Healthcare benefits
Healthcare benefits designed around
your family
Private healthcare benefits designed around your everyday needs - private doctor consultations, medication, dental, optometry, and cash benefits for qualifying hospital admissions.
Health insurance, not a medical scheme. Benefits are paid as stated cash amounts.
Everyday healthcare support
Everyday care we provide
Quality care when you need access to a private doctor, with support for everyday healthcare costs your current cover often leaves you paying for.
Private doctor consultations
Unlimited in-person consultations with private doctors in our national PAMC network, plus a 24/7 nurse line. Pre-authorisation required after your third visit.
Acute and over-the-counter medication
Over-the-counter and acute script medication, limited to R155 per script or OTC event, up to an overall annual limit of R1,340 per annum.
24/7 nurse line
Access to a 24/7 nurse line for clinical guidance and support. WhatsApp nurse line: 060 550 4337
Specialist consultation benefit
Up to R2 060 per member (R4 120 per policy per year). Referral required — specialist need not be in-network.
What's included
Everyday care and hospital cash, together.
A comprehensive range of healthcare benefits designed around you and your family.
Hospital and emergency support
Hospital cash benefits, designed around you.
Stated cash benefits for qualifying hospital admissions — paid post-discharge on submission of claims and proof of payment.
Hospital cash benefits
Stated cash benefits for qualifying hospital admissions — up to R53 000 over 21 days. Paid post-discharge on submission of claims and proof of payment.
Emergency care
Emergency healthcare assistance and hospital transportation support when urgent care is needed.
ICU support
Up to R15 000 per day in ICU, for a maximum of five days. Paid post-discharge on submission of claims and proof of payment.
Accident benefits
Up to R300 000 per person per incident, facilitated via a Guarantee of Payment to the hospital by Africa Assist.
Health insurance, not a medical scheme. Benefits are paid as stated cash amounts for qualifying events; limits, waiting periods and terms and conditions apply.
Serious illness support
Support through major health challenges
Additional support for qualifying serious illnesses and major medical conditions when you need it most.
Cancer
Stroke
Heart attack
Kidney failure
Major organ transplant
Blindness
Paraplegia
Chronic coronary heart disease
Health insurance, not a medical scheme. Benefits are paid as stated cash amounts for qualifying events; limits, waiting periods and terms and conditions apply.
Maternity and family support
Healthcare support for life's bigger moments
Support for life's bigger moments, including maternity and qualifying surgical procedures.
Maternity benefits
Support for qualifying maternity-related healthcare needs and childbirth benefits.
Surgery benefits
Financial support for qualifying surgical procedures and related medical events.
Family-focused cover
Considered cover designed around individuals, couples and families.
Why Lion Health
A more personal approach to healthcare support
Premium healthcare built on clinical quality and trust — private doctors for your family, and the everyday care your current cover often leaves you paying for.
Quality care
Quality care designed around you and your family.
Nationwide network
Access private doctors and approved providers through the PAMC network.
Flexible plan options
Choose between Day-to-Day, Hospital and Combined healthcare cover options.
Digital member access
Manage your cover, find providers and access your membership card through the Pan-African Managed Care member app.
Compare your options
Choose the cover that suits your needs
Day-to-day plan
Unlimited in-person private doctor consultations and a 24/7 nurse line, plus up to R1 340 per year towards acute and over-the-counter medication, access to specialists.
From
Hospital plan
Stated cash benefits for qualifying hospital admissions — up to R10 000 on day one and up to R15 000 per day in ICU. Paid post-discharge on submission of claims and proof of payment.
From
Combined plan
Everyday care and hospital cash benefits in one considered plan — designed around individuals, couples, and families.
From
Find the cover that fits your life
Because confidence looks different when quality care is always within reach.
Trusted healthcare Cover
Supporting South African families with modern healthcare solutions.
Licensed & authorised insurer
Healthcare cover backed by a licensed insurer and authorised FSP.
Trusted member support
Dedicated support when you need it most.
Built around people
Healthcare cover focused on real life and everyday wellbeing.
Health insurance, not a medical scheme. Hospital benefits are stated cash amounts paid to you and do not reimburse your hospital bill. Limits, waiting periods and terms and conditions apply.
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