This is where the fundamental benefits which the system is capable of managing are configured. All schemes and plans are based on this feature.

Male/female restriction.

Minimum age restriction.

Restriction to specific service provider disciplines.

Not Specific

In-Patient Only

Out-Patient Only

Maternity.

Neonatal & Nursery.

ICU/CCU.

Accident & Emergency.

Operation/Theatre.

Renal.

Rehab.

Defining a benefit restricted to specific treatments, or which specifically excludes specific treatments.

Hospital grade restriction.

Tying a benefit to a specific fund only.

Flexible definitions and modification of benefits.