Primary & Hospital Care
Benefits of the Primary Care as well as Hospital Care packages are combined to give your the best!
Save up to R 750 on your monthly spending by using our ecoupons on a range of products which are redeemable at selected Shoprite, Checkers, Checkers Hyper, Pick n Pay and Dischem stores.
Legal Assist Line
Should a client be confronted with arrest and a subsequent bail application, the telephonic legal advisors would assist with professional, practical legal advice and guidance, 24/7. The registered member, spouse and dependent children under the age of 21 are eligible. Should a registered member be arrested for minor infringements with a bail of less than R 6,000, an Attorney will handle the case and bail will be posted 24/7.
Credit Investigation Services
Consumer Legal will investigate any consumer credit agreement accounts including Garnishing Orders, free of charge. Members qualify for Bad credit record removal (ITC Clearance) services at discount rates. Members qualify for all Consumer related legal action at discounted rates with the 1st consultation Free.
Regenerative Medicine Treatment
Up to R 2,000 assistance for Regenerative Medicine Treatment. Regenerative Medicine Treatment includes Stem Cell and Cell-based treatment. Maximum 4 treatments per year at a StemMed Doctor Network Practitioner. There is a 3-month waiting period on this benefit and is only supplied by StemMed Dr’s Network.
Unlimited GP Consultations
At any Unity Health Network GP. Pre-authorisation required for 10 or more GP or Nurse visits per person per annum. We have over 3000 Unity Health network doctors nationwide. For your nearest network doctor call our Call Centre on 086 136 6006 or search for a network doctor on your Unity Health App or on our website by logging into your member portal.
Unlimited Nurse Consultations
Limited to R 1,350 per visit with an overall limit of R 2,800 per family per year. Referral by Unity Health Network GP and pre-authorisation required.
Dispensing GP: This means your GP dispenses medication and will provide you with the necessary medication. Non-Dispensing GP: Unlimited. Limited to medication prescribed during your Network GP visits. This means your Network GP does not provide you with medication but will provide you with a prescription to collect your medication. Available at approved pharmacies (Clicks, Dischem & Pick n Pay).
Chronic Medication Programme: 27 Listed “high impact” Conditions2 HIV/AIDS included. Chronic condition: A condition / disease that lasts for an extended period of time. Chronic Medication Programme: Your Network GP will assist you to register on the Chronic Medication Programme with Mediscor. Your prescribed chronic medicines will be covered according to a set formulary. Find the chronic medication formulary (list) on Mediscor’s website: www.mediscor.net. Approved pharmacies include Clicks, Dischem, Pick n Pay & Medicos’. Addison’s Disease; Asthma; Bi-polar Mood Disorder; Bronchiectasis; Cardiac Failure; Cardiomyopathy Disease; Chronic Obstructive Pulmonary Disorder; Chronic Renal Disease; Coronary Artery Disease; Crohn’s Disease; Diabetes Insipidus; Diabetes Type 1&2; Dysrhythmias; Epilepsy; Glaucoma; Haemophilia; HIV/AIDS; Hyperlipidaemia; Hypertension; Tuberculosis; Multiple Sclerosis; Parkinson’s Disease; Rheumatoid Arthritis; Schizophrenia; Systemic Lupus Erythematosus; Tuberculosis; Ulcerative Colitis.
Basic & Emergency Dentistry Treatment
Limited to R 1,350 per person per incident. Treatment includes full mouth assessment, intra oral radiographs, scale & polish, extractions, emergency root canal treatment, fillings, pain and sepsis treatment. Only available at Unity Health Dentists. Specialised dentistry/treatment, such as bridgework or crowns; orthodontic treatment; and dentures are not covered.
One eye test per person per year. A standard frame to the value of R 254 and one pair of clear standard spectacle lenses per person per 24 months. Available at PPN Network Optometrists.
2 gynaecologists visits, 2 ultrasound scans per year. Limited to R 3,425 per family per annum. Pre-authorisation is required. 1-month general waiting period, no pre-existing condition exclusions, 12 month waiting period for chronic medication & optometry and 9 month waiting period for pre-birth maternity.
Overall Annual Limit
No Overall Annual limit
The actual cost of hospitalisation as an in-patient, including all associated services during the hospital admission at a private facility in the event of injuries sustained due to an accident. What is an accident? An accident means bodily injury caused by violent accidental and external physical means. E.g. Severe injuries resulting from a vehicle accident or working with factory machinery.” Limited to R 1,250 000 per person per incident. Pre-authorisation is required.
The actual cost of hospitalisation as an in-patient, in the event of an emergency that necessitates the stabilisation of the patient before the patient is transferred to a public hospital. Medical procedures are excluded. “What is an emergency? An event or unexpected health condition, which if not treated immediately would result in death or serious bodily impairment. E.g. Heart attack/stroke.” Limited to R 26,500 per person per incident. Pre-authorisation is required.
The benefit payable for injuries sustained as a result of a minor accident shall be limited to treatment received in a hospital emergency unit. Limited to R 6,850 per person per incident. Pre-authorisation is required.
The actual cost of a MRI or CT scan necessitated as a result of an injury sustained due to an accident. Limited to R 18,000 per person per year. Pre-authorisation is required
Physiotherapy & Occupational therapy following an in-patient hospitalisation due to an accident. Limited to a period of 3 months following the discharge from an in-patient hospitalisation incident and limited to R 3,425 per person per year. Pre-authorisation is required.
Limited to R 25,000 per principal insured and first spouse dependant and R 5,000 per child dependant.