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Our 1st option is Bronze. This is a hospital plan with very limited day-to-day benefits. The option is aimed at members that are joining a medical aid for the 1st time and for whom affordability might be an issue. Remember, you have to start somewhere and cover against major medical expenses, which can ruin you financially, is the priority. Contributions start from R843 per month. This option will cover you at 100% of the scheme tariff while hospitalised. The odd visit to a doctor out-of-hospital will be for your own account. The option is therefore suitable for younger and healthier members that are not concerned about day-to-day cover, but want to protect themselves big hospital bills following e.g. A motor accident or other trauma that requires hospitalisation. Conservative dentistry Health Booster |
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The Bronze Plus option is designed for the individual or small family that realise the priority of hospital cover BUT also want some day-to-day cover for medical problems that occur now and then. Contributions start from R1088 p/m. Hospitalisation is unlimited and specialists are covered at 150% of the scheme tariff. Out of hospital / day to day benefits are covered firstly from a savings account and then a routine benefit. A member has R2 544 for day to day benefits. A family of 4 has R5 496. Dental benefits do not fall under the day-to-day benefits. This is very important – some of our competitors pay the dental benefits from your day-to-day benefits. Health Booster – extra + free day-to-day benefits. |
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The Silver option is for the member that wants good hospital cover AND moderate day-to-day cover for those ever present medical problems that comes with getting older or a growing family. Contributions start from R1 801 p/m. A member has R 4 400 for day-to-day benefits per year. A family of 4 has R 9 380. Remember that you also have dental benefits over and above – it does not come from your day-to-day benefits. Health Booster
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Our most popular option with local government employees is the Gold option. This option is suitable for the member that needs adequate and generous out-of-hospital cover on top of excellent hospital cover. This is peace of mind option will cover most of your needs. Contributions start at R 923 p/m. Members on this option enjoy unlimited hospitalisation at scheme tariff in any private hospital of their choice. Day-to-day benefits are provided through a savings account and routine benefits provided by the scheme. A single member has R5 172 for day-to-day benefits and a family of 4 has R11 044. On top of these day-to-day benefits the member also has dental benefits and the benefits provided by the Health Booster.
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The Platinum option is the most comprehensive option for members with an above average need for out-of-hospital cover. This option provides the best cover for high cost chronic medication and other medical costs that come with getting older. Contributions start from R 1437 p/m. Health Booster |
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The HELTH BOOSTER is the set of extra benefits that each member has. The member can access this set of benefits and the benefits will not be deducted from the members day to day benefits All you have to do is to notify the scheme that you will be using the benefits Health Booster
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