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

Health Squared – Prosper

For the Main Member in 2021

Risk Benefit

Private hospitalisation	Unlimited at any private hospital Planned PMB’s: Network hospitals
Professional Fees	100% of Scheme Rate
Casualty \| Emergency Room Benefit	Trauma and PMB: Unlimited Non-PMB: Subject to MSA
Maternity Benefit	Normal Delivery: 3 days and 2 nights Caesarean Section: 4 days and 3 nights
Antenatal Care	Maternity Programme Included: Consultations and 2x 2D scans Welcome gift: R357
Internal Prostheses	PMB: Unlimited Non-PMB: R25 475
Oncology	PMB: Unlimited Non-PMB: R308 529 per family Subject to ICON protocols
Specialised Radiology: CT, MRI, PET Scans	Unlimited PMB and trauma cover Non-PMB: R21 297
Emergency evacuation and Ambulance services	Netcare 911 100% of Scheme Rate – Unlimited

Day-to-Day Benefit

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
Conservative Dentistry	Member: R3 517 Member +: R5 653
Optometry	1 consultation per beneficiary in 24 months Limited to R2 557 per beneficiary
Acute and Over the Counter Medication	Subject to MSA
Medical Savings Account (MSA) _{Values per Annum}	Member: R4 128 Adult dependent: R3 840 Child dependent: R1 440
Specialist Consultations	Subject to MSA
Alternative Healthcare Services	Subject to MSA
Radiology and Pathology	Subject to MSA
Physiotherapy and Psychology – Non-network providers	Subject to MSA
Primary Care Network providers – (GP, Physio and Psychology)	Included in Primary Care Network (PCN) Benefit
Advanced Dentistry Includes cover for crowns, bridges,implants, dentures and orthodontics	Subject to MSA

Chronic Condition Benefit

Additional Chronic Benefit _{Specified conditions}	Subject to MSA
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	Subject to MSA
Childhood immunisations	Subject to MSA