Medical Aid Insurance

A Product of Embrace Africa Marketing

Medical Aid Insurance


Medical Aid Insurance

Through our partnership with Medical Insurance Providers you are able to access private health care providers at affordable cost.

Options

Medical Aid Insurance Plans



  • Unlimited GP visits to over 1500 Network Doctors nationwide
  • Minor Procedures in rooms are included in GP visits. Stitching of a wound, applying a cast to a broken arm.
  • If your GP dispenses Medication it means you will get medications during your visit, if not you will receive a prescription for medication which you can get at any pharmacy. Pharmacies include Clicks and Dischem
  • Chronic medication is covered after a 1year waiting period for individuals and no waiting period applies for compulsory group of organisations.
  • Basic & Emergency Dentistry Treatment for up to R1 000 per person per incident and Max R 3000 per family per 24 months (Double the benefit of accidental injury)
  • 1 eye test per year per person , a standard frame to the value of R195 and one pair of clear standard spectacle lenses per person per 24 months (available at PPN network optometrists.
  • Basic Pathology blood test at a designated service provider.
  • 2 Gynaecologist visits, 2 ultrasound scans per year (R2500 overall annual limit)

  • R 1000 000 per year per family
  • In-Patient Hospital stabilization (Emergency only) before patient is transferred to a public hospital. Limited to R 16 500per incident.
  • An event or unexpected health condition, which if not treated immediately would result in a death or serious bodily impairment E.g heart attach / stroke is what is considered as a emergency.
  • In-patient Hospital treatment (Accidents only) including all associated services during the hospital admission at a private facility in the event of injuries sustained due to an accident.
  • An accident means bodily injury caused by violent accidental and external physical means E.g severe injuries resulting from a vehicle accident. Limited to R 1 million per incident
  • Note: Planned medical Procedures are not covered.
  • Out-Patient Casualty Treatment (Accident Only) Limited to R5000 per incident.
  • Emergency Evacuation (ER24) including ambulance services – air or road., Telephonic Medical advice(Ask-a-doctor or Ask-a-nurse), inter- hospital transfers, repatriation of mortal remains within the borders of South Africa.
  • PRIMARY HEALTHCARE, HOSPITAL BENEFIT, 24/7 EMERGENCY BENEFIT, INSURANCE BENEFIT
    Monthly membership fees R450.00
    Cover PRINCIPAL MEMBER only

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    PRIMARY HEALTHCARE, HOSPITAL BENEFIT, 24/7 EMERGENCY BENEFIT, INSURANCE BENEFIT
    Monthly membership fees R800.00
    Cover PRINCIPAL MEMBER and SPOUSE

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    PRIMARY HEALTHCARE, HOSPITAL BENEFIT, 24/7 EMERGENCY BENEFIT, INSURANCE BENEFIT
    Monthly membership fees R1,150.00
    Cover PRINCIPAL MEMBER +1 CHILD

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    PRIMARY HEALTHCARE, HOSPITAL BENEFIT, 24/7 EMERGENCY BENEFIT, INSURANCE BENEFIT
    Monthly membership fees R1,500.00
    Cover PRINCIPAL MEMBER +SPOUSE+1 CHILD

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    PRIMARY HEALTHCARE, HOSPITAL BENEFIT, 24/7 EMERGENCY BENEFIT, INSURANCE BENEFIT
    Monthly membership fees R1,750.00
    Cover PRINCIPAL MEMBER +SPOUSE+2 CHILDREN

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    PRIMARY HEALTHCARE, HOSPITAL BENEFIT, 24/7 EMERGENCY BENEFIT, INSURANCE BENEFIT
    Monthly membership fees R1,400.00
    Cover PRINCIPAL MEMBER +2 CHILDREN

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    Family Accident Hospital Cover
    Monthly membership fees R300.00
    Cover For costs of hospitalisation if admitted due to an accident .The pre-authorisation number on the membership card must be phoned in order to issue a Guarantee of Payment

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    Pre-Auth Required
    Monthly membership fees R0.00
    Cover 1st - 3rd Day R20 000 per day ,4th - 5th Day R8500 per day, 8th -27th Day R3000 per day, limited to 2 events per year

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    Pre-Auth Required
    Monthly membership fees R0.00
    Cover Maternity Natural R25 000 , Maternity C-Section R35 000

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    Up to R200 000
    Monthly membership fees R0.00
    Cover R9000 per day upon diagnosis. Up to the stated benefit amount is payable according to severity , covering heart attack , Coronary Heart Disease, Stroke, Cancer , Kidney Failer, Major Organ Transplant

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    Pre-Auth Required
    Monthly membership fees R0.00
    Cover ICU Illness Benefit offers R12 500 intensive Care Unit cover per day for 5 Days per illness event

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    R250 000 Spouse & Principal
    Monthly membership fees R0.00
    Cover Cover amount payable to the Principal member or spouse in the event of Total Permanent Disability due to an accident.

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    24/7 Health & Trauma Telephonic Assistance
    Monthly membership fees R0.00
    Cover Health & Trauma assistance available when phoning number provided on the membership card.

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    Emergency Service (Road & Air)
    Monthly membership fees R0.00
    Cover Health & Trauma assistance available when phoning number provided on the membership card

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    Casualty Emergency Visits
    Monthly membership fees R2,000.00
    Cover Casualty Room Treatment for accident or Illness up to stated benefit amount, per policy, per annum.

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    Casualty Emergency Visits
    Monthly membership fees R3,000.00
    Cover Casualty Room Treatment for accident or Illness up to stated benefit amount, per policy, per annum.

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