Your Healthcare Prestige Plan offers you, your spouse (applicable to couple and family plans) and a maximum of 5 unmarried dependent children under 18 (applicable to family plans only) non-medical expense cover as a result of hospitalisation and is designed to give you and your family peace of mind when in need of medical care and assistance. The plan is not a medical aid and under no circumstances must it be considered as a replacement for the benefits offered by a medical aid.
Our HealthCare Plan Insurance products pay a fixed cash amount in the event of hospital admission. HealthCare Plan Insurance products are underwritten by Centriq Life Insurance Company Limited (“Centriq Life”), a licensed life insurer and authorised financial services provider, FSP No. 7370
A partner in marriage, legally recognised civil union or customary marriage concluded in accordance with the applicable South African laws, religion or tradition, which may be subject to registration at the Department of Home Affairs, or a life partner (someone whom you reside with for 6 (six) months or more) and as nominated in writing by the policyholder. There may be only one spouse insured under this plan at any point in time. Certified written proof of such relationships will be required.
Your biological, legally adopted, or step-children who are below the age of 18 years old.
How many family members are covered on the plan?
For HealthCare Individual plans, only the policyholder is covered.
For HealthCare Couple plans the policyholder and their spouse are covered.
For HealthCare family plans, the policyholder, their spouse and up to five children under the age of 18 can be covered on one plan.
Are there pre-screening requirements?
No. There are no exams or tests required before signing up.
Are pre-existing conditions covered?
Yes. There is a twelve month waiting period for pre-existing conditions.
Is there a waiting period for claims?
For admissions due to an accident, there is one-day waiting period.
For admissions due to an illness, there is a three-month general waiting period and a twelve-month waiting period for pre-existing conditions.
How does a member claim?
You can claim by calling 0860 765 223 or by SMSing “Claims” to 31690.
Does a member have to use the cash back for medical use?
No. This cash does not need to be spent on medical requirements unless the member wishes to do so. The cash back funds are paid directly into the beneficiary’s bank account.
Our WhatsApp help bot is always on and ready to assist. Just type "Hi" start chatting.
Our consultants are available to log your service request anytime, day or night.
How can we help?
What’s not covered?
The most common reasons for non-cover include claims directly or indirectly related to all costs incurred during any waiting period and for conditions not disclosed.
Read the full policy document detailing the terms, conditions and exclusions.
Articles, videos, guides to help you stay healthy.
The health hub puts you in control of your health and wellness