Unity Health

Unity Health provides a cost effective primary healthcare solution to South Africans who are unable to afford medical scheme coverage.

To keep costs as low as possible and ensure quality care, Unity Health has contracted with various private healthcare providers at discounted rates. Focusing on the basic healthcare needs of the majority of South Africans, our product has been tailored to include the following categories:

GP 
consultations 
& acute 
medications
Basic radiology 
& pathology
Optometry
Ambulance 
services by 
road & air
Chronic medication for specified medical conditions
Basic & emergency 
dentistry
Hospitalisation for accidents & emergencies
Gynaecologist
visits & ultrasound 
scans

Benefit Summary

E&OE T&C’s apply The Master policy supercedes anything contained in this summary

This is indicative and subject to confirmation by the Insurer

Benefits

Primary Healthcare Plan B

Primary Healthcare Plan C

GP Visits

5 visits per person per year

Unlimited visits

Medication (Acute)

Dispensing

Unlimited

Unlimited

Chronic Medication

8 Listed “high impact” conditions 
HIV/AIDS included

Chronic Medication Programme
27 Listed “high impact” conditions 
HIV/AIDS included

Dentistry

R2500

R3500

Blood test

Basic

Basic

X-rays

Basic

Basic.

Optometry

1 eye test per person per year.
A standard frame to the value of R254 and one pair of clear standard
spectacle lenses per person per 24 months.

1 eye test per person per year.
A standard frame to the value of R254 and one pair of clear standard
spectacle lenses per person per 24 months.

Benefits

Hospital Accident and emergency Plan C

Overall 
Annual Limit

R 2 000 000 per family per year

Casualty

Emergency Only

R5 250

In-Patient Hospital
Stabilisation
Emergency Only

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.
Limited to R 20 000 per incident.

In-Patient Hospital
Treatment
Accident Only

Limited to R 1 million per incident

Out-Patient Casualty
Treatment
Accident Only

Limited to R 5 250 per incident

MRI & CT Scans
Accident Only

The actual cost of a MRI or CT scan necessitated as a result of an injury sustained due to an accident.
Limited to R15 000 per person per year. Pre-authorisation required.

Physio & Occupational
Therapists

Accident Only

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.
Limited to R2 500 per person per year. Pre-authorisation required

Accidental
Death Benefit

Limited to R 10 000 per principle insured and first spouse dependant

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Unity Health