Ideal for young couples and young, healthy families, the Health Squared Prosper medical aid plan offers unlimited hospital care at any private hospital.
It also features an excellent maternity benefit, generous day-to-day benefits, and casualty and preventative care benefits.
In Hospital Benefits
| Overall Annual Limit |
Unlimited subject to scheme protocols 100% ( Health Squared) |
|---|---|
| Provider |
Any hospital, Networks where stated |
| GP's & Specialists |
Professional fees paid at 100% Scheme Tariff GP's & Specialists: Unlimited Radiology & Pathology: Unlimited Oncology: R308 529 for non-PMB's Organ Transplants: Limited to PMB Dialysis: Subject to Network & PMB's Internal Prosthesis: Sub-limits apply, NON-PMB overall annual limit: R25 475 pfpa & 25% co-payment applies to certain procedures |
| Chronic |
26 PMBs |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
SAVINGS Member: R4 128 Adult: R3 840 Child: R1 440
Network GP Consultation: Member: 6 visits Member+1: 10 visits Member+2+: 13 visit, basic dentistry & certain specialised dentistry as per scheme rules, Optometry limited to Network provider (limits apply) |
|---|---|
| Pooled Day to Day Benefit |
Network GP Consultation: Member: 6 visits Member+1: 10 visits Member+2+: 13 visit, basic dentistry & certain specialised dentistry as per scheme rules, Optometry limited to Network provider (limits apply) |
| Threshhold / Safety Net |
Not applicable |
| Self-Payment Gap Before Threshold |
Not applicable |
| Above Threshold Limits |
Not applicable |
| Maternity Care |
Subject to registration, Consultations subject to savings & PMB, R559 antenatal classes as per maternity programme, 2 scans |
Contributions
| Contributions |
Member: R3 828 Adult: R3 563 Per Child: R1 339
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