Hospital Plus

From R 2636

Plan summary

Monthly contributions

Monthly contributions
Main member
R 2636
Adult dependant
R 2372
Child dependant
R 853
Your 4th and subsequent children will be covered free of charge.

Savings

Savings N/A
GP benefit N/A
Day-to-day benefit N/A
Self payment gap N/A
Above threshold benefit N/A

Hospital benefits

Unlimited hospital cover Yes
Bonitas Rate for hospital cover 200%
Hospital network N/A
GP and specialist consultations Unlimited, covered at 200% of the Bonitas Rate / Network doctors covered in full
Blood tests and x-rays Unlimited, covered at 100% of the Bonitas Rate
MRIs and CT scans (specialised radiology) R26 100 per family
Paramedical/Allied medical professionals (such as physiotherapists, occupational therapists, dieticians and biokineticists) Unlimited, covered at 100% of the Bonitas Rate
Internal and external prostheses R49 600 per family for internal prostheses / PMB only for external prostheses
Mental health hospitalisation and consultations R29 000 per family in hospital / PMB consultations only
Take-home medicine R490 per hospital stay
Physical rehabilitation R44 650 per family
Alternatives to hospital (hospice, step-down facilities) R14 900 per family
Cancer treatment R556 700 per family / R220 900 of this can be used for specialised drugs (including biological drugs) / 10% co-payment applies
Non-cancer specialised drugs (including biological drugs) R176 700 per family / 10% co-payment applies
Organ transplants Unlimited
Kidney dialysis Unlimited
HIV/AIDS Unlimited, if you register on the HIV/AIDS programme
Co payments for certain procedures Yes
Internal nerve stimulators N/A
Cochlear implants N/A

Out-of-hospital

GP consultations N/A
Specialist consultations N/A
X-rays and ultrasounds N/A
MRIs and CT scans (specialised radiology) N/A
Acute and over-the-counter medicine N/A
Paramedical/Allied medical professionals N/A
Optometry N/A
Basic dentistry N/A
Specialised dentistry N/A
Chronic benefits Unlimited for PMBs

Additional benefits

International travel benefit R5 million per beneficiary, R10 million per family, per trip
Maternity benefits per pregnancy 6 antenatal consultations / 2 2D ultrasound scans / 1 amniocentesis / 4 postnatal consultations
24/7 telephonic baby advice line Yes
Paediatric consultations for children under 1 year 2
Paediatric consultations for children between ages 1 and 2 1
GP consultations for children between ages 2 and 12 1

Preventative care

General health 1 HIV test per beneficiary / 1 flu vaccine per beneficiary
Women's health 1 mammogram every 2 years / 1 pap smear every 3 years
Elderly health 1 pneumococcal vaccine every 5 years / 1 stool test for colon cancer
Cardiac health N/A
Children's health N/A
Men's health N/A

Wellness benefits

Wellness screening (Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio) 1 per beneficiary
Wellness extender Choose from the following:
GP consultation(s)
Biokineticist consultation(s)
Dietician consultation(s)
Physiotherapy consultation(s)
A programme to stop smoking
R1 450 per family / Consultations paid at the 100% of the Bonitas Rate