Benefits
Medical Expense Shortfall Cover
Increases the Medical Aid rate up to 500%. Subject to the OAL
Co-payment Cover
Subject to the OAL
Non-DSP Hospital Penalty Cover
R7 000 per admission. Limited to 1 claim per family per annum. Subject to the OAL
Sub-limit Cover
R25 000 per admission per insured. Limited to R60 000 per family per annum. Subject to the OAL
MRI And CT Scan Cover
Covers the cost of MRI and CT scans when there is no benefit available on you Medical Scheme. Limited to R3 500 per event and 1 claim per family per annum. Subject to the OAL
Trauma Care Cover
Covers the cost of trauma counselling consultations with a registered healthcare provider after a member has been diagnosed with a critical illness, has been a victim of a violent crime or experienced the death of an immediate family member. Limited to R1 000 per consultation and R6 000 per family per annum. Subject to the OAL
Co-payments for MRI, CT and PET Scans
Subject to the OAL
Co-payments for Scopes
R3 000 per event. Limited to 2 claims per insured per annum. Subject to the OAL
Sub-limit Cover for MRI, CT and PET Scans
R25 000 per event per insured. Limited to R60 000 per family per annum. Subject to the OAL
Casualty Benefit for Accidents
R8 500 per event per insured. Subject to the OAL
Casualty Benefit for Illness
R2 000 per event. Limited to 2 claims per family per annum. Subject to the OAL. Treatment is restricted to between the hours of 7pm – 6am Mondays to Fridays, Saturdays, Sundays and Public Holidays
Medical Scheme Contribution Waiver
Up to R6 000 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 of your Policy for 12 months; in the event of death or permanent and total disability as a result of an accident, of the contribution payer
Personal Accident Benefit
R10 000 per insured on the Policy in the event of accidental death or permanent and total disability due to an accident
International Travel Cover
R5 million per insured (notification of travel required 48 hrs prior to departure)
Medical Expense Shortfall Cover
Increases the medical aid rate up to 500% for impacted wisdom teeth, reconstructive maxillofacial surgery due to an accident (which occurred while on the Policy) and oral cancer (which was diagnosed while on the Policy). Subject to the OAL
Co-payment Cover
Subject to the OAL
Sub-limit and Co-payment Cover for Dental Implants
Covers the cost of dental implants for reconstructive maxillofacial surgery due to an accident (which occurred while on the Policy) and oral cancer (which was diagnosed while on the Policy). Limited to R20 000 per admission and 50 000 per family per annum. Subject to the OAL
Sub-limit Cover
R20 000 per admission and R50 000 per family for impacted wisdom teeth, orthognathic surgery, reconstructive maxillofacial surgery due to an accident (which occurred while on the Policy) and oral cancer (which was diagnosed while on the Policy). Subject to the OAL
Additional Information
Waiting Periods
Click the button to review the Waiting Periods and Exceptions.
