Monthly Premiums
The rates below are for individuals, per member per month. If you are a member as part of a Group / Company, your rate may be different.
Principal
Age 0 – 59
R310 p/m
Age 60+
R415 p/m
Adult Dependent
Age 0 – 59
R220 p/m
Age 60+
R315 p/m
Child Dependent
Age 0 – 18
R160 p/m
Age 0 – 26 Students
R160 p/m
Benefits
| Description | Benefit Detail |
|---|---|
| In-Hospital Accident Benefit | R475 000 per member per event. Limited to R1 500 000 per policy per annum. Pre-authorisation required |
| ICU Benefit | Included in Hospital Benefits. Benefit is only applicable on admission and not available for investigative procedures. |
| Post-Hospital Accident Rehabilitation | R10 000 per member per event for physiotherapy, occupational therapy and home care / wound care. Pre-authorisation required |
| In-Hospital Illness Benefit | R70 000 per member per event inclusive of all costs. Conditions with gradual progression are excluded. Limited to R500 000 per policy per annum. Pre-authorisation required |
| Casualty Benefit — Accidents | R30 000 per policy per annum. Accumulates to overall Accident Cover limit. Pre-authorisation required |
Additional Benefits
Hospital Footprint
Access to all private hospitals accepting health insurance products. Pre-authorisation is required for all hospital admissions on 086 000 2402.
Value Added Benefits
24-Hour Emergency Medical Services
24-hour cover for private ambulances and emergency medical evacuation in the event of emergencies. Pre-authorisation required.
Client Assistance Programme
- Personal Health Advisor: Clinically trained advisor available 24/7.
- Credit & Debit Assist: Debt management and financial planning services.
- Legal Assist: Telephonic legal advice from qualified attorneys.
- Trauma Counselling: Debriefing by qualified nurses with referral to higher-level counselling if needed.
Accidental Death Benefit
Lump sum payout in the event of an unintentional accidental death of a member: R15 000 main member, R10 000 adult dependant, R8 000 child dependant.
Nurse-Based Pharmacy Care
Care from qualified nurses at over 700 pharmacy wellness clinics — in store or by appointment. Nurses provide medical referrals where necessary. Available at all contracted Mediscor pharmacies, including Dis-Chem, Clicks and Medirite.
Pre-authorisation may be required after the 10th visit.
General Member Wellness
- Glucose and cholesterol screening, testing and monitoring
- Treatment of wounds
- Administration of injections, including annual flu injection
- Hb, Malaria and Urine Screening
- Syringing of ears
- Advice on managing your health status
Women's Health
- Pregnancy testing
- Breast screening
- Pap smear testing
- Other female health assessments and screenings
Chronic Condition Management
- Diabetes HbA1c and foot screening
- Blood pressure and lipogram testing, BMI monitoring
- Peak flow and nebulisation — control asthma with rescue medication directly into the lungs
- HIV screening, testing, counselling and psychological support post-testing