Requirements for Registration

• Must be a national athlete (an athlete registered with his/her local sporting association/federation and is in good standing).
• Must be representing Jamaica at the regional or international level.
• Must be between the ages of 6-75 years old.
• Must have participated in at least two (2) Jamaica Anti-Doping Commission's (JADCO’s) training sessions per year.
• Must be willing to participate in a pre-participation examination.
• Must remain on the national squad.
• Athletes in a development squad can also be enrolled on the Plan.

If an athlete is injured and is unable to return to competition, the national association/federation can assess the athlete’s medical condition and make a recommendation to the Ministry for that athlete to continue to be covered under the insurance plan until he/she is replaced on the team.

Pre-existing Conditions

Pre-existing conditions are defined as health conditions that were in existence before the cover was effective whether the insured was aware of it or not. There is a six (6) month wait time before enrolment on the Plan.

Benefits

• Group life coverage - J$2.3m.
• Group Personal Accident and Permanent Disability – J$3m.
• Accidental Medical Reimbursement - J$70m.

(This is related to the Permanent Disability, meaning they had the accident but did not die). If the athlete dies naturally the payment will be J$2.3m. If death is by accident the J$3m is also paid making it a total of J$5.3m.
Benefits are not paid if the death is by suicide.

Expenses Covered

The Health Plan offers extensive coverage for medical consultations and treatment which includes:

• Unlimited doctor’s Visits
  • Specialist consultations
  • Psychiatric care
• Diagnostic procedures
• Prescription drugs
• Hospitalization
• Surgery
• Maternity
• Miscellaneous
  • Artificial limbs & other prosthetics
  • Physiotherapy
  • Massage therapy
  • Athletic therapy
  • Local ambulance
  • Orthotics
• Major medical
• Dental and Optical combined
• Overseas Emergency Services - up to US$100,000 to cover medical emergencies whilst in competition overseas
• Overseas non-emergency care

Health Insurance Claim

Where a service provider does not accept the health card, you may pay up-front for the services and submit a completed health claim form, along with proof of payment. This can be routed through the Sport Policy Development and Monitoring Branch at the Ministry of Culture, Gender, Entertainment and Sport, or delivered directly to the insurer within ninety (90) days of medical/health service received. The provider MUST also stamp, sign and date the claim form.

Swipe Cards

Each member will be provided with 2 health cards, a magnetic swipe card and a benefits card. Your swipe card can be used at all participating service providers. However, pre-authorization is required for surgical treatments. Special provisions are made under the plan for members who travel overseas for competition and those who reside overseas. Please note, that the swipe cards can only be used in Jamaica.