Health Care Plan

How many family members are covered on the plan?

The policyholder, and for family plans their spouse, and up to five children under the age of 18 can be covered on one HealthCare plan.

Are there pre-screening requirements?

No. There are no exams or tests required before signing up.

Are pre-existing conditions covered?

Yes, following a 12-month waiting period in which 12 consecutive plan fee payments must have been made.

Is there a waiting period for claims?

There is no waiting period for admissions due to an accident.

For admissions due to an illness, there is a 3-month general waiting period in which 3 consecutive plan fee payments must have been made.

For admissions due to a pre-existing condition, there is a 12-month waiting period in which 12 consecutive plan fee payments must have been made.

How does a member claim?

You can claim by:

• Calling 0860 587 587
• Emailing info@legalandtax.co.za
• WhatsApp us on +27 74 247 3533
• SMSing “Claims” to 31690

Do I have to use the cash back for medical expenses?

No. This cash does not need to be spent on medical requirements unless you wish to do so. Your payout is paid directly into your bank account.