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Combination Plans

By combining our plans we offer clients our full suite of benefits with various cover limits to choose from

Green Combination Plan

Day-2-Day Plan

Waiting PeriodVisits Per Year Benefit
GP Visits1 Month4R550
Specialist Visits3 Months2R850
Consulting Room Consumables1 Month 3R50
Acute and Chronic Medication 1 MonthUP UNTIL R1 400 PER MEMBER PER YEAR – R450 PER EVENTR1 400
Blood Test1 MonthUP UNTIL R1 200 PER MEMBER PER YEARR1 200
Radiology1 MonthUP UNTIL R800 PER MEMBER PER YEARR800
Optometry12 Months1 Every 24 MonthsR1 650
Consulting Room Procedures 6 Months1 R950

Dental Prime

Waiting PeriodVisits per YearBenefits
Consultation 3 Months3@AGS Rate
Fillings3 Months2@AGS Rate
X-Rays3 Months2@AGS Rate
Extractions 3 Months2@AGS Rate
Ems Root Canal3 Months2@AGS Rate
Trauma1 Month1R17 650 Per Year

Hospital Plan

Waiting PeriodBenefits
Illness and Operations3 MonthsR150 000 per year
Dreaded Disease6 MonthsR120 000 per year
(Included in Above)
Pre-existing Conditions12 MonthsIncluded in Above
Pregnancy Cover for Birth9 MonthsR45 000 Per Year
Accidental / Trauma room3 MonthsR15 000 per year
EMS, Ambulance3 Months

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 per year

Accidental Plan

Waiting PeriodBenefits
Accidental HospitalisationNoneR150 000 PER MEMBER PER YEAR
(FAMILY LIMIT – R300 000)
Accidental/Trauma roomNoneR15 000 PER MEMBER PER YEAR
EMS, Ambulance and ParamedicsNone

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 PER MEMBER PER YEAR
Premiums
PrincipleR1 130
SpouseR790
Dependent R590

Blue Combination Plan

Day-2-Day Plan

Waiting PeriodVisits per YearBenefit
GP Visits1 Month8R550
Specialist Visits3 Months2R1 050
Consulting Room Consumables1 Month 3R75
Acute and Chronic Medication1 MonthUP UNTIL R2 450 PER MEMBER PER YEAR – R500 PER EVENTR2 450
Blood Test1 MonthUP UNTIL R1 300 PER MEMBER PER YEARR1 300
Radiology1 MonthUP UNTIL R1 000 PER MEMBER PER YEARR1 000
Optometry12 Months1 Every 24 MonthsR1 650
Pregnancy Screening4 Months2R600
Consulting Room Procedures6 Months 1 R1 200

Dental Silver

Waiting PeriodVisits per YearBenefits
Consultation 3 Months4@AGS Rate
Fillings3 Months4@AGS Rate
X-Rays3 Months5@AGS Rate
Extractions3 Months3@AGS Rate
Ems Root Canal3 Months3@AGS Rate
Bite Plate3 Months 1@AGS Rate
Mouth Guard3 Months 1@AGS Rate
Pan Scan3 Months1 Per Lifetime@AGS Rate
Scale & Polish 3 Months1@AGS Rate
Wisdom in Chair6 Months4UP TO R1 220 EACH
Wisdom in Hospital 6 Months2UP TO R4 275 EACH
Root Canal6 Months2@AGS Rate
Dentures 6 Months1 Every 5 YearsUP TO R3 665
Temporary Crown6 Months2@AGS Rate
Crowns and Bridges6 Months1UP TO R4 275
Implants6 Months1UP TO R6 105
Trauma1 Month1R29 050 PER YEAR

Hospital Plan

Waiting PeriodBenefits
Illness and Operations3 MonthsR150 000 per year
Dreaded Disease6 MonthsR120 000 per year
(Included in Above)
Pre-existing Conditions12 MonthsIncluded in Above
Pregnancy Cover for Birth9 MonthsR45 000 Per Year
Accidental / Trauma room3 MonthsR15 000 per year
EMS, Ambulance3 Months

