Health Squared - Cobalt Medical Aid Plan

Health Squared - Cobalt

Health Squared’s Cobalt medical aid option provides comprehensive medical aid cover that’s ideal for mature individuals and families. It includes unlimited hospitalisation at any private hospital; a generous medical savings account; and a Benefit Booster for selected out-of-hospital expenses. It also includes extensive oncology cover, a benefit for clinic nurse visits and generous cover for 42 chronic conditions.

In Hospital Benefits

Overall Annual Limit

Unlimited subject to scheme protocols 100% ( Health Squared)

Provider

Networks

GP's & Specialists

Professional fees paid at 100% of scheme tariff
GPs and specialists: Unlimited
Radiology and pathology: Unlimited
Oncology: Unlimited at ICON network
Organ transplants: Limited to prescribed minimum benefits (PMBs)
Dialysis: Subject to network and PMBs
Internal prosthesis: sub-limits apply

Chronic

26 PMBs

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R17 400

Adult: R16 848

Child: R6 204

Pooled Day to Day Benefit

Benefit Booster

Member: R10 204

Member+1: R12 399

Member+2: R14 049

Member+3: R17 117

Member+4+: R19 202

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to registration
Consultations are subject to MSA
3 scans
R549 antenatal classes

Contributions

Contributions

Member: R8 058

Adult: R7 802

Per Child: R2 873

 

 

 

 

 

 

 

 


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