Products -- Value Plus Plan





HOSPITAL BENEFITS

  • IN-HOSPITAL ILLNESS BENEFIT

    Covers up to R10,000 after the first 24 Hours in hospital, up to R 10,000 for the second day in hospital, up to R 10,000 for the third day in hospital. Thereafter R 1,500 per day up to a maximum of 21 days. A 3 month waiting period applies and a 12 month pre-existing conditions exclusion applies.

  • ACCIDENT/TRAUMA BENEFIT

    Up to R 150,000 per single member and up to R 300,000 per family incident. Immediate cover.

  • DEATH BENEFIT

    R10,000 for the Principal Member. A 3 month waiting period applies

  • FAMILY FUNERAL BENEFIT

    Principal, Spouse & Child > 14 years R 10,000. Child > 6 years R 5,000. Child > 0 years > R 2,500. Child > 28 weeks R 1,250. A 3 month waiting period applies

  • 24 HOUR EMERGENCY SERVICES AMBULANCE
    & PRE-AUTHORISATION (0861 144 144)

    24 Hour Emergency Services, Medical Assistance and Pre-Authorisation provided by Africa Assist. Immediate cover. Guaranteed private hospital admission with preference to all Life Healthcare and Mediclinic hospitals




VALUE PLUS PLAN

When you’re looking for health insurance, it’s a good idea to take a look at all the angles. You want health cover that complements your lifestyle and helps you get the best care possible compatible with your financial needs.
That’s where Dignity Group Primary Health Care comes in.


Unlimited Doctor Visits

Chronic Medication

Private
Hospital

24 Hour
Ambulance



DAY TO DAY BENEFITS

  • UNLIMITED MANAGED DOCTOR VISITS

    Via a registered 1Doctor Health Network Provider. A co-payment of R75.00 will apply for all additional visits after the 5th visit. A 1 month waiting period applies.

  • SPECIALIST BENEFIT

    Specialist Benefit of up to R500 per family per annum. Subject to pre-authorisation and referral from a 1Doctor Health Network GP. A 3 month waiting period applies.

  • ACUTE MEDICATION

    Acute medication covered according to the 1Doctor Health formulary. Linked to the doctor consultation dispensed by the Doctor Health Network GP or obtained on script from a Network Pharmacy. A 1 month waiting period applies.

  • CHRONIC MEDICATION

    Chronic medication covered according to the 1Doctor Health formulary. A 3 month waiting period applies on chronic medication for unknown conditions and 12 months waiting period on pre-existing conditions.

  • RADIOLOGY

    Basic radiology according to the 1Doctor Health formulary via a 1Doctor Health network GP. Black and white diagnostic x-rays only. A 1 month waiting period applies.

  • PATHOLOGY

    Basic diagnostic blood tests on referral by a 1Doctor Health Network GP and subject to a list of basic pathology tests approved by Day1 Health. A 1 month waiting period applies.

  • BASIC DENTISTRY

    Basic treatment includes preventative cleaning, pain control, fillings, one emergency root canal treatment and extractions via a 1Doctor Health Network Dentist. A 3 month waiting period applies.

  • OPTOMETRY (ISO LESO OPTICS)

    One eye test and one set of glasses every 24 months per the specific Iso Leso Optics agreed protocol range. A 12 month waiting period applies.

  • OUT-OF-AREA VISITS

    In the event that you cannot see your Network GP, the Plan will allow 3 “out of area” visits per family per annum to an alternative Network GP or GP of your choice, subject to pre-authorisation. A 1 month waiting period applies.

VALUE PLUS PLAN PREMIUMS

Single Member Premium Couple Premium
Member Only R 505.00 Couple R 830.00
Member + 1 Child R 695.00 Couple + 1 Child R 1 020.00
Member + 2 Children R R 885.00 Couple + 2 Children R 1 210.00
Member + 3 Children R 1 075.00 Couple + 3 Children R 1 400.00
Member + 4 Children R 1 265.00 Couple + 4 Children R 1 590.00