Health Squared - Health Squared Prosper Medical Aid Plan

Health Squared - Health Squared Prosper

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

 

 

 

 

 

 

 

 


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:

Get free quotes & medical aid advice

  • Whatsapp
  • Phone
  • Contact us