Access doctors, dentists & optometrists from R431 per month

Core

Ensuring your health needs are met

The Core Plan is our standard primary healthcare insurance plan that provides coverage for a broad spectrum of health problems at R431 per month. Enjoy access to private doctor visits, nursing, pharmacy-based care, dentistry, eye exams, spectacles and frames in addition to both over-the-counter and prescription medicine.

Plan Pricing

Save by Combining
AdultsChildren
Save by Combining Core
Day-to-Day & Accident Cover
R486 p/mR316 p/m
Core
Day-to-Day Only
R431 p/mR302 p/m
Accident Cover
Only
R185 p/mR100 p/m
DischemHealth

Your Benefits

 

Private Doctors (GPs)

Get access to day-to-day GP care to keep you and your family healthy

 

Private Doctors (GPs)

4 Doctor visits per insured party per year
You’ll get access to visit a Prime Cure network contracted Doctor (GP) which will be covered at the agreed rate
My Telehealth Virtual Doctor consultations:
4 over-the-phone or virtual consults per insured party per year
Nurse and Wellness Clinic Visits
The treatment of minor illnesses such as coughs and colds at a network provider wellness clinic/pharmacy
Clinic Based Care
Your benefit will cover over-the-counter medication if recommended by a nurse

*Refer to policy limits

 

Dentistry

Give your family the smile they deserve

Dentistry

Through Network Dentists, you can access:

  • 1 general dental check-up per insured party, per annum
  • 1 preventative treatment, such as cleaning, scaling and polishing. Topical Application of fluoride and polishing only (excluding scaling) is limited to children under 12
  • Unlimited additional cover for restorative treatment such as fillings, extractions, X-rays, and emergency treatment for pain and sepsis
  • Pre-authorisation is required for procedures exceeding certain limits.

*Refer to policy limits

 

Optometry

Eye exams, specs & frames

Optometry

 

Take your family for annual eye examinations

 

  • Examinations are limited to one per insured party per year
  • Spectacles and frames are limited to one pair in a 24-month period

 

*Refer to policy limits

 

Medication

Access to acute, chronic and over-the-counter medication.

 

Medication

Acute Medication:
Prescribed by your network contracted (GP).
Unlimited at 100% of the agreed rate. Acute medication is available without a co-payment, limited to the 4 private doctor visits
Chronic Medication:
100% of the agreed rate for chronic medication on the formulary at a network provider contracted pharmacy
7 listed chronic conditions incl HIV, Asthma, Diabetes, Cholesterol and Hypertension
Over-the-counter Medication:
Obtained on the advice of a network contracted pharmacist
Limited to R105 per quarter, up to a maximum of R420 per insured party per year
Flu Vaccine: one per year

*Refer to policy limits

 

HIV Programme

Creating a supportive structure for wellbeing and health

HIV Programme

 

The HIV Programme is designed to optimise the health and wellbeing of HIV positive patients, including:

 

  • Voluntary counselling and testing, therapy,
  • Antiretroviral medicines, and supplements

 

*Refer to policy limits

 

X-Rays & Blood Tests

Access to X-rays and basic blood tests

 

X-Rays & Blood Tests

 

  • Black & white X-rays and soft tissue ultrasounds paid at 100% of the agreed rate subject to referral by your network Doctor (GP)
  • Blood tests that must be requested by a contracted service provider (GP) and performed by a network contracted pathology laboratory, paid at 100% of the agreed rate

 

*Refer to policy limits

 

Maternity Scans

Caring for a mom-to-be

 

Maternity Scans

 

Receive 2 x 2D sonar scans per pregnancy per insured party, performed by a network provider or contracted service provider (GP).

 

*Refer to policy limits

 

Health Screenings

Early detection means early treatment to keep you looking and feeling your best

Health Screenings

 

Take your family to a contracted wellness pharmacy to measure height, weight, and body mass index. You can also get glucose, blood pressure, cholesterol or HIV tests done.

 

  • This includes a personal consultation along with suggestions on how to improve your health
  • Limited to 2 visits per insured party per year

 

*Refer to policy limits

 

COVID-19 Testing

Helping you stay ahead of the curve

 

COVID-19 Testing

 

We will cover the cost of the pathology (blood) test for COVID – 19, providing the test is positive.

 

*Refer to policy limits

Accident Cover

Accident Cover can be bought separately or Combined with Day-to-Day benefits

Accident Cover

 

Accident Cover Costs R185p/m for Adults and R100p/m for children.


Save by Combining
when you buy Accident Cover with the Core Plan for R486p/m for adults and R316p/m for children.

 

See Accident Cover benefits

*Refer to policy limits

Compare our Plans – or see our Plus Plan

 Core
Day-to-Day
Plus
Day-to-Day
Day-to-Day Cover
Private Doctors (GPs)4 only Unlimited
My TeleHealth - Virtual Consultations4 only Unlimited
Nurse & Wellness Clinic Visits
Chronic Medication: (for conditions such as HIV, Asthma, Diabetes, Cholesterol, Blood Pressure) 7 conditions27 conditions
Acute Medication (script from GP based on your GP Limits)8 only Unlimited
Over-the-counter Medication
Flu Vaccine
HIV Medication & Management
Dentists & Oral Hygienists
Optometry: Eye Exams, Specs & Frames
X-Rays & Blood tests
Maternity Benefits: 2 sonar scans per pregnancy
Health Screenings *2
Specialist Visits
Covid-19 Testing (max R850 for positive result)

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