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

010 141 3080 - direct

010 140 1516 - switchboard

Rock Cottage Office Park, Unit 4, cnr Christiaan de Wet & John Voster, Weltevredenpark, Gauteng

©2020 by AGS Solutions. E&OE

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