MediClub Elite

The medical insurance Mzansi needs from R399 per person per month.

BenefitService
GP visitsPolicyholders can make use of any National HealthCare Network GP. Benefits include unlimited consultations from the Network GP. WhatsApp functionality for medical advice from qualified nurses is available within the waiting period and thereafter. 30 days waiting period applies from nominated payment date.
Basic PathologyBasic blood tests as requested by a National HealthCare provider subject to National HealthCare protocols and approved list of tests. 30 day waiting period applies from the nominated payment date.
Basic RadiologyBasic Black and White X-Rays as requested by a National HealthCare provider, subject to National HealthCare protocols and approved list of codes. 30 day waiting period applies from the nominated payment date.
Acute MedicationProvided by a National HealthCare Network GP or prescription from a Network Pharmacy according to the National HealthCare medicine formulary. 30 day waiting period applies from the nominated payment date.
HIV benefitHIV Elisa blood test. Referral by Network GP to state facility if required. 30 day waiting period applies from the nominated payment date.
Chronic MedicationUnlimited for 26 Chronic Conditions. Subject to registration and according to the National HealthCare medicine formulary. 6 month waiting period.
Basic DentistryBenefits include consultations, fillings, extractions, infection control, cleaning and polishing of teeth. Subject to a list of approved dental codes. 6 month waiting period.
Basic OptometryBenefits include one optical test, standard basic frame, one set of clear single vision lenses or bi-focal lenses or contact lenses (to the value of R500) every 24 months. 6 month waiting period.
Specialist VisitsSpecialist visits limited to 2 vists up to a maximum of R2 600 per family per annum. 3 months waiting period. Specialist visits will only be covered if a NETWORK GP has referred the insured to a specialist.
24/7 Telephonic Employee Assistance Programme benefitsPersonal Health Advisor: Health advice from qualified nurses.
Credit & Debt Assist: Unlimited free expert advice on how best to improve your financial standing.
Legal Assist: Advice line manned by qualified in-house attorneys who provide guidance on all legal matters.
Trauma Counselling: Trauma debriefing.
Emergency transportation services provided by LifeMedAmbulance services are available for accidents or life threatening emergencies as assessed by the LifeMed ambulance emergency call centre.
Accidental HospitalisationR200,000 per insured per event and R400,000 per insured per annum. In the event of an accident, access to a private hospital, for emergency stabilisation and treatment is provided. This includes general, high care or ICU wards of a private hospital. The meaning of an accident is defined in the policy wording.
Emergency Casualty CoverEmergency treatment in a casualty ward of a private hospital for injuries resulting from an accident up to a maximum of R18,000 per insured per annum.
Accidental DeathR15 000 benefit is payable on the death of the policyholder.

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