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Hospitalisation

Hospitalisation Cover

The benefit that offers cover for your planned hospital stay. Private hospital stay.
 
 
Planned procedures, like a knee operation, or illnesses, like a kidney stone, will probably see you in hospital for a few days. We’re not thrilled this is happening to you but we’re happy to help cover you with a benefit that pays for your hospital and associated medical costs for up to 21 days. Take off that hospital gown that shows your undies and get back on your feet.

Hospitalisation Benefit Includes

Waiting Period
Pays out for up to 21 consecutive days in hospital
List
3 levels of cover to choose from
Waiting Period
3 month waiting period for admission day benefits

Pre-authorisation is required at least 48 hours before admission and the member must be admitted for the benefit to come into effect.

Level 3 stated conditions have a 12 month waiting period, and 24 months for hysterectomy.

Procedures must be diagnosed and medically necessary. We don’t cover elective surgery nor admission for diagnostic purposes.

Choose from 3 Levels of Cover

Level 1
Admission days
  • Day 1 - up to R6 890 per day or any part thereof and not for diagnostic purposes, per member
  • Day 2 - Up to R4 770 per day or any part thereof per member
  • Day 3 - Up to R4 770 per day or any part thereof per member
  • Day 4 - Up to R1 590 per day or any part thereof per member per Illness event max 21 days
Level 2
Admission days
  • Day 1 - up to R10 600 per day or any part thereof, and not for diagnostic purposes, per member
  • Day 2 - up to R6 890 per day or any part thereof per member
  • Day 3 - Up to R5 300 per day or any part thereof per member
  • Day 4 - up to R1 590 per day per member or any part thereof per Illness event max 21 days
Level 3
Admission days
  • Day 1 - up to R10 600 per day or any part thereof, and not for diagnostic purposes, per member
  • Day 2 - up to R6 890 per day or any part thereof per member
  • Day 3 - Up to R5 300 per day or any part thereof per member
  • Day 4 - up to R1 590 per day per member or any part thereof per Illness event max 21 days
Stated conditions are covered regardless of admission days and not in addition to the daily amounts
  • Hernia R21 200
  • Appendectomy R37 100
  • Gallbladder R37 100
  • Kidney Stones R37 100
  • Miscarriage R10 600
  • Hysterectomy R47 700
 

More Hospital benefits