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