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 per year

Accidental Plan

Waiting PeriodBenefits
Accidental HospitalisationNoneR150 000 PER MEMBER PER YEAR
(FAMILY LIMIT – R300 000)
Accidental/Trauma roomNoneR15 000 PER MEMBER PER YEAR
EMS, Ambulance and ParamedicsNone

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 PER MEMBER PER YEAR
Premiums
PrincipleR1 605
SpouseR1 230
DependantR895

Red Combination Plan

Day-2-Day Plan

Waiting PeriodVisits per Year Benefit
GP Visits1 Month12R550
Specialist Visits3 Months4R1 150
Consulting Room Consumables1 Month3R100
Acute and Chronic Medication1 MonthUP UNTIL R3 450 PER MEMBER PER YEAR - R550 PER EVENTR3 450
Blood Test1 MonthUP UNTIL R1 400 PER MEMBER PER YEARR1 400
Radiology1 MonthUP UNTIL R1 050 PER MEMBER PER YEARR1 050
Optometry12 Months1 Every 24 MonthsR1 650
Pregnancy Screenings4 Months3R800
Consulting Room Consulting Room Procedures6 Months1 R1 450

Dental Silver

Waiting PeriodVisits per YearBenefits
Consultation 3 Months4@AGS Rate
Fillings3 Months4@AGS Rate
X-Rays3 Months5@AGS Rate
Extractions3 Months3@AGS Rate
Ems Root Canal3 Months3@AGS Rate
Bite Plate3 Months 1@AGS Rate
Mouth Guard3 Months 1@AGS Rate
Pan Scan3 Months1 Per Lifetime@AGS Rate
Scale & Polish 3 Months1@AGS Rate
Wisdom in Chair6 Months4UP TO R1 220 EACH
Wisdom in Hospital 6 Months2UP TO R4 275 EACH
Root Canal6 Months2@AGS Rate
Dentures 6 Months1 Every 5 YearsUP TO R3 665
Temporary Crown6 Months2@AGS Rate
Crowns and Bridges6 Months1UP TO R4 275
Implants6 Months1UP TO R6 105
Trauma1 Month1R29 050 PER YEAR

Hospital Plan

Waiting PeriodBenefits
Illness and Operations3 MonthsR150 000 per year
Dreaded Disease6 MonthsR120 000 per year
(Included in Above)
Pre-existing Conditions12 MonthsIncluded in Above
Pregnancy Cover for Birth9 MonthsR45 000 Per Year
Accidental / Trauma room3 MonthsR15 000 per year
EMS, Ambulance3 Months

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 per year

Accidental Plan

Waiting PeriodBenefits
Accidental HospitalisationNoneR150 000 PER MEMBER PER YEAR
(FAMILY LIMIT – R300 000)
Accidental/Trauma roomNoneR15 000 PER MEMBER PER YEAR
EMS, Ambulance and ParamedicsNone

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 PER MEMBER PER YEAR
Premiums
PrincipleR1 890
SpouseR1 400
Dependent R1 040

Hospital And Accidental Combo

Hospital Plan

Waiting PeriodBenefits
Illness and Operations3 MonthsR150 000 per year
Dreaded Disease6 MonthsR120 000 per year
(Included in Above)
Pre-existing Conditions12 MonthsIncluded in Above
Pregnancy Cover for Birth9 MonthsR45 000 Per Year
Accidental / Trauma room3 MonthsR15 000 per year
EMS, Ambulance3 Months

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 per year

Accidental Plan

Waiting PeriodBenefits
Accidental HospitalisationNoneR150 000 PER MEMBER PER YEAR
(FAMILY LIMIT – R300 000)
Accidental/Trauma roomNoneR15 000 PER MEMBER PER YEAR
EMS, Ambulance and ParamedicsNone

(There is a 12 Month waiting period if the life-threatening event relates to a pre-existing condition)
R35 000 PER MEMBER PER YEAR
Premiums
PrincipleR900
SpouseR550
DependantR410

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