Health Insurance & Hospital Plan

BLUE PLAN
from
R900
per month

PROFESSIONAL PLAN
from
R1 210
per month

EXECUTIVE PLAN
from
R1 605
per month

ADD-ON PRODUCTS

(NEW TO CORE PLAN)
Illness Extender

Excess Buster

Add on for: Single: R150 | Couple: R285 | Per Child: R40
Benefit Limit:
Up to R35 000 per insured event.
Up to R87 500 insured per year.

Waive Excesses for R15 per person

Illness already included

Waive Excesses for R25 per person

Illness already included

Waive Excesses for R40 per person

Illness already included

Waive Excesses for R40 per person

DAY-TO-DAY BENEFITS

Doctors Visits

Scripted Medication

Medication

Blood Tests

X-rays

Dentistry

Specialist Cover

Maternity Pre Birth

Optometry

DAY-TO-DAY ANNUAL LIMIT

Up to R380 per visit.

Up to R160 per script.

Up to R160 per annum.

Up to R460 per event.

Up to R620 per visit.

NOT COVERED ON THIS PLAN.

Up to R620 per visit.

Up to R1 075.

Single: R7 675 | 2 or 3: R12 825
4 plus: R15 965

Up to R400 per visit.

Up to R180 per script.

Up to R180 per annum.

Up to R480 per event.

Up to R650 per visit.

NOT COVERED ON THIS PLAN.

Up to R630 per visit.

Up to R1 150.

Single: R8 240 | 2 or 3: R12 875
4 plus: R16 995

Up to R450 per visit.

Up to R260 per script.

Up to R260 per annum.

Up to R530 per event.

Up to R770 per visit.

NOT COVERED ON THIS PLAN.

Up to R635 per visit.

Up to R1 520.

Single: R11 895 | 2 or 3: R18 490
4 plus: R22 920

Up to R525 per visit.

Up to R300 per script.

Up to R300 per annum.

Up to R660 per event.

Up to R860 per visit.

Up to R2 110 per visit.

Up to R670 per visit.

Up to R1 675.

Single: R17 300 | 2 or 3: R25 495
4 plus: R30 645

IN-HOSPITAL BENEFITS

Casualty Illness

Casualty Accident

Accident Cover

Illness In Hospital

Dread Disease

Natural Birth and Emergency Caesareans

Neonatal

Repatriation

Ambulance and Emergency Services

Up to R5 150.

Up to R159 650 per insured event.

Add Illness Extender from 150 pm
(see ADD ONS above)

NOT COVERED ON THIS PLAN.

Up to R12 200 per insured person.

24hr Medical assistance with dedicated emergency line.

Up to R5 150.

Up to R216 000 per insured event.

Up to R53 000 per insured event p/p.

Up to R290 000 per defined disease per year.

Up to R51 500 per insured event p/p.

Up to R12 200 per insured person.

24hr Medical assistance with dedicated emergency line.

Up to R5 400.

Up to R242 000 per insured event.

Up to R63 500 per insured event p/p.

Up to R315 000 per defined disease per year.

Up to R62 000 per insured event p/p.

Up to R12 200 per insured person.

24hr Medical assistance with dedicated emergency line.

Up to R5 665.

Up to R319 000 per insured event.

Up to R73 500 per insured event p/p.

Up to R365 000 per defined disease per year.

Up to R72 000 per insured event p/p.

Up to R12 200 per insured person.

24hr Medical assistance with dedicated emergency line.

ADDITIONAL VALUE ADDED COVER

Accident Disability

Accidental Death Cover

Trauma, Assault and Accidental HIV

Up to R195 700 for the duration of the policy.

Principal Insured: R13 000
Spouse/Partner: R13 000
Children 14-21 yrs: R13 000
Children 6-13 yrs R9 000
Children 1-5 yrs R7 000

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

Up to R206 000 for the duration of the policy.

Principal Insured: R15 000
Spouse/Partner: R15 000
Children 14-21 yrs: R15 000
Children 6-13 yrs R10 000
Children 1-5 yrs R7 500

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

Up to R216 000 for the duration of the policy.

Principal Insured: R20 000
Spouse/Partner: R20 000
Children 14-21 yrs: R20 000
Children 6-13 yrs R12 500
Children 1-5 yrs R8 750

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

Up to R216 500 for the duration of the policy.

Principal Insured: R25 000
Spouse/Partner: R25 000
Children 14-21 yrs: R25 000
Children 6-13 yrs R15 000
Children 1-5 yrs R10 000

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

Waiting Periods, Terms and Conditions Apply to all plans and benefits and are stipulated on the plan brochures • Pre-Existing Conditions are excluded for a maximum of 12 Months • Late Joiner Fees may be applied • All healthcare cover amounts are paid onto your Onecard • Excess applies to hospital benefits.

Download Comparison Brochure

OUR AFFORDABLE HEALTH PLANS

CORE PLAN
from R450 PM

(NEW TO CORE PLAN) Illness Extender	Add on for: Single: R150 Couple: R285 Per Child: R40 Benefit Limit: Up to R35 000 per insured event. Up to R87 500 per insured event.
Excess Buster	Waive Excesses for R15 p/p per month

DAY-TO-DAY ANNUAL LIMIT	Single: R7 675 2 or 3: R12 825 4 plus: R15 965
Doctors Visits	Up to R380 per visit.
Scripted Medication	Up to R160 per script.
Medication	Up to R160 per annum.
Blood Tests	Up to R460 per event.
X-rays	Up to R460 per event.
Dentistry	Up to R620 per visit.
Specialist Cover	NOT COVERED ON THIS PLAN.
Maternity Pre Birth	Up to R620 per visit.
Optometry	Up to R1 075.

