BLUE PLAN - From R 570 pm

Health Cover Waiting Periods Cover Limits Single Dep(2-3) Dep(4+)
General Practitioner (Doctor) 30 Days Up to R 290 per visit R1 555 R2 790 R3 710
Scripted Medication 30 Days Up to R135 per script. Paid through Mediscor
electronic claim system. No over
counter medication.
R610 R1 100 R1 470
Pathology 30 Days Up to R365 per event. R1 225 R2 450 R3 370
Radiology 30 Days Up to R365 per event. R1 225 R2 450 R3 370
Dentistry 90 Days Up to R490 per visit. Max of 3 visits a year. R1 225 R2 235 R3 060
Specialist Cover 90 Days Not covered on this plan.
Maternity Pre Birth 7 Months applicable to new policies.

Thereafter waiting period of 4 months from date of conception.

Up to R490 per visit. 3 Visits per Pregnancy.
Annual limit of R 1470.
Optometry 12 Months Up to R865 - Limited to claim this every
24 months per dependant.
Maximum overall limits for Health Cover of: Single: R6 425 2 or 3: R10 800 4 plus: R14 340
Hospital Risk Cover Waiting Periods Cover Limits Excess
Emergency Illness 90 Days Up to R4800 for life threatening emergency illness
in casualty units.
Excess:4 months plus - R200
Emergency Accident Immediate Up to R4800 for accident events in casualty units
that does not result in admission.
Excess:0-3 Months - 15 % | 4 months plus -R200
Accident Cover Immediate Up to R165 000 per insured event. Up to R330 000 per family
per event.
Excess: R500 | Contact sport -15% of claim amount
(12 months waiting period)
Illness In Hospital 90 days
Certain conditions are excluded for 12 months.
Up to R37 000 per insured event p/p. Up to R98 000 per insured per year.
Excess:4-6 Months - 15% | 7 months onwards - 5%
Dread Disease 6 Months Up to R227 000 per defined disease per year.
Natural Birth and
Emergency Caesareans
12 Months Up to R37 000 per insured event p/p. Cover forms part
of illness and operations annual limits.
Excess: 10% of claim amount.
Accident Disability Immediate Up to R159 000 for the duration fo the policy.
only principal insured is covered.
Family Death Cover Accidental Death:
Natural Death:
90 Days
Principal Insured: R6 120 | Spouse/Partner:R6 120 | Children 14-21 yrs:R6 120
Children 6-13 yrs R3 060 | Children 1-5 yrs R1 530
Children unborn(28 weeks) to Oyrs: R920
Trauma,Assault and
Accidental HIV
Immediate Trauma and assault counselling, Accidental HIV protection services.
Accidental HIV infection treatment.
Repatriation Immediate Up to R12 200 per insured person. Repatriation of mortal remains to funeral home.
Ambulance and
Emergency Services
Immediate 24 hr Medical assistance with an emergency dedicated line.
In the event of a justifiable,life-threatening medical emergency,
the insured will be transported by ambulance to the nearest
appropriate medical facility.