PRODUCTS

Providing you with quality and affordable medical cover.

Choose a plan to learn more today.

Day-to-Day Plan

Provide your staff with affordable primary care and access to treatment at all private hospitals.
Lion Health is insurance based and is NOT a medical aid.

 

DESCRIPTION DETAIL VISITS PER ANNUM VALUE PER DEPENDENT WAITING PERIOD
Basic Wellbeing General Practitioners UNLIMITED – pre-authorisation required after 3 visits Unlimited visits to network GPs NONE
Advanced Wellbeing All specialist As per annual limits when referred by Network GP R2000 per member; Max R4000 per policy per annum 90 Days
Dental Dentist 2 checkups per annum Incl. scaling, polishing, extractions, fillings Agreed network tariff NONE
Optometry Optometrist One eye test every 24 months Agreed network tariff NONE
Optometry – Glasses Glasses 1 set per 24 month period Agreed network tariff NONE
Pathology Blood tests UNLIMITED As per formulary NONE
Radiology Basic black and white scans UNLIMITED As per formulary NONE
Maternity Pregnancy 2 growth scans & UNLIMITED antenatal medication As per formulary 10 months
Medication – Chronic Chronic CDL UNLIMITED -Refer to conditions listed As per medicinal formulary NONE
Medication – Acute Acute medication R1000 per annum scripts or R150 per month OTC up to R1000 per year As per medicinal formulary NONE
Trauma Room Emergency R5000 per annum Stabilisation NONE

Cost per month

 

Cost per month per Main Member R490
Add Spouse R390
Add Child R370
 

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 Dread Disease – 6 months
Pre-existing Illness – 90 days
ICU Admission Paid out on a daily rate as per formulary Up to R15000 per day (Max 5 days) Dread Disease – 6 months
Pre-existing Illness – 90 days
Accident Paid out per event R300 000 per individual per incident
R450 000 per family per incident
Dread Disease – 6 months
Pre-existing Illness – 90 days
Dreaded Disease Admission Paid out as per disease stage Up to R250 000 Dread Disease – 6 months
Pre-existing Illness – 90 days
Maternity Paid out per event R25 000 – Natural Vaginal Delivery
R35 000 – C-Section delivery
10 Months
Surgery As per stated benefit STATED BENEFIT Dread Disease – 6 months
Pre-existing Illness – 90 days
Emergency Services Transportation to Hospital Netcare 082911 NONE
Trauma Room Access Stabilisation R5000 per annum NONE
 

Cost per month

 

Cost per month per Main Member R350
Add Spouse R280
Add Child R260
 

Combined Plan

The Combined Plan consist of the Day-to-Day Plan and the Hospital Plan together.

Cost per month

 

Cost per month per Main Member R730
Add Spouse R585
Add Child R550