AFFINITY HEALTH

Page 1

2015 Health Insurance [ Not a Medical Aid ]

UNLIMITED DOCTOR VISITS

Medication, Basic Dentistry, Optometry and much more

option 1 day to day cover Unlimited GP managed visits, Pre and Post Natal Care including two growth sonars referred by your Affinity Health Provider, subject to Affinity Health’s Maximum Expenditure Formulary.

Specialist Visit

1 Specialist visit per member per year up to R600 or R1 200 per family as referred by the Network GP only. (Subject to preauthorisa on.)

Acute & Chronic Medication

Linked to the doctor consulta on dispensed by the Network Provider or obtained on script from a pharmacy linked to the Affinity Health Medicine Formulary.

Radiology

Unlimited Basic Radiology linked to the doctor visit as referred by the Network Provider from the Radiology Formulary. Basic black and white x-rays only.

Pathology

Unlimited Basic Pathology linked to the doctor visit as referred by the Network Provider from the Affinity Health Pathology Formulary.

Out-of-Area Visit

Unlimited, according to Affinity Health’s Maximum Expenditure Formulary. Member pays GP and claims back.

Dentistry

Full mouth assessment, infec on control, 2 intra oral radiographs, 1 scale and polish, extrac ons max 3 per year, amalgam fillings.

6 month waiting period for chronic

3 month waiting period

Optometry

12 month waiting period

Family Funeral Benefit 3 month waiting period Anity Junior Excluded

Waiting Period Maximum Age

Up to R150 000 per single member per event. R250 000 per family per event.

ICU Illness Benefit Booster Add the ICU Illness Booster Benefit Cover by paying an additional small fee per month.

24/7 emergency medical advice, ambulance services, interhospital transfers. Hospital pre-authorisa on & arranging for guarantee of payment to the trea ng facility of up to R150,000 in the event of an accident.

Accidental Permanent Disability

R250 000 principal member and spouse only.

(Anity Junior Excluded)

Daily Illness Hospital Benefit

24 month waiting period

Single

R335

R447

R671

R481

Single with 1 child

R486

R502

R867

R632

Single with 2 children

R637

R557

R1 063

R783

Single with 3 children

R788

R612

R1 259

R934

Single with 4 children

R939

R667

R1 455

R1 085

Couple

R586

R872

R1 309

R937

3 D

4 D

5 D

R4500

R4500

R3000

R3000

R30 000 R30 000 R20 000 R15 000 R35 000 R10 000 R15 000 R25 000 R40 000

R25 000 R10 000 R5 000 R2 500 R1 250

Principal Member Spouse and Children over the age 14 Children - over the age of 6 Children - birth to 6 years of age S llborn - from 28 weeks

3 months waiting period

Day-to-Day Senior

2ⁿ D

R7500

R9 000 is payable per day upon diagnosis up to R200 000 according to severity, covering Heart A ack, Coronary Heart Disease, Stroke, Brain Tumour, Cancer, Kidney Failure, Major Organ Transplant, Paraplegia and Blindness.

Dread Disease 6 months waiting period and 24 months for pre-exisiting

Maximum entry age is 54 (64 for senior plan, and 17 for Affinity Junior)

Combined

1st Day

Appendix Removal Kidney Stones - Theater Ectopic Pregnancy Hernia Gall Bladder Removal Miscarriage Maternity - Natural Maternity C-Sec on Hysterectomy

12 months waiting period

30 days a er incep on date of policy on Day-to-Day Benefits. (Unless otherwise stated.)

Hospital Only

Family R99p/m

24 Hour Emergency

Specific Stated Conditions Benefit

R10 000 R10 000 R5 000 R2 500 R1 250

Day-to-Day Only

Single R49p/m

therea er R1 500 per day up to max of 21 days per member, per illness event.

One eye test and one set of standard frames and lenses per beneficiary per 24 months. Principal Member Spouse and Children over the age of 14 Children - over the age of 6 Children - birth to 6 years of age S llborn - from 28 weeks

Accident Benefit

R500 excess No waiting period

Family Funeral Benefit

Package Options

R335 p/m

option 2 hospital cover

Doctor Consultations 3 month waiting period

from only

Anity Junior Excluded

Waiting Period

90 days from incep on date. (Unless otherwise stated)

Maximum Age

Maximum Entry age is 54 (17 for Affinity Junior)

Single Accident Benefit Booster

Benefit

Premium

Family Accident Benefit Booster

Premium

Benefit

Couple with 1 child

R737

R927

R1 505

R1 088

x1 Booster cover

R49

R250 000

x1 Booster cover

R99

R400 000

Couple with 2 children

R888

R982

R1 701

R1 239

x2 Booster cover

R98

R350 000

x2 Booster cover

R198

R550 000

Couple with 3 children

R1 039

R1 037

R1 897

R1 390

x3 Booster cover

R147

R450 000

x3 Booster cover

R297

R700 000

Couple with 4 children

R1 190

R1 092

R2 093

R1 541

x4 Booster cover

R196

R550 000

x4 Booster cover

R396

R850 000

x5 Booster cover

R245

R650 000

x5 Booster cover

R495

R1 000 000

x6 Booster cover

R294

R750 000

Increased Family Funeral Benefits

included in both day-to-day and hospital plan

(Affinity Junior Excluded)

(If both op ons are taken) Principal Member Adults & Children over 14 Children 6 to 14 Birth to 6 S llborn from 28 weeks

JUNIOR

R30 000 R15 000 R10 000 R5 000 R2 500 Day-to-Day Only

Hospital Only

Post Hospital Private Home Nursing for up to R10 000 as recommended by an Affinity Health Specialist. Combined

Affinity Junior 1 Child

R313

R425

R649

Affinity Junior 2 Children

R464

R531

R867

Affinity Junior 3 Children

R615

R637

R1 085

Affinity Junior 4 Children

R766

R743

R1 303

JUNIOR:

The insured applies to the child only, not the proposer (principal member)

x7 Booster cover

R343

R850 000

x8 Booster cover

R392

R950 000

x9 Booster cover

R441

R1 050 000

Contact us 0861 11 00 33

www.facebook.com/ affinityhealthcoza

086 607 9419

Agent:

Contact:

Code:

Email:

[Email] [Web]

info@anityhealth.co.za www.anityhealth.co.za

Affinity Health (Pty) Ltd and its Insurer, Constan a Insurance Company Ltd and Constan a Life and Health Assurance Company Ltd reserve the right to decline any applica on due to pre-exis ng condi ons. This policy shall be voidable in the event of mis-representa on, mis-descrip on by or on behalf of an insured person of any par cular material fact to this insurance. Affinity Health is a Juris c Representa ve of Authorised Financial Services Provider 37213.

Constantia Life and Health Assurance Company Ltd and Constantia Insurance Company Ltd.


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