Comprehensive Private Medical Care, Funeral Plans, Legal Membership
Medical Costs in South Africa are soaring. We have the Plan for you. This is Comprehensive Private Medical care. It is NOT A MEDICAL AID. It is Medical Insurance, but it works on the same principal than Medical Aids. We offer it to you as part of our Group Scheme and it is the most Cost-effective in South Africa.
Our Plan is a Group Scheme and it is Underwritten by Unity Health, which is a Division of Ambledown Financial Services (Pty) Ltd , FSP 10287.
Get the Best Private Medical Care and be assured that you stay healthy.
A GP Visit can cost you around R400-R500 these days. Then you may still have to pay Hundreds of Rand to get you Medication at a Chemist. With us, you will get Unlimited PRIVATE GP Visits, Medication from your GP, Dentists, Optometry, X-Rays, Blood tests & Emergency & Accidental Private Hospitalisation. In an Emergency you will be stabilised at a Private Hospital, before being Transferred to a Public Hospital. And then they will know how to treat you as they will get the file from the Private Institution. Making sure you get the right treatment needed. If you have a Chronic Condition, you will get your Medication on our Chronic Programme, therefore you will never have to go and sit at a clinic for long hours to get your medication.
This is a very cheap alternative to Medical Aid, as most South Africans can not afford Medical Aid.
Once we have received your 2nd Premium You can start using the services!
NEVER AGAIN will you sit like this to get Medical Help.
AS A MEMBER OF AFRICAN LEGAL SERVICES, YOU WILL GET THE BEST MEDIAL CARE IN SOUTH AFRICA. WE HAVE BEEN IN BUSINESS FOR 27 YEARS. WE OFFER A VARIETY SERVICES TO THE COMMUNITY AS WELL AS OUR INTERNATIONAL CLIENTS.
|PRINCIPAL MEMBER||ADULT DEPENDENT||
R436.00 PER MONTH
R390.00 PER MONTH
R158.00 PER MONTH
|PRINCIPAL MEMBER +||ADULT DEPENDENT MEMBER||R826.00 PER MONTH|
SINGLE PARENT PREMIUMS
|PRINCIPAL MEMBER +||1 CHILD DEPENDENT||R594.00 PER MONTH|
|PRINCIPAL MEMBER +||2 x CHILD DEPENDENTS||R752.00 PER MONTH|
|PRINCIPAL MEMBER +||3 X CHILD DEPENDENTS||R910.00 PER MONTH|
|PRINCIPAL MEMBER + ADULT DEPENDENT +||1 CHILD DEPENDENT||R984.00 PER MONTH|
|PRINCIPAL MEMBER + ADULT DEPENDENT +||2 X CHILD DEPENDENTS||R1,142.00 PER MONTH|
|PRINCIPAL MEMBER + ADULT DEPENDENT +||3 X CHILD DEPENDENTS||R1,300.00 PER MONTH|
GP Visits : Unlimited Doctor Visits at a Unity Health Network (Pre-Authorisation required for 10 or more visits) : 1700 Unity Health Network Doctors nation Wide : 0861366006
GP Procedures : Minor procedures in rooms are included in GP Visits : Stitching of a wound, applying a cast to a broken arm.
Acute Medication : We prefer you use a Doctor that dispense medication, meaning you will get the medication you need during your visit at the doctor.
Non Dispensing GP :
R3,000 per Person Per Year, Limited to medication prescribed during the Network GP visits, and includes Clicks & Dischem Pharmacies. Medicines are covered according to a set formulary.
Chronic Medication : Chronic Medication Programme which have 27 Listed "High Impact" Conditions, INCLUDING HIV/AIDS
Chronic Obstructive Pulmonary Disorder, Diabetes Type 1 & 2, Epilepsy, HIV/AIDS, Hyperlipidaemia, Hypertension, Tuberculoses, Addison's Disease, Asthma, Bi-Polar Mood Disorder, Bronchiestasis, Cardiac Failure, Cardiomyopathy Disease, Chronic Renal Disease, Coronary Artery Disease, Crohn's Disease, Chronic Obstructive Pulmonary Disorder, Diabetes Insipidus, Diabetes Type 1 & 2, Dysrhythmias, Glaucoma, Haemophilia, Hyperlipidaemia, Hypothyroidism, Multiple Sclerosis, Parkinson's Disease, Rheumatoid Arthritis, Schizophrenia, Systemic Lupus Erythematousus, Ulcerative Colitis
Chronic Condition :
A condition / disease that lasts for an extended period of time. Examples include Asthma , Diabetes , HIV/AIDS.
