Hospital Plan

Monthly Premiums

Our premiums may be reviewed and escalated on an annual basis.

Individual

R500 pm

Adult Dependant

R400 pm

Child Dependant

R220 pm

In-hospital Benefits

HOSPITAL FOOTPRINT

Access to all private hospitals accepting health insurance products. Pre-authorisation required.

MATERNITY BENEFIT

Up to a maximum of R30 000 per pregnancy. This limit includes 2 general practitioner ultrasounds, one in 1st trimester and one in 2nd trimester. Limited to 1 event per policy every 12 months.

ILLNESS COVER

Day 1: R10 000
Day 2: R6 500
Day 3: R5 000
Day 4 onwards: R3 000 per day.
Limited to 21 days per admission. Includes all associated costs to admission, procedure and treatment.

ACCIDENT BENEFIT

Single member: An amount of up to R150 000 per incident with an annual limit of R300 000.
Family: An amount of up to
R300 000 per incident with an annual limit of R600 000. Authorised associated costs for follow up treatments post discharge accumulate to the initial event sub-limit.

CASUALTY BENEFIT

R2 000 per policy per annum. Only available after hours and must be pre-authorised by Africa Assist.

Value Added Benefits

24 HOUR EMERGENCY MEDICAL SERVICES

24/7 Emergency Medical Services, subject to pre-authorisation.

PERSONAL HEALTH ADVISOR

Clinically trained Personal Health Advisor available 24/7.

ACCIDENTAL DEATH BENEFIT

R10 000 principal member and adult dependant R8 000 per child dependant.

For all terms and conditions, benefits, limitations, and exclusions please refer to the
policy wording which forms part of your Schedule of Insurance or consult your broker.

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