No annual limits.
It does not force you to use a network providers.
Nor does it have co-payments.
IT PAYS OUT OF HOSPITAL COSTS FROM A SAVINGS ACCOUNT OR SET BENEFITS (depending on the plan you choose)
AND IT PAYS FOR BASIC DENTISTRY, SO YOU DON'T USE YOUR SAVINGS!
3 dental oral examinations,
6 plain x-rays for conservative dentistry,
2 root canal treatments,
Limited crowns, dentures or bridges, surgical removal of impacted wisdom teeth.
ALL PAID BY THE MEDICAL AID AND NOT YOUR DAY-TO-DAY BENEFITS!
There are 2 plans with differing amounts for day-to-day costs. One has a savings account, the other a combination of savings and set benefits.
Both plans pay in hospital costs at 2 times medical aid rates! However, private providers can charge what they want, often up to 5 times these rates!
So, you do need to consider adding the separate GAP COVER and TOP UP PLAN (R350 pm) to get UNLIMITED PRIVATE HOSPITAL COVER, PAYING UP TO 5 TIMES MEDICAL SCHEME RATES.
THIS IS THE ONLY MEDICAL AID, WE ARE AWARE OF, THAT OFFERS DENTISTRY BENEFITS THAT ARE PAID BY THE SCHEME!
Child rates are amongst the lowest in the market.
It is rated as the best value-for-money medical scheme in South Africa. GTC Healthcare Consulting 2017’s Medical Aid Survey.
In yet another recent survey conducted by Towers Watson, (a leading global professional services company), the Private Choice hospital plan and the Private Comprehensive plans, stood out as absolute market leaders amongst the 181 open medical scheme benefit options compared in this survey!
A FREE Smartphone Application allows you to to stay in touch and up to date - managing your most important medical aid information from the palm of your hand - 24/7.
As a result of the consistent financial performance of the Scheme, the scheme is able to boast a very high claims paying ability to help put your mind at rest that claims will be paid.
Every member is treated as a real person, by another real person.
Rated as one of the top 5 most successful medical schemes in the country – as measured by the benefits vs contributions levied, solvency and net healthcare result (in other words, financial stability), membership size, the average age of beneficiaries and the service levels provided to members - you will not find a better medical aid anywhere!
Single - R 2,225 + Top Up R 350
= R 2,575 pm
2 Adults - R 4,450 + Top Up R 350
= R 4,800 pm
Fam of 4 - R 5,360 pm + Top Up R 350
= R 5,710 pm
Benefits are plan dependent.
YOU MUST CONSULT THE SCHEMES/COMPANY PRODUCT BROCHURES and RULES FOR COMPREHENSIVE BENEFIT DESCRIPTIONS.