ZEST

Access to NetCare facilities in South Africa.

 

Introduction of a Low Claims Bonus Benefit per family

The low claims bonus is introduced as reward mechanism for families with low levels of utilisation.

  • Benefits Limits Schedule

      Anesthetic                                           6,500

      Gynecology                                         1.200

      Hospitalisation                                   16.000

      Optical (2 years)                                 500

      Other                                                    760

      Global Limit                                         50.000

      Consultation                                           2.300

      Hearing                                                    900

      Lab Test                                                   1.200

      Physiotherapy                                        558

      Radiology                                               1.500

      Dental                                                   1.500

      Heart                                                     600

      Maternity (2 years)                              1.540

      Prescription Drugs                              1.200

      Surgery                                                 11.000

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                                  3 months

      Optical Services                            6 months

      Hospitalisation                              6 months

      Maternity                                        9 months

      MRI & CT Scan                              12 months

      Chemotherapy                               24 months

      Dental procedures                        6 months

      Surgical Operations                     6 months

      Dialysis                        24 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence

Child Under 18                                  $174

Adult                                                 $290

Child Above 18 (student)                    $290

• Free Eco-sure Lite funeral benefit of $50,000 on all packages.

• Free Hospital cash back of $5,000 per day from the 4th day of hospitalization.

(Applicable to members on Active and Vitality packages)

• Low claims bonus – Loyal members will get a bonus after every 3 year anniversary of their joining.

The bonus is based on the member’s claims/contribution ratio

• Free Connected Health device for Diabetes/Hypertension patients

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NB: Subject to terms and conditions as specified in the Maisha Health Fund Policy available through our Membership and Subscriptions department.

We are your partner for health, helping you live well by bringing the best in medicine and healthcare to your door.

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  • Benefits Limits Schedule

      Anesthetic                                     1,300

      Gynecology                                     240

      Hospitalisation                             3.200

      Optical (2 years)                              100

      Other                                                152

      Global Limit                                10.000

      Heart                                                120

      Prescription Drugs                         600

      Consultation                                    460

      Hearing                                            180

      Lab Test                                           240

      Physiotherapy                                240

      Radiology                                        300

      Dental                                              300

      Maternity (2 years)                         380

      Surgery                                        2.200

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                        3 months

      Optical Services                  6 months

      Hospitalisation                    6 months

      Maternity                              9 months

      MRI & CT Scan                  12 months

      Chemotherapy                  24 months

      Dental procedures              6 months

      Surgical Operations           6 months

      Dialysis                              24 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence

Child Under 18              $174

Adult                         $290

Child Above 18 (student)    $290