Corporate Plan
We offer you a diverse range of corporate plans available in three categories; Executive, Mid level & Entry Level catering for your specific healthcare and financial needs.
Our plans are a hybrid component of the low claims account and insured benefit. Member benefits are per membership year, they are effective the date the member/ beneficiary joins the . These benefits are paid up to an annual global limit.
- Topaz
- Coral
- Ruby
- Amber
- Sapphire
- Sapphire Plus
- Opal
Executive Plans
- General Practitioners,
- Specialist and grade A Private Hospitals-private wards,
- Specialist foreign treatment up to approved limit
- General Practitioners,
- Specialist and grade A Private Hospitals-private wards,
- Specialist foreign treatment up to approved limit
Sapphire
- General Practitioners,
- Specialist and grade A Private Hospitals-private wards,
- Specialist foreign treatment up to approved limit
Mid Level Plans
Amber
- General Practitioners,
- Specialist and grade A Private Hospitals two bedded wards,
- Specialist foreign treatment up to approved limit
Ruby
- General Practitioners,
- Specialist and grade A Private Hospitals General wards
- Specialist foreign treatment up to approved limit
Emerald
- General Practitioners,
- Specialist and grade A Private Hospitals General wards,
- 100% cover Grade B to F
Entry Level Plans
Coral
- General Practitioners
- 100% cover Grade C to F
- Private Wards, Government Hospitals
Topaz
- General Practitioners
- Council Clinics
- Mission & Government Hospitals
Benefits
Medical Benefits
All plans ensure members get cover for essential health care at government and private facilities. These include; Hospitalisation, Drugs, Pathology, Specialised Radiology, Dental, Optical, Pathology & Rehabilitative Services
Managed Care
This is a support structure for members with chronic conditions, support is in the form of SMS’s, calls, hospital visits and drug facility access. The drug facility is designed to help members access the chronic drugs easily in conjunction with partner pharmacies located across the country.
Immediate Benefits
Corporate accounts with 10-49 members from inception enjoy immediate access to General Practitioners and Pharmacies without any waiting periods. Corporates with over 50 members from inception enjoy further immediate cover for admission or treatment at a hospital, MRI, CT Scans and nuclear medicine.
Value Added Benefits
Over and above the medical cover, members get the following benefits:
- Low Claims Account Cash Back
- Free Funeral Cover
- Free Life-med Guarantor Cover
- 1st Care Wellness Benefits
General Waiting Periods
- Admission or treatment at a hospital (in-hospital)
- Dental treatment
- Upgrading to a higher plan
- MRI, CT Scans and nuclear medicine
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