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Compare Plans 20192018-10-05T11:03:13+00:00

Compare Plans 2019

Benefit Benefit

Premier

R382 per family for under 65yrs
R535 per family for 65yrs+

Optimal

R285 per family for under 65yrs
R405 per family for 65yrs+

Synergy

R233 per family for under 65yrs
R330 per family for 65yrs+

Launch

R110 per family for under 65yrs
R196 per family for 65yrs+

In-hospital benefits PRIVATE RATE COVER Increases the Medical Aid rate up to 600%.
Subject to OAL
Increases the Medical Aid rate up to 500%. Subject to OAL Increases the Medical Aid rate up to 500%. Subject to OAL Increases the Medical Aid rate up to 350%. Subject to OAL and an excess of R350 per event
CO-PAYMENT COVER Subject to OAL Subject to OAL Subject to OAL
NON-DSP HOSPITAL PENALTY COVER R10 000 per admission. Limited to 1 claim per family per annum, subject to the OAL R6 000 per admission. Limited to 1 claim per family per annum, subject to the OAL
SUB-LIMIT COVER R30 000 per admission per insured. Subject to OAL R20 000 per admission per insured.Limited to R50 000 per family per annum, subject to OAL R20 000 per admission per insured. Limited to R50 000 per family per annum, subject to OAL
IN-HOSPITAL AND OUT-OFHOSPITAL BENEFITS TRADITIONAL CANCER COVER Pays for treatment in a private facility, including sub-limits, deductibles or co-payments related to cancer treatment (R100 000 excess). Subject to OAL. 20% co-payment cover per admission (R100 000 excess). Subject to OAL
BIOLOGICAL CANCER DRUG COVER Provides cover for Biological Cancer Drugs when the Medical Scheme imposes a sub-limit. Subject to OAL Provides cover for Biological Cancer Drugs when the Medical Scheme imposes a sub-limit. Subject to OAL
OUT-OFHOSPITAL BENEFITS CO-PAYMENTS FOR MRI, CT AND PET SCANS Subject to OAL Subject to OAL Subject to OAL
SUB-LIMIT COVER FOR MRI, CT AND PET SCANS R30 000 per admission per insured. Subject to OAL
CASUALTY BENEFIT (ACCIDENTS ONLY) R13 000 per event per insured. Subject to OAL R8 000 per event per insured. Subject to OAL R7 500 per event per insured. Subject to OAL R4 000 per event per insured. Subject to OAL and an excess of R350 per event
ADDED BENEFITS CANCER DIAGNOSIS BENEFIT Once off payment of R25 000 for first diagnosis of cancer, provided that the member is on an approved oncology treatment plan
MEDICAL SCHEME CONTRIBUTION
WAIVER
Up to R6 000 per month for 6 months, covers death or permanent and total disability (due to an accident), of the Medical Scheme contribution payer Up to R6 000 per month for 6 months, covers death or permanent and total disability (due to an accident), of the Medical Scheme contribution payer Up to R6 000 per month for 6 months, covers death or permanent and total disability (due to an accident), of the Medical Scheme contribution payer Up to R6 000 per month for 6 months, covers death or permanent and total disability (due to an accident), of the Medical Scheme contribution payer
GAP PREMIUM WAIVER Pays the premium for your Premier Policy for 12 months; covers death or permanent and total disability as a result of an accident, of the contribution payer Pays the premium for your Optimal Policy for 12 months; covers death or permanent and total disability as a result of an accident, of the contribution payer Pays the premium for your Synergy Policy for 12 months; covers death or permanent and total disability as a result of an accident, of the contribution payer Pays the premium for your Launch Policy for 12 months; covers death or permanent and total disability as a result of an accident, of the contribution payer
PERSONAL ACCIDENT BENEFIT R25 000 per insured on the Policy, covers accidental death or permanent and total disability R10 000 per insured on the Policy, in the event of accidental death or permanent and total disability R7 500 per insured on the Policy, in the event of accidental death or permanent and total disability
CRITICAL ILLNESS BENEFIT R10 000 per insured on the Policy in the event of death due to a critical illness R7 500 per insured on the Policy in the event of death due to a critical illness
INTERNATIONAL TRAVEL COVER R5 000 000 per insured R5 000 000 per insured R5 000 000 per insured R5 000 000 per insured