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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