Network Option
Maternity Benefits
-
Subject to pre-authorisation and registration within the first 16 weeks of pregnancy.
You must register your pregnancy by calling the pre-authorisation department. This will ensure that your maternity claims are paid correctly. For pre-authorisation Network Option members must call 0800 765 432.
| Benefits | Description | |
|---|---|---|
| Vaginal delivery |
100% of the agreed tariff |
100% of the agreed tariff |
| Caesarean delivery |
100% of the agreed tariff if motivated by a network specialist |
100% of the agreed tariff |
| Two ultrasound scans - at 12 and 24 weeks |
100% of the agreed tariff |
100% of the agreed tariff |
|
Ward rates |
General ward rates, subject to the following: |
|
|
Pathology |
100% of the agreed tariff, as per the maternity treatment plan |
100% of the agreed tariff |
Maternity pathology paid by the Fund
| TEST | PER YEAR | TARIFF CODE |
|---|---|---|
| Full blood count | 1 | 3755 |
| Blood test: Blood group | 1 | 3764 |
| Blood test: Rhesus antigen | 1 | 3765 |
| Urine culture | 1 | 3893 |
| HIV Elisa or other screening test | 1 | 3932 |
| Rubella antibody | 1 | 3948 |
| VDRL (Venereal Disease Research Laboratory) | 1 | 3949 |
| Glucose strip test | 1 | 4050 |
| Urine analysis dipstick | 13 | 4188 |
| HIV antibody rapid test | 1 | 4614 |