Day-to-Day Health Plan
‘Out-of-hospital’ medical cover and benefits
A Day-to-Day health plan for the management and treatment of common daily illnesses, injury and essential medical requirements.
The Affinity Health Day-to-Day plan has been designed to help you cover the everyday costs of staying healthy such as going to the doctor or dentist, obtaining prescribed acute medication or receiving a pair of reading glasses. You also receive service from any Medical Society clinic for primary healthcare and medical treatment.
Basic radiology and pathology are also covered when recommended by your GP*.
See benefit details below
General Doctor Consultations
You have unlimited, managed doctor consultations under this benefit with a Network GP, subject to Affinity Health’s Maximum Expenditure Formulary. Your doctor will provide healthcare services and dispense or prescribe medication according to Affinity Health’s medicine formulary.
Partial cover for out-of-network consultations should you need to visit a doctor (GP only) that is not on our network.
Medical Society Clinic Consultations
Unlimited, managed visits to a Medical Practitioner at a Medical Society Centre. Includes Acute Medication prescribed and dispensed by the Medical Practitioner.
Casualty Room Treatment
Casualty Room treatment for accident or illness, available after hours. Subject to pre-authorisation.
- Up to R2,500 per annum.
- Up to R4,000 per annum if combined plan is taken.
- Up to R2,750 per annum.
- Up to R4,250 per annum if combined plan is taken.
Covers specialist visit/s as referred by a Network GP only (Subject to pre-authorisation).
Single Member – Covers 1 visit per policy per year – R800
Family – Covers 2 visits per policy per year – R800 per visit
Junior and Senior Only
Single Member – Covers 1 visit per policy per year – R700
Family – Covers 1 visit per policy per year – R1,300
Unlimited, prescribed acute medication is covered if linked to the GP consultation and dispensed by the GP or obtained on script from a pharmacy linked to the Affinity Health medicine formulary.
Cover for basic dentistry, including 1 full mouth assessment or 1 scale and polish, infection control, 2 intraoral radiographs, 3 extractions and 3 amalgam fillings per member per year.
1 eye test and 1 set of standard frames and lenses per member per 24 months.
Unlimited, when referred by a network-registered GP according to a list of approved codes from the radiology formulary. Includes only black and white X-rays .
Unlimited when referred by a network GP according to a list of approved codes from the pathology formulary.
Family Funeral Benefit
Funeral assistance cover as a result of death of a member:
- Spouse and Children over the age of 14
- Children over the age of 6
- Children birth to 6 years of age
- Stillborn from 28 weeks
Cover available for over 23 different chronic conditions.
Linked to the doctor consultation and dispensed by the Network Provider or obtained on script from a pharmacy linked to the Affinity Health medicine formulary.
6 Month waiting period.
We offer additional cover for Chronic Medication for four specific chronic illnesses over and above the Chronic Essential Medication benefit on our Day-to-Day and Combined plans.
Includes 2 GP consults and formulary blood tests.
1 Month waiting period.
Remember, you can view the additional booster costs on our policy rates page.
Maximum entry age for the day-to-day plan is 54 years.
- 17 years for Affinity Junior
- 70 years for Affinity Senior