Dis-Chem Health:

Emergency Casualty Visits

This Casualty treatment benefit covers emergency services which will be provided in hospital casualties following a medical emergency due to accidental harm

• Guarantee of payment and authorisation must be obtained from Netcare 911
• R20,000 per event per insured party
• If the Buy-Up option is purchased, this limit is increased to R30,000 per event per insured party

*Refer to policy limits

Hospitalisation for Accidents

This plan covers In-Hospital treatment in the case of accidental events only. It covers emergency in-patient services which will be provided for in case of a medical emergency due to accidental harm

• R380,000 per event, and R1,500,000 per insured party per year
• If the Buy-Up option is purchased, this benefit is increased to R1,500,000 per event, and R2,500,000 per insured party per annum

*Refer to policy limits

Ambulance and Stabilisation

• Netcare 911 ambulance transportation
• Trauma and accident emergencies will be transported to a contracted hospital
• Unlimited stabilisations at the scene of the accident by Netcare 911
• Medical emergencies due to illness will be transported to a state facility unless the buy-up option has been purchased
• Limited to road transport

*Refer to policy limits

Medical Emergency Buy-Up Option:

• Ambulances: Medical emergencies due to illness will be transported to a private casualty and not a state facility
• Emergency casualty visits due to illness: Medical emergencies due to illness will be treated in casualty wards, up to R30,000 per event per insured party
• In-Hospital treatment due to Illness: Receive emergency in-hospital treatment due to illness. Limited to R380,000 per event
• Guarantee of payment and authorisation must be obtained from Netcare 911
• This Buy-Up option can only be selected as an add-on to Accident Cover

* All treatments need to happen in a contracted network provider facility

Death and Disability Cover

Accidental death cover:
Payment in the event of an accidental death:

• Children below 6: R20,000
• All others: R25,000

Permanent disability cover:
In the event of total permanent disability as a result of an accident, a lump sum will be paid:

• Insured parties up to 17 years: No cover
• Insured parties up to 18 years and older: R25,000

*Refer to policy limits

Family, Legal and Financial Counselling

• Counselling from health professionals – unlimited telephonic, virtual or face-to-face appointments
• Children and teenager support
• Life, parent, career coaching
• Financial and legal advice
• MyDoctor – portal and advice line
• COVID-19 Support line
• Road Accident Fund Cover Assistance
• Workman’s Compensation Cover

*These are non-insurance services offered by Kaelo