You do life. We take care of the rest.
compre plans
DAY-2-DAY BENEFITS
GP visits
Specialist visits
Acute / Chronic medication
Blood tests
Radiology
Optometry
Consulting room benefit
​
PRIME DENTAL BENEFITS
Consultation
Fillings
X-Rays
Extractions
Emergency Root Canal
Trauma- subject to ER/police report
​
WAITING PERIOD
1 month
3 months
1 month
1 month
1 month
12 months
1 month
​
3 months
3 months
3 months
3 months
3 months
1 month
EVENTS PER YEAR
4
2
Limited to R250 per event
3
3
1 every 24 months
3
​
3
2
2
2
2
1
​
IN-HOSPITAL BENEFITS BENEFITS
Overall Annual Limit (OAL)
Treatments while in hospital -
Doctor / Specialist fees
Anaethetist
Radiology & Specialist Radiology
Laboratory
Illness & Operations / Procedures -
Surgical procedures where admission to a hospital or day clinic is more than 24 consecutive hours
Surgical procedures where admission to a hospital or day clinic is less than 24 consecutive hours
Special limits / waiting periods apply to:
-
Appendicetomy
-
Kidney stones
-
Gall bladder
-
Hernia
-
Hysterectomy
-
Gall bladder
-
Tonsillitis
-
Grommets
​
Dreaded Disease
Pre-existing Conditions
​
PREGNANCY BENEFIT
Birth / Delivery of baby
Miscarriage
Ectopic Pregnancy
​
EMERGENCY BENEFITS
ER / Trauma room
EMS, Ambulance and Paramedic service
​
ACCIDENTAL BENEFITS
EMS, Ambulance and Paramedics
ER / Trauma Room Treatment
Accidental Hospitalisation after admission
​
WAITING PERIOD
​
​
​
​
3 months
3 months
3 months
3 months
​
3 months
​
3 months
​
3 months
6 months
12 months
12 months
12 months
12 months
12 months
12 months
​
6 months
12 month
9 months
9 months
9 months
3 months
3 months
​
​
none
none
none
BENEFIT LIMITS
R100 000
​
​
R5 000 per event – subject to OAL
R2 500 per event – subject to OAL
R5 000 per event – subject to OAL
R2 000 per event – subject to OAL
R60 000 per event – subject to OAL
R25 000 per event
Limited to R100 000 per annum
– subject to OAL
R35 000 – subject to OAL
R60 000 – subject to OAL
R45 000 – subject to OAL
R60 000 – subject to OAL
R60 000 – subject to OAL
R60 000 – subject to OAL
R60 000 – subject to OAL
R60 000 – subject to OAL
​
R60 000 – subject to OAL
subject to OAL and any special limits
R30 000 per annum
R25 000 per annum
R40 000 per annum
R15 000 per annum
R35 000 per annum
​
​
R35 000 per annum
R15 000 per annum
R100 000 per annum
BENEFIT PER EVENT
R400
R560
R800 overall annual limit
R370
R370
R1 650
R50
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
upto R16 000
​