Corporate Plan
We offer you a diverse range of corporate plans available in three categories; Gold, Silver & Bronze catering for your specific healthcare and financial needs.
Our plans are a hybrid component of the low claims account and insured benefit. Member benefits are per membership year, they are effective the date the member/ beneficiary joins the . These benefits are paid up to an annual global limit.
- Topaz
- Coral
- Ruby
- Amber
- Sapphire
- Sapphire Plus
- Opal
Gold
The benefits and contributions track movement in inflation in order to ensure benefits do not lag behind market dynamics. Members on the Gold Category generally do not encounter shortfalls
Silver
Bronze
The standard category is suitable for clients who wish to keep their medical aid contributions at a fixed and predictable level and benefits are also adjusted less often. Due to the volatile economic environment, members may encounter shortfalls. However, our team mitigates shortfalls through the establishment of in-house services and partnerships with specific service providers
Benefits
Medical Benefits
All plans ensure members get cover for essential health care at government and private facilities. These include; Hospitalisation, Drugs, Pathology, Specialised Radiology, Dental, Optical, Pathology & Rehabilitative Services
Managed Care
This is a support structure for members with chronic conditions, support is in the form of SMS’s, calls, hospital visits and drug facility access. The drug facility is designed to help members access the chronic drugs easily in conjunction with partner pharmacies located across the country.
Immediate Benefits
Corporate accounts with 10-49 members from inception enjoy immediate access to General Practitioners and Pharmacies without any waiting periods. Corporates with over 50 members from inception enjoy further immediate cover for admission or treatment at a hospital, MRI, CT Scans and nuclear medicine.
Value Added Benefits
Over and above the medical cover, members get the following benefits:
- Low Claims Account Cash Back
- Free Funeral Cover
- Free Life-med Guarantor Cover
- 1st Care Wellness Benefits
General Waiting Periods
- Admission or treatment at a hospital (in-hospital)
- Dental treatment
- Upgrading to a higher plan
- MRI, CT Scans and nuclear medicine
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