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

Health Squared – Ultimate

For the Main Member in 2021

Day-to-Day Benefit

The following services are covered from the additional out-of-hospital benefit limits

Total Annual Benefit	Member: R16 764 Adult Dependent: R12 572 Child Dependent: R1 753
General Practitioner Consultations	Unlimited Subject to annual Benefit Limits
Specialist Consultations	Member: 4 consultations Member +1: 5 consultations Member +2+: 6 consultations
Conservative Dentistry	2x Annual check-ups per beneficiary 2x Emergency consultations per beneficiary
Advanced Dentistry	R15 756 per family Includes cover for crowns, bridges, implants, dentures and orthodontics
Optometry	1 consultation per beneficiary in 24 months Includes frame and lenses (single vision, bifocal or multifocal lenses) or contact lenses limited to R4 068 per beneficiary
Additional Day-to-day Benefit_{Annual limits}	Member: R8 757 per annum Member +1: R15 413 per annum Member +2+: R16 740 per annum
Alternative Healthcare_Sub-limits	Member: R3 755 per annum Member +1: R5 567 per annum Member +2+: R7 354 per annum
Radiology and Pathology_Sub-limits	Member: R3 755 Member+1: R4 608 Member+2+: R5 567
Physiotherapy_Sub-limit	R1 730 per family
Psychology and Psychiatry_Sub-limit	R1 878 per family
Speech Therapy and Audiology_Sub-limit	R1 878 per family
Additional Medication (Acute)_Sub-limit	Member: R 8 796 Member+1: R15 472 Member+2+: R17 644
With a sub-limit on Schedule 0-2 medication	Member: R2 652 Member+1: R4 568 Member+2+: R4 989

Risk Benefit

Private hospitalisation	Unlimited at any private hospital
Professional Fees	Up to 220% of Scheme Rate
Casualty \| Emergency Room Benefit	Trauma and PMB: Unlimited Non-PMB limited to R1 879
Maternity Benefit	Normal Delivery (including Home birth): 3 days and 2 nights Caesarean Section: 4 days and 3 nights
Antenatal Care	Maternity Programme Included: Welcome gift: R1 082 Antenatal visits at GP, Specialist, Midwives and 2x 2D scans
Internal Prostheses	PMB: Unlimited Non-PMB: R76 425
Oncology	Unlimited. Subject to ICON protocols
Specialised Radiology _{MRI and CT Scans}	Unlimited PMB and trauma cover Non-PMB: R22 124
Emergency evacuation and Ambulance services	Netcare 911 100% of Scheme Rate Unlimited

Preventative Care Benefit

Childhood immunisations	Up to 18 months
Blood Pressure, Blood Sugar and Cholesterol test, Body Mass Index	R139 per beneficiary
Mammogram (screening)	Covered > 35 years
Pap smears	Covered
PSA Testing	Covered > 45 years
HIV Test	Covered
Vaccinations: Flu	Covered
HPV Vaccine (Cervical cancer prevention)	1 course per female beneficiary between 9 and 46 years of age
Oral Contraception	R1 776 per female beneficiary per annum – R148 per month

Chronic Condition Benefit

PMB CDL Conditions	Unlimited
Additional Chronic Benefit _{Specified conditions}	Single Member: R6 475 Family: R12 933