- Aspire Medical Aid Plan

- Aspire

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)

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.

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

 

 

 

 

 

 

 

 


Finding it difficult to make sense of all this? Not to worry, you can:

Finding it difficult to make sense of all this? Not to worry, you can:

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