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User Ratings
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Overall Rating
Service Rating
% Recommended
64 % from 58 reviews
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Monthly Premiums
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1 Adult
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1173.00
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2 Adults
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2346.00
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2 Adults & 1 Child
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2894.00
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2 Adults & 2 Child
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3442.00
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2 Adults & 3 Child
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3990.00
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Fees Total Contributions Comments
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2012 Pricing
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Package Features
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Medical Aid Package Comments
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CorePlus is designed for active and healthy singles or couples with or without children. You might have just come off your parent's medical aid, started working, started up your own company, got married or started planning a family
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Medical Aid Package Qualify Min Salary
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Medical Aid Package Qualify Max Salary
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Medical Aid Package Type
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Comprehensive Plan
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Medical Aid Package Child Age Limit
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21
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In Hospital Benefits
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Any Hospital Comments
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Yes
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Hospital Cover Percentage of Medical Aid Rate
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100%
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Hospital Cover Comments
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100% of Medshield tariff subject to Overall Annual Limit
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Hospital Overall Annual Limit Comments
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Unlimited
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Hospital Specialist Cover Percentage of Medical Aid Rate
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100%
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Hospital Specialist Cover Comments
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100% of Medshield tariff subject to Overall Annual Limit
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Hospital Co-Payment Comments
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See scheme details
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Hospital Oncology Benefits
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R200 000 per family for oncology biological medicines subject to PMB level of care, 20% upfront co-payment applicable
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Hospital Transplant Benefits
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R250 000 per family limited to PMB level of care
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Hospital Dialysis Benefits
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R250 000 per family limited to PMB level of care
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Hospital Pathology Benefits
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Subject to Overall Annual Limit
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Hospital Radiology Benefits
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Subject to Overall Annual Limit
R14 000 per family. 10% upfront co-payment except in the case of emergency and PMB
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Hospital Scopes/Scans/MRI Benefits
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See Radiolody benefit
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Hospital HIV Benefits
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Unlimited subject to protocols and use of Designated Service Provider. Any medication that is voluntarily obtained from a provider other than the DSP, the member is liable for a 40% co-payment
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Hospital Dental Benefits
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Maxillo-Facial (non-elective only) R15 000 per family
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Hospital Physiotherapy Benefits
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Subject to Overall Annual Limit
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Hospital Maternity Benefits
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•Hospitalisation & Delivery; Unlimited subject to PMB level of care
•Delivery by Midwife and Post-Natal Services; Delivery plus max of 4 Consults Subject to Overall Annual Limit
•GP and specialists;Consultations & Visits 2 x 2D scans;12 x consults
•Amniocentesis;1 per beneficiary;Subject to Specialised Radiology Benefit
Subject to Hospitalisation Maternity Benefit
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Hospital Nursing Benefits
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Subject to Overall Annual Limit
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Hospital Prosthesis Benefits
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•Internal; limited to R27 000 per family with sublimits
•25% upfront co-payment for non-emergency on prosthesis
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Hospital Ambulance Benefits
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Europ Assistance SA (Pty) Ltd
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Hospital Other Benefits
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Chronic and Medicine Benefits
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Chronic Disease Comments
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PMB's only - according to a Restricted Formulary
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Medicines To Take Out Benefits
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Any out of formulary PMB medication voluntarily obtained or PMB medication that is voluntarily obtained from a provider other than the DSP will have a 40% co-payment
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Medicines Acute Benefits
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Any out of formulary PMB medication voluntarily obtained or PMB medication that is voluntarily obtained from a provider other than the DSP will have a 40% co-payment
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Medicines Prescribed Benefits
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Any out of formulary PMB medication voluntarily obtained or PMB medication that is voluntarily obtained from a provider other than the DSP will have a 40% co-payment
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Medicines Over Counter Benefits
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Any out of formulary PMB medication voluntarily obtained or PMB medication that is voluntarily obtained from a provider other than the DSP will have a 40% co-payment
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Day-to-Day Cover
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D2D Package Type
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D2D Package Comments
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Day-to-Day Medical Savings Account (MSA) Value
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Annual value
(1 Adult)
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0
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Annual value
(2 Adults)
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Annual value
(2 Adults 1 Child)
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0
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Annual value
(2 Adults 2 Children)
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0
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Annual value
(2 Adults 3 Children)
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0
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Day-to-Day Out of Hospital Expense Benefits (OHEB) Value
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Annual value
(1 Adult)
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0
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Annual value
(2 Adults)
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0
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Annual value
(2 Adults 1 Child)
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0
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Annual value
(2 Adults 2 Children)
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0
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Annual value
(2 Adults 3 Children)
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0
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Day-to-Day Benefits
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D2D GP Comments
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D2D Specialist Comments
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Subject to annual medical expense limit
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D2D Dentistry Comments
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D2D Optical Comments
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D2D Physiotherapy Comments
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D2D Pathology Comments
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D2D Radiology Comments
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D2D Psychiatric Comments
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D2D Substance Abuse Comments
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D2D Screening Comments
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D2D Maternity Comments
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D2D Prostheses And Extra Aids Comments
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D2D Nursing Comments
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D2D Other Comments
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Day-to-Day Threshold
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D2D Threshold Cover Benefit Comment
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No Benefit
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D2D Threshold Principal Value
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D2D Threshold Adult Value
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D2D Threshold Child Value
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D2D Threshold Child2 Value
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D2D Threshold Child3 Value
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D2D Threshold Limit Benefit Comment
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No Benefit
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D2D Threshold Limit Principal Value
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D2D Threshold Limit Adult Value
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D2D Threshold Limit Child Value
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D2D Threshold Limit Child2 Value
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D2D Threshold Limit Child3 Value
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