Chronic Medication Programme:
Your Network GP will assist you to registe on the Chronic Medication Programme with Mediscor. Your prescribed chronic medicines will be covered according to a set formulary.
Find the Chronic Medication Formulary List on Mediscor's Website : http://mediscor.net
Basic & Emergency Dentistry Treatment
Up to R1,150 Per Person per Incident & a Maximum of R3,500 per Family per 24 Months, DOUBLE THE BENEFIT ON ACCIDENTAL INJURY
Treatment Includes :
Full mouth Assesment, intra oral radiographs, scale & polish, extractions, emergency root canal treatment, fillings, pain & sepsis treatment. Only available at Unity Health Network Dentists. Specialised dentistry/treatment such as bridges, crowns, dentures and orthodontic treatment are not covered.
1 Eye Test per person per year
A standard frame to the value of R254 and one pair of clear standard spectacle lenses per person per 24 Months , Available at PPN Network Optometrists. 0861366006 or visit http://ppn.co.za
Basic Pathology Blood tests
(Ampath . Lancet & Pathcare)
Basic list of blood tests at Designated Service Provider. Your Doctor must ask for these tests to be done, E.g. Blood Sugar or Cholesterol tests
Basic Radiology X-Rays :
Black & White X-Rays Only at a designated Service Provider. Your Doctor must refer you to have X-Rays done. Specialised radiology like MRI / CT Scans is not covered.
2 Gynaecologist visits & 2 Ultrasound Scans per Year, with a limit of R2,750 Per Annum
You may prefer to have an Ultrasound Scan at your Doctor.
OVERALL ANNUAL LIMIT : R 1 MILLION PER FAMILY PER YEAR
IN-PATIENT HOSPITAL STABILISATION : EMERGENCY ONLY
The actual cost of hospitalisation as an In-Patient, in the event of an emergency that necessitates the stabilisation of the patient before the patient is transferred to a public hospital.
Limited to R20,000 Per Incident.
What is an Emergency?
An event or unexpected health condition, which if not treated immediately would result in death or serious bodily impairment, E.g. Heart Attcak / Stroke
IN-PATIENT HOSPITAL TREATMENT : ACCIDENT ONLY
The actual cost of hospitalisation as an In-Patient, including all associated services during the hospital admission at a private facility in the event of injuries sustained due to an accident.
NOTE : PLANED MEDICAL PROCEDURES ARE NOT COVERED : E.g. hysterectomy , hip replacement etc.
WHAT IS 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
OUT-PATIENT CASUALTY TREATMENT : ACCIDENT ONLY
The benefit payable for Injuries sustained as a result of a minor ACCIDENT shall be limited to treatment received in a hospital emergency unit.
Limited to R5,250 per incident.
ACCIDENTAL DEATH BENEFIT
Limited to R10,000 per Principal Member and first Spouse Dependent
EMERGENCY EVACUATION (ER24)
Emergency Evacuation, Including:
* Ambulance Services (Air or Road)
* Push to Call Emergency Dialing, Geo-Locating and find a Provider Mobile App
* Telephonic Medical Advice (Ask-a-Doctor OR Ask-a-Nurse)
* Inter-Hospital Transfers
* Repatriation of Mortal Remains within the borders of South Africa
HOSPITAL PRE-AUTHORISATION & GUARANTEE OF PAYMENT TO THE TREATING FACILITY IN THE EVENT OF AN EMERGENCY/ACCIDENT.
MRI & CT Scans : Accidents Only : R15,000 Per Year, Per Person
Physiotherapy & Occupational Therapists : Accidents ONLY : R2,500 Per Year, Per Person
We provide the best Medical Care in South Africa at a cost you can afford.
Principal Member : R436.00 Per Month
Principal Member & Adult Dependent : R826.00 Per Month
Principal Member, Adult Dependent & 1 Child Dependent : R984.00 Per Month
Principal Member, Adult Dependent & 2 Child Dependent's : R1,142.00 Per Month
Principal Member, Adult Dependent & 3 Child Dependent's : R1,300.00
Single Parent Premiums :
Principal & 1 Child Dependent : R594.00
Principal & 2 Child Dependent's : R752.00
Principal & 3 Child Dependent's : R910.00