The Cheapest Private Medical Care in South Africa

Primary Care Plan 

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, and offered to African Legal Services by Unity Health.

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.

NO WAITING PERIOD!

AS A MEMBER OF AFRICAN LEGAL SERVICES, YOU WILL GET THE BEST MEDIAL CARE IN SOUTH AFRICA. WE HAVE BEEN IN BUSINESS FOR 25 YEARS. WE OFFER A VARIETY SERVICES TO THE COMMUNITY AS WELL AS OUR INTERNATIONAL CLIENTS.




SINGLE PREMIUMS

PRINCIPAL MEMBER

ADULT DEPENDENT

CHILD DEPENDENT

R465.00 PER MONTH

R410.00 PER MONTH

R170.00 PER MONTH


COUPLE PREMIUMS

   PRINCIPAL MEMBER +   ADULT DEPENDENT MEMBERR875.00 PER MONTH


SINGLE PARENT PREMIUMS

PRINCIPAL MEMBER +1 CHILD DEPENDENT635.00 PER MONTH
PRINCIPAL MEMBER +   2 x CHILD DEPENDENTS R805.00 PER MONTH  
PRINCIPAL MEMBER +3 X CHILD DEPENDENTS    R975.00 PER MONTH  


COUPLES WITH CHILD DEPENDENTS PREMIUMS


PRINCIPAL MEMBER + ADULT DEPENDENT +      1 CHILD DEPENDENTR1,045.00 PER MONTH   
PRINCIPAL MEMBER + ADULT DEPENDENT +      2 X CHILD DEPENDENTSR1,215.00 PER MONTH   
PRINCIPAL MEMBER + ADULT DEPENDENT +      3 X CHILD DEPENDENTSR1,385.00 PER MONTH   

 PLEASE TAKE NOTE OF THE FOLLOWING:

NO WAITING Period, NO PRE-EXISTING Condition EXCLUSIONS.... Therefore you can use the services when we have received your Second Premium.

ALL PREMIUMS ARE PAYABLE ON OR BEFORE THE LAST DAY OF THE MONTH!

Premiums not paid on time, will be penalised by a penalty payment of 15% of the Premium.

If your premiums are not paid up to date, you will not be able to use the services.

What do we offer?

GP Visits : Unlimited Doctor Visits at a Unity Health Network : 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 :

R2,750 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 R1,100 Per Person per Incident & a Maximum of R3,300 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.

Optometry (PPN)

1 Eye Test per person per year

standard frame to the value of R195 and one pair of clear standard spectacle lenses per person per 24 Months , Available at PPN Network Optometrists0861366006 or visit http://ppn.co.za

Basic Pathology Blood tests

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.

Pre-Birth Maternity

2 Gynaecologist visits & 2 Ultrasound Scans per Year, with a limit of R2,600 Per Annum

You may prefer to have an Ultrasound Scan at your Doctor.

HOSPITAL BENEFITS

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 R17,500 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 R5000 per incident.

ACCIDENTAL DEATH BENEFIT

Limited to R10000 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.



Terms and Conditions: Please read that this is an Insurance Product that works very similar than a Medical Aid, but it's not a medical aid. It's an Group Scheme offered to African Legal Services. 
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