You do life. We take care of the rest.
DAY-2-DAY Plans
Green plan
MEDICAL BENEFITS
TREATMENT
GP visits
Specialist visits
Acute / Chronic medication
Blood tests
Radiology
Optometry
Consulting room benefit
Investigative procedures
​
PRIME DENTAL BENEFITS
Consultation
Fillings
X-Rays
Extractions
Emergency Root Canal Treatment
Trauma Benefit
WAITING PERIOD
1 month
3 months
1 month
1 month
1 month
12 months
1 month
6 months
​
3 months
3 months
3 months
3 months
3 months
1month
EVENTS PER YEAR
4
2
Limited to R250 per event
3
3
1 every 24 months
3
1
​
3
2
2
2
2
1 - require official ER or police report + pre-auth
BENEFIT PER EVENT
R400
R560
R800 overall annual limit
R370
R370
R1 650
R50
R750
​
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
upto R16 000
blue plan
MEDICAL BENEFITS
TREATMENT
GP visits
Specialist visits
Acute /Chronic medication
Blood tests
Radiology
Optometry
Consulting room benefit
Investigative procedures
Pregnancy Screening
​
SILVER DENTAL BENEFITS
TREATMENT
Consultation
Fillings
X-Rays
Extractions
Emergency Root Canal Treatment
Bite Plate
Mouth Guard
PAN Scan (panoramic)
Scale and Polish
Root Canal
Temporary Crown
Wisdom Teeth Removal in Chair
Wisdom Teeth Removal in Hospital
Dentures
Crowns / Bridge Work
Implants
Trauma Benefit
WAITING PERIOD
1 month
3 months
1 month
1 month
1 month
12 months
1 month
6 months
4 months
WAITING PERIOD
3 months
3 months
3 months
3 months
3 months
3 months
3 months
3 months
3 months
6 months
6 months
6 months
6 months
6 months
6 months
6 months
1 month
EVENTS PER YEAR
8
4
R300 per event
3
3
1 per 24 months
3
1
1
​
​
EVENTS PER YEAR
4
4
5
3
3
1
1
1 per lifetime
1
2 – subject to pre-auth
2 – subject to pre-auth
4 – subject to pre-auth
2 – subject to pre-auth
1 per 5 years – subject to pre-auth
1 – subject to pre-auth
1 – subject to pre-auth
1 - require official ER or police report + pre-auth
BENEFIT PER EVENT
R400
R560
R1 550 overall annual limit
R430
R430
R1 650
R75
R1 000
R450
BENEFIT PER EVENT
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
upto R1 000 each
upto R3 500 each
upto R3 000
upto R3 500
upto R5 000
upto R25 000
red plan
MEDICAL BENEFITS
TREATMENT
GP visits
Specialist visits
Acute /Chronic medication
Blood tests
Radiology
Optometry
Consulting room benefit
Investigative procedures
Pregnancy Screening
​
SILVER DENTAL BENEFITS
TREATMENT
Consultation
Fillings
X-Rays
Extractions
Emergency Root Canal Treatment
Bite Plate
Mouth Guard
PAN Scan (panoramic)
Scale and Polish
Root Canal
Temporary Crown
Wisdom Teeth Removal in Chair
Wisdom Teeth Removal in Hospital
Dentures
Crowns / Bridge Work
Implants
Trauma Benefit
WAITING PERIOD
1 month
3 months
1 month
1 month
1 month
12 months
1 month
6 months
4 months
WAITING PERIOD
3 months
3 months
3 months
3 months
3 months
3 months
3 months
3 months
3 months
6 months
6 months
6 months
6 months
6 months
6 months
6 months
1 month
EVENTS PER YEAR
12
8
R350 per event
3
3
1 per 24 months
3
3
1
​
​
EVENTS PER YEAR
4
4
5
3
3
1
1
1 per lifetime
1
2 – subject to pre-auth
2 – subject to pre-auth
4 – subject to pre-auth
2 – subject to pre-auth
1 per 5 years – subject to pre-auth
1 – subject to pre-auth
1 – subject to pre-auth
1 - require official ER or police report + pre-auth
BENEFIT PER EVENT
R450
R675
R2 400 overall annual limit
R650
R650
R1 650
R100
R1 250
R650
BENEFIT PER EVENT
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
@ AGS Network Rate
upto R1 000 each
upto R3 500 each
upto R3 000
upto R3 500
upto R5 000
upto R25 000