Health Squared - Flex Medical Aid Plan

Flexible medical aid that includes unlimited hospitalisation at network hospitals; limited benefits for GP and specialist visits plus an annual benefit for any additional out-of-hospital needs; an annual allowance for preventative care; excellent maternity cover; cover for 29 chronic conditions; and international travel cover.

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: R302 776 per family per annum at ICON Network.

Organ Transplants: R130 258 per family. PMBs

Dialysis: PMBs and subject to Network

Internal Prosthesis: R62 035 Procedure based. Sub-limits apply

Chronic

26 PMBs + additional

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP visit limits

Member: 4 visits

Member + 1: 7 visits

Member + 2+: 9 visits

Specialists limits

Member: 2 visits

Member +: 3 visits

Pooled Day to Day Benefit

Flexi benefit

Member: R2 626

Member+1+: R3 331

For: Alternative Healthcare, Radiology& Pathology

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to registration

Max of 3 Specialist visits

R695 Over-the-counter products as per maternity programme 

3 scans AT NETWORK

Contributions

Contributions

Member: R2 958

Adult: R2 657

Per Child: R920

 

 

 

 

 

 

 

 


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