Surgical Benefit Schedule (1)

Health Insurance Coverage Surgical Benefit Schedule (1)
Description of Surgical Operation Percentage of Maximum Benefits
Abdomen	Appendectomy	50.00%
	Resection of bowel	75.00%
	Resection of stomach	75.00%
	Gastro-enterostomy	62.50%
	Removal of gall-bladder	75.00%
	Cutting into abdominal cavity for diagnosis, treatment or removal of one or more organs therein except as
	otherwise herein provided Two or more surgical procedures performed through the same abdominal incision will be considered as one operation.	50.00%
Abscess	Incision of superficial abscess, boil or furuncle, one or more Treatment of carbuncle or abscess requiring hospitalization,	5.00%
	One or more	12.50%
Amputation of	Fingers or toes, each	7.50%
	Hand, forearm or foot at ankle	25.00%
	Leg, arm or thigh	37.50%
	Thigh at hip	75.00%
Breast	Amputation of one or both, radical with resection into axilla	75.00%
	Amputation of one or both, simple	37.50%
Chest	Complete thoracoplasty	100.00%
	Removal of lung or portion of lung	75.00%
	Cutting into thoracic cavity for diagnosis, or treatment of organs therein, tapping excepted	25.00%
	Removal of pus, tapping excepted	12.50%
	Artificial Pneumothorax	12.50%
	Refills-each but not more than six	2.50%
	Brochoscopy Diagnostic	12.50%
	Operative, excluding biopsy	25.00%
Heart	Cardiac surgery cardiovascular surgery cardl ac value surgery	100.00%
Ear	Cutting ear drum	5.00%
	Myringotomy with tube drainage	20.00%
	Mastoidectomy radical one side, Tympano Plasty	50.00%
	Mastoidectomy radical both sides	62.50%
	Fenestration one or both sides	100.00%