| Room & Board, Psychiatric Ward, Hospice, Hospital Outpatient and Emergency Department, Physicians’ Services, Approved Diagnostic Imaging Facilities, Ground Ambulance, Home Medical Services, Dialysis and Anti-rejection Drugs As specified under The Health Insurance Act |
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| Artificial Limbs
$100,000 lifetime maximum |
| Surgical, Obstetrical, Anaesthetic, Diagnostic and Medical Care Bermuda Fee Schedule |
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| Ground Ambulance to Home As specified under The Health Insurance Act |
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| Chronic Disease Management Programme 80% | $2,880 maximum per policy year |
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| Medical Alarm Device 80% | $200 maximum per policy year |
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| $10,000 Combined annual maximum per policy year |
Medical Nutritional Therapy (Provider must be a registered Dietitian):
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Diabetes Self-Management Education (Programme must be pre-approved by Argus):
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Diabetes Reversal Programme:
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Annual Foot Exam: $150, maximum 1 exam per policy year For persons with type I or II diabetes or diabetic neuropathy |
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| Allergy testing: Our Fee Schedule, $600 per lifetime |
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| Allergy Injections: $20 per injection and serum combined |
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| Annual Health Exam: Maximum 1 exam per policy year
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Annual Specialist / Gynaecologist Exam (all ages): $200, maximum 1 exam per policy year |
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| Routine Diagnostic Testing in conjunction with Annual Exams: Bermuda Fee Schedule |
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| Well-Baby Routine Health exam (under 2 years): $107, maximum 6 exams per policy year |
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| Annual Eye Exam: $115, maximum 1 exam per policy year Routine Diagnostic Testing in conjunction with Annual Eye Exam (Provider must be approved by the Bermuda Health Council): $200 per policy year |
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| Immunisations and Injections: $30 per injection |
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| Diagnostic Services in Private Testing Facilities: Includes Genetic Testing (Must be pre-approved by Argus): covered by approved fee schedule. |
General Practitioner
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Specialist
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In Office Medical / Surgical Treatment Bermuda Fee Schedule |
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Physical & Occupational Therapy/TENS:
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| Chiropractic: $70, maximum 6 visits per policy year |
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| Chiropody / Podiatry: $70, maximum 6 visits per policy year |
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| Behavioural Therapies for Autism Spectrum & Attention Deficit Disorders (Must be pre-approved by Argus): Individual and family applied behavioural therapies 100% of billed charges, $2,500 maximum per policy year |
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| Psychiatrist: $180, maximum 6 visits per policy year Clinical Psychologist/Group Therapy Session: $130, maximum 6 sessions per policy year Counselling Services:
Smoking Cessation Counselling:
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| Sclerotherapy: Bermuda Fee Schedule $1,000 per policy year |
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| Lymphedema Treatment: $110, 28 visits policy year |
| Prescription Benefits are applicable Worldwide. Prescription Drugs, Birth Control, Medicines and Sera available only by prescription: 80% for brand name drugs 100% for generic drugs $7,500 maximum per policy year |
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