Wellness

Essential Plan

Guarantee individual and family well-being through comprehensive wellness plans. Essential Employee Benefits is insurance based and is NOT a medical aid.

DESCRIPTION DETAIL VISITS PER ANNUM VALUE PER DEPENDENT WAITING PERIOD
Basic Wellbeing General Practitioners UNLIMITED - UNLIMITED –
pre-authorisation required after 3 visits
Unlimited visits to network GPs. After three visits, further investigation may be requiredNONE
Advanced Wellbeing All specialist As per annual financial R2000 per member per annum 90 Days
Dental Dentist 2 checkups per annum Incl. scaling, polishing, extractions, fillings Agreed network tariff 90 Days
Optometry Optometrist One eye test every 24 months Agreed network tariff 90 Days
Optometry – Glasses Glasses 1 set per 24 month period Agreed network tariff 90 Days
Pathology Blood tests UNLIMITED As per formulary NONE
Radiology Basic black and white scans UNLIMITED As per formulary NONE
Maternity Pregnancy 2 growth scans & UNLIMITED antenatal medication As per formulary NONE
Medication – Chronic Chronic CDL UNLIMITED As per medicinal formulary 90 Days
Medication – Acute Acute medication R1000 per annum As per medicinal formulary NONE
Emergency Services Emergency UNLIMITED Transportation to Hospital NONE
Trauma Room Access Emergency R2500 per annum Stabilisation NONE

Cost Per Month

Cost per month per Main Member R350
Add Spouse R300
Add Child R200
Senior plan (from age 65) Main Member R550
Dependant R420

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DESCRIPTION DETAIL VISITS PER ANNUM VALUE PER DEPENDENT WAITING PERIOD
Basic Wellbeing General Practitioners UNLIMITED - UNLIMITED –
pre-authorisation required after 3 visits
Unlimited visits to network GPs. After three visits, further investigation may be requiredNONE
Advanced Wellbeing All specialist As per annual financial R2000 per member per annum 90 Days
Dental Dentist 2 checkups per annum Incl. scaling, polishing, extractions, fillings Agreed network tariff 90 Days
Optometry Optometrist One eye test every 24 months Agreed network tariff 90 Days
Optometry – Glasses Glasses 1 set per 24 month period Agreed network tariff 90 Days
Pathology Blood tests UNLIMITED As per formulary NONE
Radiology Basic black and white scans UNLIMITED As per formulary NONE
Maternity Pregnancy 2 growth scans & UNLIMITED antenatal medication As per formulary NONE
Medication – Chronic Chronic CDL UNLIMITED As per medicinal formulary 90 Days
Medication – Acute Acute medication R1000 per annum As per medicinal formulary NONE
Emergency Services Emergency UNLIMITED Transportation to Hospital NONE
Trauma Room Access Emergency R2500 per annum Stabilisation NONE

Cost Per Month

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