text
stringlengths
0
146
dental restoration alone is
excluded; or
2) Accidental cervical
spinal cord injury resulting
in loss of use of at least
one (1) entire limb, to be
assessed no sooner than
six weeks from the date of
the accident. The
diagnosis must be
confirmed by a specialist
in the relevant field and
supported by unequivocal
findings on Magnetic
Resonance Imaging,
Computerised
Tomography, or other
reliable imaging
techniques.
Accident” means an event
of violent, unexpected,
external, involuntary and
visible nature which is
independent of any other
cause and is the sole
cause of the injury.
Surgery for subdural
haematoma
The actual undergoing of
Burr Hole surgery to the
head to drain subdural
haematoma as a result of
an accident. The need for
the Burr Hole surgery must
be certified to be medically
necessary by a specialist.
Small Bowel Transplant
The receipt of a transplant
of at least one (1) meter of
small bowel with its own
blood supply via a
Intermediate Stage
Head Trauma Requiring
Open Craniotomy
Undergoing of open
craniotomy as a
consequence of major
head trauma by accident
for the treatment of
depressed skull fractures
or major intracranial injury.
Burr hole surgery is
excluded from this benefit.
Accident” means an event
of violent, unexpected,
external, involuntary and
visible nature which is
independent of any other
cause and is the sole
cause of the injury.
Advanced Stage1
Major Head Trauma
Accidental head injury
resulting in permanent
neurological deficit to be
assessed no sooner than
6 weeks from the date of
the accident. This
diagnosis must be
confirmed by a consultant
neurologist and supported
by relevant findings on
Magnetic Resonance
Imaging, Computerised
Tomography, or other
reliable imaging
techniques. "Accident”
means an event of violent,
unexpected, external,
involuntary and visible
nature which is
independent of any other
cause and is the sole
cause of the head injury.
The following are
excluded:
• Spinal cord injury; and
• Head injury due to any
other causes.
Major Organ/Bone
Marrow Transplant (on
waitlist)
Major Organ / Bone
Marrow Transplantation
The receipt of a transplant
of: