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: Limited to PMB Dialysis: Subject to Network & PMB's Internal Prosthesis: Sub-limits apply. |
| Chronic |
26 PMBs |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
Member: R17 400 Adult: R 16 848 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: R10 009 Adult: R7 802 Per Child: R9 690
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