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Silver Plan
FijiCare Insurance Limited provides superior efficient services and affordable healthcare benefits for the people of Fiji.
  • Silver Hospitalisation plan (Compulsory)
  • Outpatient Nominated
  • Silver Optical
  • Silver Dental
Your Benefits

Medivac

Limitation:  FJ$170,000 per disablilty

Overseas medical evacuation where the medical practitioner chosen by FijiCare certifies the need for a treatment, which is not available locally. FijiCare will evacuate the patient to a preferred hospital in India. FijiCare will make all necessary arrangement including airfare, accommodation and meals. If an accompanying relative or medical attendant is necessary and approved by FijiCare, we will also pay for the expenses.

In any other hospital arranged by you either in New Zealand, Australia or India, FijiCare will reimburse the equivalent cost of treatment from our preferred hospitals in India.

Local Hospitalisation

Limitation: FJ$15,000 per disablilty

Medical treatment expenses incurred as a bed patient in any Government operated hospital in Fiji. If treatment is not available in any Government Hospitals in Fiji, FijiCare requires a letter of confirmation from the Ministry of Health to confirm that treatment recommended is not available and patient will be referred to the Suva Private Hospital.

In any other hospital arranged by you either in New Zealand, Australia or India, FijiCare will reimburse the equivalent cost of treatment from our preferred hospitals in India.

Daycare treatment

Treatment at any private clinic or at the FijiCare Medical Center if treatment is not available through Government hospital.

In any other hospital arranged by you either in New Zealand, Australia or India, FijiCare will reimburse the equivalent cost of treatment from our preferred hospitals in India.

Outpatient Nominated (optional)

Limitation: Unlimited

This plan will cover you for consultation with your nominated doctor within our penal of doctors and prescription to the pharmacy within our penal of pharmacies.

In any other hospital arranged by you either in New Zealand, Australia or India, FijiCare will reimburse the equivalent cost of treatment from our preferred hospitals in India.

Optical Care (Optional)

Limitation:  FJ$300.00 per person per annum

This is a reimbursement plan, which covers 85% of the total cost charged.

Dental Care (Optional)

Limitation:  FJ$500.00 per person per annum

This is a reimbursement plan, which covers 85% of the total cost charged.

Funeral Policy

This is a death only benefit with world wide coverage. Death by any cause followed by a funeral. The benefits are payable on the event of the funeral. This is subject to 75% of the membership joining the scheme and a minimum of 50 members in any group scheme.

  • Age band for sums insured
  • 20 to 30 years - FJ$12,000
  • 31 to 39 years - FJ$10,000
  • 40 to 45 years - FJ$8,000
  • 46 to 49 years - FJ$6,500
  • 50 to 55 years - FJ$5,000
  • 56 to 60 years - FJ$2,500
  • 61 to 65 years - FJ$1,500

Who's covered?

  • Policy holder and the legal spouse of the Insured, other than a legally separated spouse.
  • An Insured’s unmarried or legally adopted child whose age ranges between fourteen (14) days and under nineteen (19) years and who is totally dependent on the Insured for support.
  • An Insured’s unmarried child or legally adopted child over the age of nineteen (19) years and under the age of twenty two (22) years if attending full time college or university and who is totally dependent on the Applicant for support.

Terms & Conditions

  • Maximum age limit is 65 years.
  • Pre-existing conditions not covered.
  • Maximum age of entry is 50 years and we cover till 65 years for all level of cover Silver, Silver and Gold.
  • Full medical examination is required by prospocts 35 years old or more.
  • Pre-Existing and related conditions are not covered
  • All other exclusions of the policy applies and can be found on our medical quotes.

Major Exclusions Under Hospitalisation Plan

  • All Congenital conditions.
  • Palliative Treatment.
  • All conditions related to HIV.
  • All conditions related to Sexually Transmitted Diseases.
  • Any sickness or illness which occurs while traveling outside the Geographical Limits of Fiji.
  • Pre-existing condition not covered.

Major Exclusions Under Outpatient Plan

  • Confirmed long-term disorders such as Asthma, Hypertension or Diabetes, vitamins and dietary supplements.
  • Over the Counter Drugs.
  • X-rays and blood tests.
  • Prescriptions & pharmaceutical benefits for confirmed long term conditions including Asthma, Diabetes & Hypertension.

Funeral Benefits

Age of Member Amount Payable upon Death of Insured Member
20 to 30 years $12,000.00
31 to 39 years $10,000.00
40 to 45 years $8,000.00
46 to 49 years $6,500.00
50 to 55 years $5,000.00
56 to 60 years $2,500.00
61 to 65 years $1,500.00