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:

  1. Appendicetomy

  2. Kidney stones

  3. Gall bladder

  4. Hernia

  5. Hysterectomy

  6. Gall bladder

  7. Tonsillitis

  8. 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

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

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

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