Health Insurance offers bespoke group solutions for the SME and enterprise designed to protect your people, drive productivity and lower absenteeism without breaking the bank.

When you include Primary Health Insurance as an option for lower earning staff, you ensure that all your employees have quality private, primary healthcare solutions.

WHY HEALTH INSURANCE?

We are uncompromising in our journey of providing medical cover to everyone. Since 2005, we have been supporting South Africans with innovative health insurance plans that provide access to quality private healthcare at an affordable price.

HEALTH INSURANCE PLANS INCLUDE:

  • Hospital cover
  • Some day-to-day cover
  • Accident and emergency cover and much more

Disclaimer: Health Insurance is registered as a financial services provider and an Underwriting Management Agent on behalf of the insurer. Health Insurance is not a Medical Aid Scheme.

THE ESSENTIALS

  • Massive network.
  • All private hospitals, together with a nationwide network of thousands of doctors, dentists, specialists, and optometrists. Wherever your staff are, we have them covered.
  • Affordable.
  • Health insurance rates that fit in with your budget.
  • Reputable.
  • Thousands of families trust us. You can rest assured you’re in the right hands.
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GAP COVER

Gap cover is a short-term insurance product that provides an extra layer of financial protection for those who already have medical aid. It helps to cover certain shortfalls between what your medical aid scheme will pay, and the rates charged by in-hospital medical specialists.

WHY GAP COVER?

The high cost of specialist treatments and above-inflation increases mean that more people are at risk of being left behind and excluded from the quality medical care they need and deserve.

Gap cover gives you the freedom to choose whichever doctor or specialist will give you the best care, regardless of your medical scheme, regardless of rates. We have you covered for the best care, without the stress of having to worry about additional bills.

CORE BENEFITS

  • Tariff shortfalls
  • Co-payments and deductibles
  • Shortfalls from sub-limits
  • Oncology tariff shortfalls
  • Oncology sub-limits
  • Oncology co-payments
  • Out-of-hospital tariff shortfalls
  • Dental reconstruction benefit
  • Penalty co-payment
  • Innovative oncology medicines
  • Seamless claims process for partnered schemes

BENEFIT EXTENDERS

  • Family Booster
  • Hospital Booster
  • Family Protector
  • Accidental Casualty
  • Child Casualty Illness
  • Medical Scheme Contribution Waiver
  • Gap Contribution Waiver
  • End to End assistance with Road Accident

MEDICLINIC EXTENDER BENEFIT

The Mediclinic Extender Benefit can also be added to gap cover and will include benefits such as extending Casualty Illness benefit to the whole family, a Specialist benefit, Private Ward cover for confinement and a Cancer Lump Sum Pay Out from Stage 2 or higher. A cashless experience at any Mediclinic facility for co-payments and penalty co-payments is offered.

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