Hospital cover

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

WAITING PERIOD

Single Member Limit : R150 000

Family Limit : R300 000

3 months

6 months

12 months

6 months

12 month

9 months

3 months

BENEFIT LIMITS

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

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