R20 000 cash back per year
R4 000 per hospital admission
five admissions per year
We pay you out R1 000 per day, up to four days per hospital admission. This plan covers up to R20 000 per year.
You need to have been admitted to hospital for 48 hours or more per admission to qualify for the payment.
Your plan includes private emergency medical response and transportation to the nearest medical facility. The life saving benefit is unlimited.
Transportation to medical facilities is provided in life-threatening circumstances as assessed by the medical team on call.
Call for an ambulance when your life is in danger and if you are in need of immediate medical attention.
Your plan provides 24/7 access to a nurse on call through the call centre. You can use this service for medical advice and to receive medical counselling, support and advice from a qualified nurse throughout your treatment process, including:
Call the nurse whenever you are feeling sick or if you are in pain. The nurse on call will be available to assist you and give you advice.
Mental health is just as important as physical health which is why your plan includes unlimited, telephonic support and trauma counselling following traumatic events such as:
When you experience problems requiring face-to-face counselling as determined by our counselors we will refer you to specialists for face-to-face counselling limited to R5 000 per year.
You get access to a library of helpful health articles, empowering you with information to keep you fit and healthy
How many family members are covered on the plan?
The HealthCare Prestige Individual Plan covers you as the policy holder, but does not include cover for your spouse, life partner, parents or children.
Are there pre-screening requirements?
No. There are no exams or tests required before signing up.
Are pre-existing conditions covered?
Yes, following a twelve month waiting period for pre-existing conditions.
Is there a waiting period for claims?
For admissions due to an accident, there is one-day waiting period.
For admissions due to an illness, there is a three-month general waiting period and a twelve-month waiting period for pre-existing conditions.
How does a member claim?
You can claim by:
Do I have to use the cash back for medical expenses?
No. This cash does not need to be spent on medical requirements unless the you wish to do so. Your payout is paid directly into your bank account.
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