Suitable for more mature families, Health Squared’s Ultimate option offers peace of mind with fully comprehensive medical aid cover. It features unlimited private hospitalisation at any hospital, an unlimited GP benefit and extensive cover for 59 chronic conditions. It also includes outstanding maternity benefits and medical aid cover for advanced dentistry, including implants.
In Hospital Benefits
Overall Annual Limit |
Unlimited subject to scheme protocols 100% ( Health Squared) |
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Provider |
Any hospital; network where stated |
GP's & Specialists |
Professional fees paid at 100% Scheme Tariff GP's & Specialists: Unlimited Radiology & Pathology: Unlimited Oncology: Unlimited at ICON Network. Specialised Medicine: R150 000 single & R300 000 family Organ Transplants: Limited to PMB Dialysis: Subject to Network Internal Prosthesis: Sub-limits apply: R75 000 |
Chronic |
PMB's unlimited, Additional conditions have limits Member: R6 475 Member+: R12 933 |
Out of Hospital Benefits
Saving / Day to Day / OHEB |
DAY TO DAY Member: R17 099 Adult: R12 823 Child: R1 788 |
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Pooled Day to Day Benefit |
Ultimate additional benefits Member: R8 932 Member+1: R15 721 Member+2+: R17 075 This is for Alternative care, Physio, Acute medication, Psychological and Speech therapy: sub-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 Included, 2 scans, R1 104, unlimited GP & Midwife visits, Over-the-counter products as per maternity programme |
Contributions
Contributions |
Member: R8 395 Adult: R7 650 Per Child: R2 080
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