If you or a dependant are 64 years of age or younger at the time of submitting your application your 2020 options are as follows:
1) Co-Evolution Plan
Individual Member Option – R266 per month
Family Option – R336 per month
This option covers Specialists in-hospital up to an additional 500%.
Co-payments cover limited to R50,000 per year.
2) Elite Plan
Individual member Option – R372 per month
Family Option – R450 per month
This covers the same benefits as Co-Evolution
Cancer Treatment Cover as follows:
Breast Reconstruction – Covers you when you have a breast reconstruction done on an unaffected breast that your medical scheme excludes from cover, limited to one event of up to R30 000 per person per lifetime, subject to specific qualifying criteria.
Cancer Treatment Shortfalls – For treatment related to oncology co-payments and biological drugs where sub-limits are imposed by the medical scheme.
Cancer Treatment Top-Up – If your medical scheme imposes a maximum threshold for oncology and this is reached, we will cover the cost of your ongoing cancer treatment.
Sub-Limits benefit up to R30,000 per event to a maximum of R60,000 per person per year.
If you select an Individual Member Option because you currently have no dependents to be covered it is your responsibility to advise us of any changes to your requirements. For Example: engagement, marriage or childbirth. Failure to notify us of such changes would result in your dependents not being covered for any shortfalls.
If you have a dependent that is older than 65 years of age, the 65 and older pricing will apply.