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.

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

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

 

 

 

 

 

 

 

 


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:

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