WE ARE HIRING!

Quality health cover that meets your needs doesn’t need to be complicated or too expensive. We offer you great cover, easy claims, and above all we tell it like it is – Affinity Health

To find out more, give us a call today!

One of our qualified and friendly agents will be happy to assist you.

Call Center:

0861 11 00 33

Fax:

086 607 9419


General Enquiries:

info@affinityhealth.co.za

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0861 11 00 33

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Day-to-Day Health Plan

‘Out-of-hospital’ medical cover and benefits

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A Day-to-Day health plan for the management and treatment of common daily illnesses, injury and essential medical requirements.

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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*.

Our Day-to-Day Plan starts from R468pm

An Affinity Health Day-to-Day plan can provide you with:

Unlimited Doctor visits and acute medication.

Radiology and Pathology are unlimited when recommended by your network GP*.

Family funeral cover

Basic Dentistry and Optometry.

Access to our nationwide network of medical professionals.

Post-hospital private home nursing to the value of R10,000.00.

* Unlimited Radiology and Pathology subject to Affinity Health’s maximum expenditure formulary.

See benefit details below

1 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.

Out-of-network visits

Partial cover for out-of-network consultations should you need to visit a doctor (GP only) that is not on our network.

1 Month waiting period

1 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.

1 Month waiting period

12 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.

 

Senior

  • Up to R2,750 per annum.
  • Up to R4,250 per annum if combined plan is taken.

1 Month waiting period

3 Specialist Visit

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

3 Month waiting period

4 Acute Medication

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.

1 Month waiting period

5 Dentistry

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.

3 Month waiting period

6 Optometry

1 eye test and 1 set of standard frames and lenses per member per 24 months.

12 Month waiting period

7 Radiology

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 .

1 Month waiting period

8 Pathology

Unlimited when referred by a network GP according to a list of approved codes from the pathology formulary.

1 Month waiting period

9 Family Funeral Benefit

Funeral assistance cover as a result of death of a member:

  • Policyholder
  • 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
  • R12,500
  • R12,500
  • R6,000
  • R3,000
  • R1,500

3 Month waiting period
Excluded on Affinity Junior

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Optional Chronic Medication Boosters

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Chronic Essential

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.

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Chronic Booster

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.

Depression

Diabetes

Bipolar

Menopause

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.

VIEW POLICY RATES

Maximum entry age for the day-to-day plan is 54 years.

  • 17 years for Affinity Junior
  • 70 years for Affinity Senior