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Benefits of medical insurance
- Day-to-day benefits to manage your out-of-hospital care.
- Visit the doctor of your choice. No doctor networks.
- Specialist consults, basic dentistry, optometry, radiology and pathology.
- Stay healthy with preventative options and screening for early diagnosis.
- Get unlimited GP consults and limited benefits for other healthcare services.
- Prescribed medication cover limited per script. Chronic benefits on select plans.
- Cover for the annual flu vaccine. Glucose, blood pressure, cholestrol and HIV screening.
*Medical insurance is not medical aid. Cover is limited to a specific amount per event and not according to medical aid tariffs.
Private medical care is expensive
Day-to-day medical plans are often overlooked for private hospital cover. Yet it is day-to-day care that you need more often and usually before you need to be hospitalised. Between repeated GP visits, medication, blood tests, x-rays and specialist visits, you could spend tens of thousands of Rands and may not even require hospitalisation. This is where day-to-day medical cover can help you fund your private health needs without paying cash or relying on government clinics.
Top up medical cover
Day-to-day cover can top up your healthcare access. It pays for a range of private health services like GP consults, dentistry, acute and chronic medication, specialist visits, optometry, radiology and pathology. This is not a medical aid. It can be helpful for medical aid members who only have a hospital plan and want day-to-day cover. It can also serve as a standalone healthcare cover if you do not have medical aid.
Who can join?
Day-to-day cover is available for any person irrespective of your health status. Waiting periods may apply for up to 12 months for pre-existing diseases.
What will it cost?
The cost of cover varies. Premiums start from R360 per month for basic plans with more extensive benefits on comprehensive plans costing around R800 per month.
Benefits
General Practitioners
Cover for general practitioner (GP) visits. Choose your preferred doctor.
Dental Care
Basic dentistry cover for fillings, extractions, scaling, dental pain and infections.
Medication
Acute medication (prescription) capped per script. Chronic medication for prescribed list.
Specialist Care
Specialist visits based on GP referral including gynaecologists for maternity care.
Pathology
Laboratory investigations including blood tests, prostate screenings and pap smears. 100% cover per formulary.
Optometry
Annual eye examination and vision screening with basic spectacles every 24 months.