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Health Insurance

Get paid BEFORE you see the Doctor PLUS access to Private Hospital for Accidents, Illnesses & MORE

Health Insurance just got a little better – Compared to other health insurance providers, you get out-of-hospital benefit. No need to wait until the end of the month to see the doctor. Insurance is very simple and very easy. The best part… value isn’t compromised when it comes to offering you an insurance product you can afford. Did you know that nurses is part of the claims team? You can rest assured that you know exactly what you. are covered for and break down the insurance lingo in the legal stuff.

HEALTH INSURANCE PLANS:

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GP Visits Up to R355 per visit
Scripted Medication Up to R150 per script
Over-the-Counter Medication Up to R150 per annum
Pathology Up to R430 per event
Radiology Up to R430 per event
Dentistry Up to R585 per visit. Max of 3 visits a year
Specialist Cover none
Maternity Pre-Birth Up to R585 per visit. 3 Visits per Pregnancy. Annual limit of R1 755.
Optometry Up to R1 020 – Limited to claim this every 24 months per dependant
Casualty Illness Up to R5 000 for life threatening emergency illness in casualty units. Excess:4 months plus – R200
Casualty Accident Up to R5 000 for accident events in casualty units that does not result in admission. Excess: 0-3 Months – 15 % | 4 months plus – R200
Accident Cover Up to R150 000 per insured event. Up to R300 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
Illness in Hospital none
Dread Disease none
Natural Birth and Emergency Caesareans none
Repatriation Up to R12 200 per insured person. Repatriation of mortal remains to funeral home
Ambulance and Emergency Services 24 hr Medical assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.
Accident Disability Up to R190 000 for the duration of the policy. Only principal insured is covered.
Accidental Death Cover Principal Insured: R13 000 | Spouse/Partner: R13 000 | Children 14-21 yrs: R13 000 | Children 6-13 yrs: R9 000 | Children 1-5 yrs: R7 000
Trauma, Assault and Accidental HIV Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
GP Visits Up to R375 per visit
Scripted Medication Up to R170 per script
Over-the-Counter Medication Up to R170 per annum
Pathology Up to R450 per event
Radiology Up to R450 per event
Dentistry Up to R615 per visit. Max of 3 visits a year
Specialist Cover none
Maternity Pre-Birth Up to R590 per visit. 3 Visits per Pregnancy. Annual limit of R1 770.
Optometry Up to R1 100 – Limited to claim this every 24 months per dependant
Casualty Illness Up to R5 000 for life threatening emergency illness in casualty units. Excess:4 months plus – R200
Casualty Accident Up to R5 000 for accident events in casualty units that does not result in admission. Excess:0-3 Months – 15 % | 4 months plus – R200
Accident Cover Up to R205 000 per insured event. Up to R410 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
Illness in Hospital Up to R50 000 per insured event p/p. Up to R125 000 per insured per year. Excess: 4-6 Months – 15% | 7 months onwards – 5%
Dread Disease Up to R275 000 per defined disease per year
Natural Birth and Emergency Caesareans Up to R50 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount
Repatriation Up to R12 200 per insured person. Repatriation of mortal remains to funeral home
Ambulance and Emergency Services 24 hr Medical assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.
Accident Disability Up to R200 000 for the duration of the policy. Only principal insured is covered
Accidental Death Cover Principal Insured: R15 000 | Spouse/Partner: R15 000 | Children 14-21 yrs: R15 000 | Children 6-13 yrs: R10 000 | Children 1-5 yr: R7 500
Trauma, Assault and Accidental HIV Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
GP Visits Up to R425 per visit
Scripted Medication Up to R240 per script
Over-the-Counter Medication Up to R240 per annum
Pathology Up to R500 per event
Radiology Up to R500 per event
Dentistry Up to R740 per visit. Max of 3 visits a year
Specialist Cover none
Maternity Pre-Birth Up to R595 per visit. 3 Visits per Pregnancy. Annual limit of R1 785
Optometry Up to R1 450 – Limited to claim this every 24 months per dependant
Casualty Illness Up to R5 250 for life threatening emergency illness in casualty units. Excess:4 months plus – R200
Casualty Accident Up to R5 250 for accident events in casualty units that does not result in admission. Excess: 0-3 Months – 15 % | 4 months plus – R200
Accident Cover Up to R230 000 per insured event. Up to R460 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
Illness in Hospital Up to R60 000 per insured event p/p. Up to R150 000 per insured per year. Excess: 4-6 Months – 15% | 7 months onwards – 5%
Dread Disease Up to R300 000 per defined disease per year
Natural Birth and Emergency Caesareans Up to R60 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount
Repatriation Up to R12 200 per insured person. Repatriation of mortal remains to funeral home
Ambulance and Emergency Services 24 hr Medical assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.
Accident Disability Up to R210 000 for the duration of the policy. only principal insured is covered
Accidental Death Cover Principal Insured: R20 000 | Spouse/Partner: R20 000 | Children 14-21 yrs: R20 000 | Children 6-13 yrs: R12 500 | Children 1-5 yrs: R8 750
Trauma, Assault and Accidental HIV Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
GP Visits Up to R495 per visit
Scripted Medication Up to R280 per script
Over-the-Counter Medication Up to R280 per annum
Pathology Up to R625 per event
Radiology Up to R625 per event
Dentistry Up to R825 per visit. Max of 3 visits a year
Specialist Cover Up to R2 000 per visit. 3 visits per family per year. Referral from GP required and subject to authorisation
Maternity Pre-Birth Up to R630 per visit. 4 Visits per Pregnancy. Annual limit of R2 520
Optometry Up to R1 600 – Limited to claim this every 24 months per dependant
Casualty Illness Up to R5 500 for life threatening emergency illness in casualty units. Excess:4 months plus – R200
Casualty Accident Up to R5 500 for accident events in casualty units that does not result in admission. Excess: 0-3 Months – 15 % | 4 months plus – R200
Accident Cover Up to R300 000 per insured event. Up to R600 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
Illness in Hospital Up to R70 000 per insured event p/p. Up to R175 000 per insured per year. Excess: 4-6 Months – 15% | 7 months onwards – 5%
Dread Disease Up to R350 000 per defined disease per year
Natural Birth and Emergency Caesareans Up to R70 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount
Repatriation Up to R12 200 per insured person. Repatriation of mortal remains to funeral home
Ambulance and Emergency Services 24 hr Medical assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.
Accident Disability Up to R210 000 for the duration of the policy. Only principal insured is covered
Accidental Death Cover Principal Insured: R25 000 | Spouse/Partner: R25 000 | Children 14-21 yrs: R25 000 | Children 6-13 yrs: R15 000 | Children 1-5 yrs: R10 000
Trauma, Assault and Accidental HIV Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.

DON’T WAIT! Get Affordable Health Insurance Starting From R390 p.m.

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This HEALTH INSURANCE product is administered by Oneplan Underwriting Managers (Pty) Ltd, an authorised financial services provider FSP43628. Oneplan is not a benefit option regulated by the Medical Schemes Act, but a short-term insurance product underwritten by Bryte Insurance Company Limited a licensed insurer and an authorised FSP (17703).