R559
pmBack
Benefit details
Primary Standard with Hospital
Primary Standard with hospital gives you instant access to daily medical care and full hospital care
This plan provides cover for day-to-day medical care along with hospital care in the event of an accident or illness, from ambulance transport to a private hospital right through to rehabilitation after you leave hospital.
Nurse & GP chats
Unlimited & instant
Mon-Fri 08:00 – 18:00
Sat 08:00 - 14:00
Nurse visits
- Unlimited visits
- Pre-authorisation needed after 10th visit
At approved private pharmacy clinics including
Clicks and Dis-Chem
You need to wait 1 month from the start of your policy
GP consultations
- Online or in-person
- Unlimited consults [Pre-authorisation needed after 5th visit]
At an approved network GP
You need to wait 1 month from the start of your policy
GP in-room procedures
Included in the unlimited GP visits benefit
For certain procedures
You need to wait 1 month from the start of your policy
Acute & OTC meds
Prescribed by approved doctors and collected at approved pharmacies nationwide, including Clicks, Dis-Chem, Medirite and Alpha Pharm or a dispensing doctor. From a pre-approved medicines list
You need to wait 1 month from the start of your policy
Specialist visits
Member to pay specialist & claim back
You need to wait 1 month from the start of your policy
Chronic meds
Collected at approved pharmacies nationwide, including Medirite, Clicks, Dis-Chem, Pick n Pay Pharmacy or a dispensing doctor
From a pre-approved medicines list
You need to wait 6 months from the start of your policy
Pathology
Through an approved pathology network requested by an approved doctor
Unlimited - Basic list of pathology tests
You need to wait 1 month from the start of your policy
Radiology
Through an approved radiology network,
requested by an approved doctor
Unlimited - Basic list of radiology tests
You need to wait 1 month from the start of your policy
Dentistry
Through the DENIS dental network
Visit www.denis.co.za or call 021 528 5301
You need to wait 6 months from the start of your policy
Optometry
Through an approved optometry network
Visit https://closed.ppn.co.za/ or call 041 065 0650
You need to wait 6 months from the start of your policy
HIV
HIV ELISA screening blood test
Casualty benefit - Accident
Admission to a private casualty facility
Per policy each year
Pre-authorisation needed
You need to wait 1 month from the start of your policy
Casualty benefit - Illness
Admission to a private casualty facility
Per policy each year
Pre-authorisation needed
You need to wait 1 month from the start of your policy
In-hospital benefit - Accident
Medical care must be sought within 12 hours & reported
within 30 days
Pre-authorisation needed
In-hospital benefit - Illness
Medical care must be sought within 12 hours & reported
within 30 days
Pre-authorisation needed
You need to wait 3 months from the start of your policy
Emergency transport
24-hour unlimited emergency medical transportation through a contracted provider
Pre-authorisation needed
Post-accident rehabilitation
For accidents which led to hospitalisation
Pre-authorisation needed
24/7 telecounselling & advice (EAP)
- Emergency assist
- Credit & debt assist*
- Trauma assist
- Legal assist*
Unlimited
*These benefits are part of the Unu Health proposition
