Health Squared - Ultimate Medical Aid Plan

Health Squared - Ultimate

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)

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.

Organ Transplants: Limited to PMB

Dialysis: Subject to Network

Internal Prosthesis: Sub-limits apply: R68 934

Chronic

PMBs unlimited
Additional conditions have limits:
Member: R6 354
Member+: R12 692

Out of Hospital Benefits

Saving / Day to Day / OHEB

DAY TO DAY

Member: R16 451

Adult: R12 338

Child: R1 720

Pooled Day to Day Benefit

Member: R8 594

Member+1: R15 126

Member+2+: R16 428

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, R1062 Over-the-counter products as per maternity programme

Contributions

Contributions

Member: R6 945

Adult: R6 328

Per Child: R1 721

 

 

 

 

 

 

 

 


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Finding it difficult to make sense of all this? Not to worry, you can:

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