Golden Hour Plan

Monthly Premiums

The rates below are for Individuals, per insured per month.
If you are a member as part of a Group/ Company, your rate may be different.


R175 PM

Adult Dependent

R135 PM

Child Dependent

R55 PM

In-Hospital Accident Benefit

ICU Benefit
Shortfall Benefit
Post-Hospital Accident Rehabilitation
In-Hospital Illness Benefit
Maternity Benefit
casualty benefit for accidents
casualty benefit for illness

general practitioner visits (GP/doctor)
out-of-network general practitioner visits (gp)
in-room procedures
pharmacy clinic nurse care

specialist benefit
acute medication
over-the-counter medication (OTC)
chronic medication
R225 000 per insured per event. Maximum of R1 000 000 per policy per annum. Pre-authorisation required
Included in Hospital Benefits.
Included in Hospital Benefits.
R10 000 per insured per event for physiotherapy and occupational therapy only. Pre-authorisation required.
No Benefit.
No Benefit.
R30 000 per policy. Pre-authorisation required.
R15 000 per policy per annum for Emergency stabilisation in the case of an illness. Pre-authorisation required.
2 GP consultations at a contracted network doctor per insured.

No Benefit

Defined list of procedures a network GP can perform in their rooms at no additional charge.
3 visits per insured for a defined list of procedures available from nurses at Network pharmacies with contracted clinics.
No Benefit
R1 500 per insured. Max R190 per script. Combined with OTC benefit. Subject to Formulary.
Combined with in Acute Medicine Limit.
No Benefit.
No Benefit.
No Benefit.
No Benefit.
No Benefit.


Hospital Footprint

Access to all private hospitals accepting health insurance products. Pre-Authorisation is required for all hospital admissions on 010 599 1172.


24-hour Emergency Medical Services

24-hour cover for private ambulances and medical evacuation in the event of an emergency.

Personal Health Advisor

Clinically trained Personal Health Advisor available for telephonic consultations and advice, including Trauma Councelling, Health Information, Chronic condition management, general Health advice.

Accidental Death

Principal: R15 000
Adult Dependant: R10 000
Child Dependant: R8 000


Nurse-Based Care

Care from qualified nurses at over 700 pharmacy Wellness Clinics. Visit them in store at your convenience or book an appointment for a consultation. Nurses will give you a medical referral if necessary. Available at all Network Pharmacies with contracted Clinics.

• General Member Wellness

• Women’s Health

General Members Wellness

  • Glucose and Cholesterol screening / testing /              monitoring.
  • Treatment of wounds.
  • Administration of injections, including annual flu injection.
  • Hb, Malaria and Urine Screening.
  • Syringing of ears.
  • Advice on how to best manage your status and health.

Women's Health

Caring advice women can rely on, offering all types of female health assessments such as pregnancy testing, breast screening, pap smear testing and other female screenings.

Assistance Managing Chronic Conditions

Nurses will help you manage your chronic condition and assist you with monitoring and
advice, including but not limited to:
• Diabetes Hba1C and foot screening.
• Blood pressure and lipogram testing, BMI monitoring.
• Peak flow and nebulization. Control asthma by getting rescue medication directly into the lungs.
• HIV screening, testing and counselling: Learn your HIV status and get psychological help after testing positive.
A counselling session is offered pre-testing as well.

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