Monthly premiums per insured
The rates below are for individuals under the age of 60, per insured, per month. Talk to us for cover from age 60.
| Insured | Monthly Premium |
|---|---|
| Principal | R695 |
| Spouse | R630 |
| Children (0–17) | R250 |
Benefits and limits
Some benefits refer to the Hospital Plan. Follow that plan for the referenced limits and conditions.
| Benefit | Comprehensive |
|---|---|
| In-Hospital Accident Benefit | Same as Hospital Plan |
| ICU Benefit | Included |
| Post-Hospital Accident Rehabilitation | Same as Hospital Plan |
| In-Hospital Illness Benefit | Same as Hospital Plan |
| Maternity Benefit | No benefit |
| Casualty Benefit for Accidents | Same as Hospital Plan |
| Casualty Benefit for Illness | R2 500 per policy per annum for after-hours treatment only. Pre-authorisation required. |
| GP Visits (Network) | Managed unlimited GP consultations at a network doctor. Pre-authorisation required from 5th visit onward. |
| GP Visits (Out-of-Network) | 2 consultations refunded at R475 per visit |
| In-Room Procedures | Defined list of procedures a network GP can perform |
| Pharmacy Clinic Nurse Care | Unlimited care for defined procedures at network pharmacies |
| Specialist Benefit | R2 600 per insured per annum. Referral by network GP required. |
| Acute Medication | Unlimited acute medication from network pharmacies (formulary limited) |
| OTC Medication | R210 per policy per month. R850 per year |
| Chronic Medication | Unlimited chronic medication for CDL conditions only. Approval required. Network pharmacy only. |
| Radiology | Unlimited black & white X-rays. Referral by network GP required. |
| Pathology | Unlimited blood tests according to list. Referral by network GP required. |
| Dentistry | Basic dentistry only. Treatment based on GENRIC protocols. |
| Optometry | Only at Specsavers. 1 consultation + 1 set frames with single vision lenses per insured every 24 months. Max R1 450. |
Check the listed network, referral and pre-authorisation requirements when comparing benefits. Our team can help you understand the cover before you apply.