Schedule of Benefit for Medical Fees

Where two procedures are performed at the same time Atlas healthcare will pay the full benefit for the highest rated procedure and an additional 25% when two procedures are carried out and 40 % for three or more procedures. The additional percentage however should not exceed 50 % of the listed benefit for the second procedure. Such as undergoing a J1880 - Laparoscopic Cholecystectomy (tal-gebla) and a T2400 - Umbilical Hernia (tal-ftuq). If done separately the surgeon's fee payable for the J1880 would be €1,500 and that for the T2400 €300. When both procedures are carried out at the same time Atlas Healthcare would pay an additional 25% of the most complicated procedure (J1880) which comes to €375 but since this amount is greater than 50% (€150) of second procedure, then in this case Atlas Healthcare would pay the full €1,500 plus €150 for the second procedure.