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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: |
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