Health Squared - Aspire Prime Medical Aid Plan

Health Squared - Aspire Prime

Health Squared’s Aspire Prime option is affordable medical aid for young, working people. It's less expensive than the standard Aspire option because it limits members to private network hospitals. Features include unlimited hospitalisation; cover for 29 CDL chronic conditions; preventative care benefits; and some cover for out-of-hospital consultations.

In Hospital Benefits

Overall Annual Limit

Unlimited subject to scheme protocols 100% (Health Squared)

Provider

Network hospitals

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: ICON Network.

Organ Transplants: PMBs

Dialysis: PMBs and subject to Network

Internal Prosthesis: Subject to scheme protocols and PMB's

Chronic

26 PMBs

Out of Hospital Benefits

Saving / Day to Day / OHEB

No benefit subject to PMBs

Pooled Day to Day Benefit

No benefit

Threshhold / Safety Net

No benefit

Self-Payment Gap Before Threshold

No benefit

Above Threshold Limits

No benefit

Maternity Care

Subject to registration, Specialist consultation require authorisation, 2 scans AT NETWORK

Contributions

Contributions

Member: R2 207

Adult: R1 784

Per Child: R788

 

 

 

 

 

 

 

 


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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