Key Benefits
OAL per beneficiary per annum:
R174 000
In-Hospital Benefits
Gap Cover
Co-payments
Co-payments Charged as a Percentage
Penalty Fee Cover
Day Hospital/Clinic and/or In Room Surgical Procedures Cover
PMB Cover
Hospital Account Shortfalls
Sub-limit Enhancer
Step-down
Cancer Benefits
Cancer Co-payment Benefit
Cancer Benefit - Boost
Cancer Benefit - Breast Reconstruction
Cancer Benefit - PMB
Out-of-hospital Benefits
Primary Care Consultation Benefits
Emergency Room Cover
Day-to-day Specialist Consultation Fee
Preventative Care Cover
Appliance Benefit
Trauma Counselling
Value Added Benefits
Gap Cover Premium Waiver
Medical Scheme Premium Waiver
Accidental Death
Cancer Cover (Initial Diagnosis)
Sira-Go’ Baby