Hospital Plan
| ADMISSION TYPE | DETAIL | VALUE PER ADMISSION | WAITING PERIOD |
|---|---|---|---|
| General Admission | Paid out on a daily rate as per formulary | Up to R53 000 per illness admission | 90 days Pre-existing Illness – 12 months |
| ICU Admission | Paid out on a daily rate as per formulary | Up to R15000 per day (Max 5 days) | 90 days Pre-existing Illness – 12 months |
| Accident | Paid out per event | R300 000 per individual per incident R450 000 per family per incident |
NONE |
| Dreaded Disease Admission | Paid out as per disease stage | Up to R250 000 | Dread Disease – 6 months Pre-existing Illness – 12 months |
| Maternity | Paid out per event | R25 000 – Natural Vaginal Delivery R35 000 – C-Section delivery |
10 Months |
| Surgery | As per stated benefit | STATED BENEFIT | 90 days Pre-existing Illness – 12 months |
| Emergency Services | Transportation to Hospital | Netcare 082911 | NONE |
| Casualty Benefit | Emergency Services | R12 500 | NONE |
Cost per month
The premiums effective from 1 January 2025 will be as follows for retail/individuals:
| Cost per month per Main Member | R456 |
|---|---|
| Add Spouse | R403 |
| Add Child | R280 |