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Compare plans

Compare your likely benefit usage and the costs involved. Some plans will require that you use a specific GP and/or hospital network. This is necessary to curb costs, but if you prefer to have freedom of choice and use any provider’s services, you should opt for a non-network option instead. You can compare our options side by side to find out which option will suit you the best.

Remember that the information displayed on this page does not constitute advice. Click here to obtain relevant advice from an accredited adviser.

Necesse
Prime 1
Prime 2
Unify
Prime 3
Elite
Plus

Network

Non-network

Network

Non-network

Network

Non-network

Core benefits (insured benefits)
Hospitalisation – no overall annual limit (OAL)
Hospital network applies
270 PMB and 26 chronic conditions on the Chronic Diseases List (CDL)
  • PMB chronic medicine
Prostheses (internally implanted)
Cancer treatment
PMB Only
Mental health treatment
PMB Only
Specialised radiology (MRI & CT scans) in and out of hospital
Day-to-day benefits
(separate insured benefit/pooled benefit or savings account)
Day-to-day/consultations (GPs & specialists)
GP network

GP network

GP network

GP network

OAL applies
Physiotherapy
Child care benefit: GP consultations for children ≥ 2 and < 12 years, after savings account funds have run out
Acute medicine
Non-PMB chronic medicine - separate benefit
Standard radiology
Pathology
Dentistry (conservative)
Dentistry (specialised)
  • Removal of impacted teeth (3rd molars)
  • Extensive treatment for children younger than 7 years (in hospital)
Optometry
Clinical psychology and psychiatric nursing in and out of hospital
Added insured benefits
(benefits offered in addition to day-to-day benefits)
Pregnancy
Babies < 2 – first 2 consultations (at a paediatrician/GP/ear, nose and throat specialist)
Child immunisation
Wellness benefits (screening tests)
Preventive care (flu vaccination, Pap smear, mammogram etc.)
Contraceptives
Please note: Limits, deductibles, formularies, lists of codes and DSPs may apply to certain benefits.
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