Our plans and pricing comparison – click here for all the information
|Health Cover||Waiting Periods||Cover Limits||Single||Dep(2-3)||Dep(4+)|
|General Practitioner (Doctor)||30 Days||Up to R 315 per visit||R2 740||R4 560||R5 470|
|Scripted Medication||30 Days||Up to R235 per script. Paid through Mediscor
electronic claim system. No over
|R1 505||R1 980||R2 405|
|Pathology||30 Days||Up to R540 per event.||R2 885||R3 850||R4 930|
|Radiology||30 Days||Up to R540 per event.||R2 160||R3 850||R5 410|
|Dentistry||90 Days||Up to R720 per visit. Max of 4 visits a year.||R2 700||R3 605||R4 805|
|Specialist Cover||90 Days||
Up to R1 800 per visit. 3 visits per family per year.
Referral from GP required and subject to authorisation.
|Maternity Pre Birth||7 Months applicable to new policies.
Thereafter waiting period of 4 months from date of conception.
|Up to R490 per visit. 4 Visits per Pregnancy.
Annual limit of R 1925.
|Optometry||12 Months||Up to R1 220 - Limited to claim this every
24 months per dependant.
|Maximum overall limits for Health Cover of:||Single: R17 460||2 or 3: R24 280||4 plus: R29 140|
|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 R265 000 per insured event. Up to R530 000 per family
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 R60 000 per insured event p/p. Up to R120 000 per insured per year.
Excess:4-6 Months - 15% | 7 months onwards - 5%
|Dread Disease||6 Months||Up to R300 000 per defined disease per year.|
|Natural Birth and
|12 Months||Up to R57 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 R147 000 for the duration fo the policy.
only principal insured is covered.
|Family Death Cover||Accidental Death:
|Principal Insured: R12 000 | Spouse/Partner:R12 000 | Children 14-21 yrs:R12 000
Children 6-13 yrs R6 000 | Children 1-5 yrs R3 000
Children unborn(28 weeks) ro Oyrs: R1 500
|Immediate||Trauma and assault counselling, Accidental HIV protection services.
Accidental HIV infection treatment.
|Repatriation||Immediate||Up to R12 000 per insured person. Repatriation of mortal remains to funeral home.|
|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.