Employee Benefit Cosultants > Listings > Health Squared > Health Squared – Flex

Health Squared – Flex

For the Main Member in 2021

Risk Benefit

Private hospitalisation	Unlimited at DSP private hospitals
Professional Fees	100% of Scheme Rate
Casualty \| Emergency Room Benefit	Trauma and PMB: Unlimited Non-PMB: R1 879
Maternity Benefit	Normal Delivery: 3 days and 2 nights Caesarean Section: 4 days and 3 nights
Antenatal Care	Maternity Programme Included: 3x GP and Specialist consultations 2x 2D scans and 1x 3D scan Welcome gift: R708
Internal Prostheses	PMB: Unlimited Non-PMB: R63 214
Oncology	PMB: Unlimited Non-PMB: R308 529 Subject to ICON protocols
Specialised Radiology: CT, MRI, PET Scans	Unlimited PMB and trauma cover Non-PMB: R11 133

Day-to-Day Benefit

Optometry	1 consultation per beneficiary in 24 months Includes frame and lenses (single vision, bifocal or multifocal lenses) Limited to R2 557 per beneficiary
General Practitioner Consultations (Non-network providers)	Member: 4 consultations Member +1: 7 consultations Member +2+: 9 consultations
Primary Care Network Providers (GP, Physio and Psychology)	Member: 6 consultations Member +1: 10 consultations Member +2+: 13 consultations
Specialist consultations	Single Member: 2 consultations Family: 3 consultations
Conservative Dentistry	M: R3 894 M+: R6 262
Advanced Dentistry – Includes cover for crowns and bridges	R6 264 per family
Additional Medication (Acute)	Single Member: R2 652 Family: R3 427
With a sub-limit on Over-the-Counter Medication (OTC)	Single Member: R678 Family: R 1 025
Additional Day-to-day Benefit _{Flexi Benefit}	Single Member: R2 675 Family: R3 394
Alternative Healthcare Services	Subject to Flexi Benefit
Radiology and Pathology	Subject to Flexi Benefit
Speech Therapy and Audiology	Subject to Flexi Benefit
Physiotherapy and Psychology – Non-network providers	Subject to MSA
Primary Care Network providers – (GP, Physio and Psychology)	Included in Primary Care Network (PCN) Benefit

Chronic Condition Benefit

Additional Chronic Benefit _{Specified conditions}	Subject to Additional Medicine Benefit and sub-limit for ADHD
PMB CDL Conditions	29 conditions covered

Preventative Care Benefit

Preventative Care Benefit – Per Annum	R2 999 per family
Blood Pressure, Blood Sugar and Cholesterol test, Body Mass Index	R139 per beneficiary
Mammogram (screening)	Female beneficiary > 40 years
Pap smears	1 test per female beneficiary
PSA Testing	Male beneficiary > 45 years
HIV Test	1 Test per beneficiary
Vaccinations: Flu	1 dose Flu vaccination per beneficiary
Childhood immunisations	Up to 18 months: R2 211
Oral Contraception	R1 776 per female beneficiary per annum – R148 per month