

before Post- Hospitalization 30 days after

2.

3.

Dental Services

4.

Optical

General Practitioner Consultation

5.

6.

Specialist Consultation on Referral 

7.

 Pregnancy    

  •     Pre-natal

  •     Childbirth

  •     Post Natal

​

 Additional Benefit        

  •     Newborn Baby

  •     Care benefit

  •     Health check up

  •     Vaccination

   Diagnostics        

  •     X-Ray

  •     Ultrasound

  •     Haematology

  •     Clinical Micros copy

9.

  MRI & CT scan    

10.

Renal Dialysis & any major chronic illnesses upon approval by PSNA.

11.

  Oncology            

  •     Chemotherapy

  •     Radiotherapy Immunotherapy

12.

Ambulance Services  (Land/Air/Sea)

13.

Incidental overseas medical.    

14.

 Medical Repatriation.

Reimbursement Limit

K500 per day subject to maximum of 30 days

K5,000 per calendar year

K2,000 per eligible member calendar year

K2,500 per calendar year

K5,000 per eligible member per calendar year

K2,500 per calendar year

K2,500 per calendar year

K1,000 per calendar year

K2,500 per diagnostics investigation per calendar year

K2,500 per calendar year

K10,000 per calendar year

K10,000 per calendar year

    K2,000 per calendar year

K50,000 maximum aggregate per calendar year

K50,000 maximum aggregate per calendar year to the nearest available Medical. Facility in Australia, Singapore or Philippines, with consent from PSNA.

The association at its own discretion allow advance cash payment not exceeding 50.0% of the estimated cost upon satisfactory documents 

being furnished upon the request by the eligible member.
 
 

Submitting a Medical Expense Claim

When submitting a medical expense claim, you will need to submit the following documents:​​

  1. Medical Expense Claim Form

  2. Medical Invoice

Send to claims@niucare.com.pg. Wait 48 hours before you do a follow up on your claim. 

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