Hospital 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.
Principal
R215 PM
Adult Dependent
R170 PM
Child Dependent
R75 PM
| Benefits |
|---|
|
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 |
|
radiology |
|
pathology |
|
dentistry |
|
optometry |
| DESCRIPTIONS |
|---|
|
R300 000 per insure 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 |
|
R50 000 per insured per event. Not for conditions that develop over time. Limited to R500 000 per policy per annum. Pre-authorisation required. |
|
No Benefit. |
|
R30 000 per policy. Pre-authorisation required. |
|
No Benefit. |
|
No Benefit. |
|
No Benefit |
|
No Benefit. |
|
No Benefit. |
|
No Benefit
|
|
No Benefit. |
|
No Benefit. |
|
No Benefit. |
|
No Benefit. |
|
No Benefit. |
|
No Benefit. |
|
No Benefit. |
ADDITIONAL BENEFITS
Hospital Footprint
Access to all private hospitals accepting health insurance products. Pre-Authorisation is required for all hospital admissions on 010 599 1172.
VALUE ADDED BENEFITS
24-hour Emergency Medical Services
24-hour cover for private ambulances and medical evacuation in the event of an emergency.
Personal Health Advisor
(24/7)
Clinically trained Personal Health Advisor available for telephonic consultations and advice, including Trauma Councelling, Health Information, Chronic condition management, general Health advice.
Accidental Death
Benefit
Principal: R15 000
Adult Dependant: R10 000
Child Dependant: R8 000
