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Plans, prices and benefits

Get Care Plan

Primary Care Plan

Primary Care Plan
Top-up

R353

per family/single member
per month

R731
per family per month

R463
per single member per month

R894
per family per month

R627
per single member per month

CORE BENEFITS
• Emergency Hospital Cover
• Maternity Benefits
• FeelBetterFast
• Netcare 911 Emergency Services
• Unlimited HIV, Trauma and Assault Counselling

VALUE-ADDED BENEFITS
• Preventative Benefits
• 24-hour Health Advisor
• Discount Coupons

FUNERAL BENEFIT
• Comprehensive Family Funeral Plan

CORE BENEFITS
• Day-to-day Benefits
• Maternity Benefits
• FeelBetterFast
• Netcare 911 Emergency Services
• Unlimited HIV, Trauma and Assault Counselling

VALUE-ADDED BENEFITS
• Preventative Benefits
• 24-hour Health Advisor
• Discount Coupons

FUNERAL BENEFIT
• Comprehensive Funeral Plan

CORE BENEFITS
• Day-to-day Benefits
• Maternity Benefits
• FeelBetterFast
• Netcare 911 Emergency Services
• Unlimited HIV, Trauma and Assault Counselling
• Optometry and Dentistry Top-up

VALUE-ADDED BENEFITS
• Preventative Benefits
• 24-hour Health Advisor
• Discount Coupons

FUNERAL BENEFIT
• Comprehensive Family Funeral Plan

Primary Care Plan +

Primary Care Plan +
Top-up

Primary Care Plan
61+

R961
per family per month

R609
per single member per month

R1125
per family per month

R772
per single member per month

R1895
per family per month

R970
per single member per month

CORE BENEFITS
• Day-to-day Benefits
• Emergency Hospital Cover
• Maternity Benefits
• FeelBetterFast
• Netcare 911 Emergency Services
• Unlimited HIV, Trauma and Assault Counselling

VALUE-ADDED BENEFITS
• Preventative Benefits
• 24-hour Health Advisor
• Discount Coupons

FUNERAL BENEFIT
• Comprehensive Family Funeral Plan

CORE BENEFITS
• Day-to-day Benefits
• Emergency Hospital Cover
• Maternity Benefits
• FeelBetterFast
• Netcare 911 Emergency Services
• Unlimited HIV, Trauma and Assault Counselling
• Optometry and Dentistry Top-up

VALUE-ADDED BENEFITS
• Preventative Benefits
• 24-hour Health Advisor
• Discount Coupons

FUNERAL BENEFIT
• Comprehensive Family Funeral Plan

CORE BENEFITS
• Day-to-day Benefits
• Emergency Hospital Cover
• FeelBetterFast
• Netcare 911 Emergency Services
• Unlimited HIV, Trauma and Assault Counselling

VALUE-ADDED BENEFITS
• Preventative Benefits
• 24-hour Health Advisor
• Discount Coupons

FUNERAL BENEFIT
• Comprehensive Family Funeral Plan

1Family comprises main member and spouse only; no dependants.

Benefits explained

DAY-TO-DAY BENEFITS

Day-to-day benefits refer to out-of-hospital care needed on a more frequent basis.
Our day-to-day benefits include:

• Unlimited doctors’ visits (managed), including minor procedures in GP rooms. Includes virtual doctors’ consults
• Basic and emergency dentistry
• X-rays
• Blood tests
• Chronic medication for HIV/Aids, asthma, hypertension and diabetes (type 1 and 2)
• Acute medication

MATERNITY BENEFITS

Starting a family is a special occasion. That’s why we offer maternity benefits that include gynaecologists’ visits and ultrasound scans as well as the costs related to birth. You have the option of choosing one of two birth procedures:

1 R20 000 cover for a normal birth. A normal birth is defined as when the infant is born spontaneously (without help) in the vertex position (head down) between 37 and 42 completed weeks of pregnancy.
2 R30 000 for a caesarean delivery (C-Section). A C-Section is a surgical procedure used to deliver a baby through incisions in the abdomen and uterus.

EMERGENCY HOSPITAL COVER

Members will get access to the following benefits:
• Emergency Casualty Benefi t: Outpatient hospital treatment in an emergency for injuries sustained as the result of an accident, limited to R6 680 per insured person per annum.
• Emergency Stabilisation Benefi t: Inpatient hospital treatment in an emergency for stabilisation of the patient in a private/public hospital emergency unit, limited to R19 500 per insured person per annum.
• Personal Accident Benefi t: Inpatient hospital treatment, including all associated services at a private facility for injuries sustained due to an accident, limited to R150 000 per insured person per annum.

OPTOMETRY AND DENTISTRY TOP-UP

Our top-up option offers members from the Primary Care Plan and Primary Care Plan + even more cover on the following benefits:
• Optometry: one consultation (including eye test), one PPN frame and one pair of single vision/bifocal lenses every 24 months. Limited to one member per 24 months.
• Unlimited dentistry: consultations, radiographs, preventative care, restorations, extractions, emergency treatment and surgical incisions.

NETCARE 911 EMERGENCY SERVICES

Members have access to this benefit 24 hours a day, seven days a week.
In the unfortunate event of an emergency, members can contact 082 911. Netcare 911’s trained staff will assess your emergency telephonically, provide you with assistance and then dispatch an air or road ambulance, whichever is most appropriate.

UNLIMITED HIV, TRAUMA AND ASSAULT COUNSELLING

This benefit has a Customer Service hotline that’s available 24/7, 365 days a year to support members who have undergone a traumatic experience. We also offer optional face-to-face counselling, antiretroviral therapy (ART) and STI medication. The aim of this is to reduce the high risk of HIV infection, assist members in managing their emotional distress and also help members cope with post-traumatic stress.

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