Unlimited access to doctors, dentists & specialists from R591 per month

Plus

Ensuring your health needs are covered

The Dis-Chem Health Plus Plan is a more comprehensive option that gives you unlimited access to doctors, dentists and specialists for R591 per month. Enjoy coverage for Doctor (GP) visits to Prime Cure network doctors, virtual GP consults, specialists, nurse and wellness clinic visits, health screenings, and medication to name a few.

Plan Pricing

Save by Combining
AdultsChildren
Save by Combining Plus
Day-to-Day & Accident Cover
R646 p/mR420 p/m
Plus
Day-to-Day Only
R591 p/mR406 p/m
Accident Cover
Only
R185 p/mR100 p/m

Your Benefits

 

Private Doctors (GPs)

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

 

Private Doctors (GPs)

Doctor visits
This Benefit provides access to visit a Prime Cure Network Doctor (GP) and such visit will be covered at the agreed rate

My Telehealth Virtual Doctor consultations:
Unlimited over the phone or virtual visits
Nurse & 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

 

Specialists

Including paediatricians, gynaecologists and more

Specialists

 

Consultations and additional services with specialists including paediatricians, gynaecologists and more. 

 

This benefit includes all additional services related to the consultation, such as x-rays, blood tests, scans, medication etc.

 

Limited to a maximum of R2,000 per visit with a R4,000 overall limit per policy.
All visits must be pre-authorised

 

*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
  • 1 after hours 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
Chronic Medication:
100% of the agreed rate for chronic medication on the formulary at a network provider contracted pharmacy
27 listed chronic conditions incl HIV, Asthma, Diabetes, Cholesterol, Hypertension & more
Over-the-counter Medication:
Obtained on the advice of a network contracted pharmacist
Limited to R110 per quarter, up to a maximum of R440 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 Plus Plan for R646p/m for adults and R420p/m for children.

 

See Accident Cover benefits

*Refer to policy limits

Compare our Plans – or see our Core 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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