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% Scheme Tariff
GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: Unlimited at ICON Network
Organ Transplants: Unlimited, Subject to to PMB and scheme protocols
Dialysis: Subject to Network & PMB's
Internal Prosthesis: Sub-limits apply, NON-PMB overall annual limit: R81 520 pfpa

Chronic

26 PMBs

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R18 408

Adult:R 17 820

Child:R6 564

Pooled Day to Day Benefit

Member:R10 398

Member+1:R12 635

Member+2:R14 316

Member+3: R17442

Member+4+:R19 567

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
R570 Antenatal classes

Contributions

Contributions

Member:R9 025

Adult:R8 738

Per Child:R3 218

 

 

 

 

 

 

 

 


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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