Monthly Premium
R339.95 per family for under 65yrs
R462.01 per family for 65yrs+
Benefits
In Hospital Benefits |
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|---|---|---|
| Medical Expense Shortfall Cover | Increases the medical aid rate up to 600%. (e.g. Specialists, GPs, Anaesthetists, Radiology, Pathology, etc). Subject to the Overall Annual Limit |
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| Co-payment Cover | R75 000 per admission per insured. Subject to the Overall Annual Limit | |
| Non-DSP Hospital Penalty Cover | R9 000 per admission. Limited to 1 claim per family per annum. Subject to the Overall Annual Limit |
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| Sub-limit Cover | R20 000 per admission per insured. Subject to the Overall Annual Limit | |
In-hospital and out-of hospital Benefits |
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|---|---|---|
| Traditional Cancer Cover | Pays for treatment in a private facility, including sub-limits, deductibles or co-payments related to cancer treatment. (R200 000 excess). Subject to the Overall Annual Limit | |
| Biological Cancer Drug Cover | Provides cover for Biological Cancer Drugs when the medical aid imposes a sub-limit. Subject to the Overall Annual Limit (See Formulary) | |
Out-of hospital benefits |
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|---|---|---|
| Co-payments for MRI, CT and PET scans | R75 000 per admission per insured. Subject to the Overall Annual Limit | |
| Sub-limit Cover for MRI, CT and PET scans | R20 000 per admission per insured. Subject to the Overall Annual Limit | |
| Casualty Benefit (Accidents only) | R12 000 per event per insured. Subject to the Overall Annual Limit | |
Added benefits |
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|---|---|---|
| Cancer Diagnosis Benefit | Once off payment of R20 000 for first diagnosis of cancer, provided that the insured is on an approved oncology treatment plan | |
| Medical Scheme Contribution Waiver | Up to R5 500 per month for 6 months; in the event of death or permanent and total disability as a result of an accident, of the medical scheme contribution payer | |
| Gap Premium Waiver | Pays the premium for your Premier policy for 6 months; in the event of 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, in the event of accidental death and permanent and total disability | |
| International Travel Cover | R5 000 000 per insured | |
Overall Annual Limit (OAL) – R150 000 per insured per annum
Additional Information
Biological Cancer Drugs
Click the respective button to reveal the cancer types that may require treatment through the use of a biological cancer drug covered under Premier.
Waiting Periods
Click the button to review the waiting periods and expections associated with the Premier Plan.
