Comprehensive Health Plans

Schemes A, B and C are tiered to offer three levels of medical aid cover. Scheme A is the entry-level option while Scheme C is the executive health plan option.

If you are looking for a basic outpatient, affordable health option, then Scheme A Standard is for you.

  • Benefits
  • Comparison
DESCRIPTION SCHEME A SCHEME B SCHEME C
Single Family Single Family Single Family
RECOMMENDED FOR Low income, relatively healthy employees. Middle income earning corporate clients. Executives and those who travel frequently.
CONTRIBUTIONS AND BENEFITS Affordable, competitive and comprehensive to cover both outpatient and inpatient services. Affordable, competitive and comprehensive to cover both outpatient and inpatient services. Affordable, competitive and comprehensive to cover both outpatient and inpatient services.
Annual Overall Cover 274,145 290,772 866,532 1,009,686 1,351,121 1,785,000
Annual Dread Disease Cover Up to 236,250 252,000 Up to 813,225 931,350 Up to 1,249,500 1,485,750
Annual Hospital Cover 89,250 105,000 393,225 511,350 1,249,500 960,750
Annual Normal Delivery Cover 7,043 7,043 12,818 12,818 12,818 12,818
Annual Caesarean Section Cover 12,404 12,404 19,229 19,229 21,122 21,122
Annual Chemo/Radio Therapy Cover 31,500 42,000 136,500 157,500 157,500 168,000
Annual Renal Dialysis Cover 31,500 42,000 136,500 157,500 157,500 168,000
Annual Chronic Medication Cover 10,500 12,600 37,800 44,100 50,400 67,200
Annual HIV/AIDS Assistance Cover Per Beneficiary: 12,600 Per Beneficiary: 12,600 Per Beneficiary: 12,600
Annual Outpatient Cover 16,790 23,568 30,255 43,545 43,798 60,638
Annual Dental Cover 14,343 20,512 50,661 74,213 67,326 92,925
Optical Cover(2 year cycle) Full cover through designated providers Full cover through designated providers Full cover through designated providers
Allied Health Cover 2,909 4,541 7,881 11,294 10,924 17,174
Medical Travel Insurance None None None None International EMERGENCY Medical Travel cover
P5 Million cover per life covered for Executive Members
Executive Annual Medical Examination None None None None Covers member plus one adult dependant at designated service providers
2019 A & B Health Plans Benefit Guide (3.86 MB)
2019 C Health Plan Benefit Guide (2.80 MB)