Casualty Illness	Up to R5 150.
Casualty Accident	Up to R5 150.
Accident Cover	Up to R159 650 per insured event.
Illness In Hospital	Add Illness Extender from 150pm (see ADD ONS above)
Dread Disease	NOT COVERED ON THIS PLAN.
Natural Birth and Emergency Caesareans	NOT COVERED ON THIS PLAN.
Neonatal	NOT COVERED ON THIS PLAN.
Repatriation	Up to R12 200 per insured person.
Ambulance and Emergency Services	24hr Medical assistance with dedicated emergency line.

Accident Disability	Up to R195 700 for the duration of the policy.
Accidental Death Cover	Principal Insured: R13 000 Spouse/Partner: R13 000 Children 14-21 yrs: R13 000 Children 6-13 yrs R9 000 Children 1-5 yrs R7 000.
Trauma, Assault and Accidental HIV	Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

Accident Disability

Up to R195 700 for the duration of the policy.

Accidental Death Cover

Principal Insured: R13 000

Spouse/Partner: R13 000

Children 14-21 yrs: R13 000

Children 6-13 yrs R9 000

Children 1-5 yrs R7 000.

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

BLUE PLAN
from R900 PM

(NEW TO CORE PLAN) Illness Extender	Illness already included Illness already
Excess Buster	Waive Excesses for R25 per person

DAY-TO-DAY ANNUAL LIMIT	Single: R8 240 2 or 3: R12 875 4 plus: R16 995
Doctors Visits	Up to R400 per visit.
Scripted Medication	Up to R180 per script.
Medication	UUp to R180 per annum.
Blood Tests	Up to R480 per event.
X-rays	Up to R480 per event.
Dentistry	Up to R650 per visit.
Specialist Cover	NOT COVERED ON THIS PLAN.
Maternity Pre Birth	Up to R630 per visit.
Optometry	Up to R1 150.

Casualty Illness	Up to R5 150.
Casualty Accident	Up to R5 150.
Accident Cover	Up to R216 000 per insured event.
Illness In Hospital	Up to R53 000 per insured event p/p.
Dread Disease	Up to R290 000 per defined disease per year.
Natural Birth and Emergency Caesareans	Up to R51 500 per insured event p/p.
Neonatal	Up to R51 500 per insured event p/p.
Repatriation	Up to R12 200 per insured person.
Ambulance and Emergency Services	24hr Medical assistance with dedicated emergency line.

Accident Disability	Up to R206 000 for the duration of the policy.
Accidental Death Cover	Principal Insured: R15 000 Spouse/Partner: R15 000 Children 14-21 yrs: R15 000 Children 6-13 yrs R10 000 Children 1-5 yrs R7 500.
Trauma, Assault and Accidental HIV	Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

Accident Disability

Up to R206 000 for the duration of the policy.

Accidental Death Cover

Principal Insured: R15 000

Spouse/Partner: R15 000

Children 14-21 yrs: R15 000

Children 6-13 yrs R10 000

Children 1-5 yrs R7 500.

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

PROFESSIONAL PLAN
from R1 210 PM

(NEW TO CORE PLAN) Illness Extender	Illness already included Illness already
Excess Buster	Waive Excesses for R40 per person

DAY-TO-DAY ANNUAL LIMIT	Single: R11 895 2 or 3: R18 490 4 plus: R22 920
Doctors Visits	Up to R450 per visit.
Scripted Medication	Up to R260 per script.
Medication	Up to R260 per annum.
Blood Tests	Up to R530 per event.
X-rays	Up to R530 per event.
Dentistry	Up to R770 per visit.
Specialist Cover	NOT COVERED ON THIS PLAN.
Maternity Pre Birth	Up to R635 per visit.
Optometry	Up to R1 520.

Casualty Illness	Up to R5 400.
Casualty Accident	Up to R5 400.
Accident Cover	Up to R242 000 per insured event.
Illness In Hospital	Up to R63 500 per insured event p/p.
Dread Disease	Up to R315 000 per defined disease per year.
Natural Birth and Emergency Caesareans	Up to R62 000 per insured event p/p.
Neonatal	Up to R62 000 per insured event p/p.
Repatriation	Up to R12 200 per insured person.
Ambulance and Emergency Services	24hr Medical assistance with dedicated emergency line.

Accident Disability	Up to R216 000 for the duration of the policy.
Accidental Death Cover	Principal Insured: R20 000 Spouse/Partner: R20 000 Children 14-21 yrs: R20 000 Children 6-13 yrs R12 500 Children 1-5 yrs R8 750.
Trauma, Assault and Accidental HIV	Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

Accident Disability

Up to R216 000 for the duration of the policy.

Accidental Death Cover

Principal Insured: R20 000

Spouse/Partner: R20 000

Children 14-21 yrs: R20 000

Children 6-13 yrs R12 500

Children 1-5 yrs R8 750.

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

EXECUTIVE PLAN
from R1 605 PM