Ideal medical aid for young, working people, with unlimited private hospitalisation; cover for two GP visits per year; an allowance for preventative care; specialised benefits for HIV, oncology, specialised radiation, external medical appliances and home nursing; cover for 29 chronic conditions; and international travel cover.
In Hospital Benefits
Overall Annual Limit |
Unlimited subject to scheme protocols 100% (Health Squared) |
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Provider |
Any hospital unless stated |
GP's & Specialists |
GP's & Specialists: Unlimited Radiology & Pathology: Unlimited Oncology: R1 97 594 per family per annum at ICON Network. Organ Transplants: PMBs Dialysis: PMBs and subject to Network Internal Prosthesis: R41 350 Procedure based. Sub-limits apply. |
Chronic |
26 PMBs |
Out of Hospital Benefits
Saving / Day to Day / OHEB |
GP visit limits 2 visits per year, with a R150 co-payment on each. |
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Pooled Day to Day Benefit |
No benefit |
Threshhold / Safety Net |
No benefit |
Self-Payment Gap Before Threshold |
No benefit |
Above Threshold Limits |
Not applicable |
Maternity Care |
Subject to registration, Consultations are subject to scheme protocols & PMBs, Antenatal classes R549, 2 scans AT NETWORK |
Contributions
Contributions |
Member: R2 492 Adult: R2 016 Per Child: R890
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