This option offers a comprehensive cover of P 300 000 in benefits per family every financial year. Members and their dependants are required to pay a 10% co-payment as prescribed by the scheme rules. However, worth noting is the fact that a member and his dependants are limited to P1000.00 per financial year in co-payments after which an exemption letter is generated and sent to the member via post.

P 150 000 Annual Basic Limit

  • In-patient and Out-patient services
  • Maternity benefits
  • Dental services
  • Acute Medicines
  • Optical benefits
  • Chronic benefits
  • HIV Benefit
  • Psychiatric medication
  • Paramedic services
  • Alcoholism and drug addiction
  • Prosthesis

P 165 000 Dread Disease Cover

The Dread Disease benefit covers hospitalization for a dread condition and maintenance treatment thereof. Diseases covered include the following; Cancer, Heart Attack, Coronary Heart Disease, Kidney Failure, Organ Transplant, Paraplegia, Blindness, Multiple Sclerosis, Stroke, Systemic Lupus Erythematous (SLE), Hepatitis C and Road Traffic Accidents. This list may change from time to time. Please contact the Managed Care Program for information and regular updates.

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