Network Plus
The details
Network PLUS is a focused product working with the various Network hospitals and a number of listed procedures.
R390 per month
The premium for Seniors (over 75) is R620 per month
Plan Summary
Total annual limit
Subject to an Overall Annual Limit (OAL) of R198,600 per insured person.
Tariff shortfalls
We pay up to an additional 500% to cover any shortfalls your medical aid scheme does not cover for in-patient and/or out-patient procedures deemed to be in hospital and paid from risk.
Listed procedures
We pay a benefit equal to the cost of in-hospitalisation and associated medical expenses relating to one of the below mentioned listed procedure, less the cover provided in terms of the insured’s medical scheme option. Annual limit of R80,000.
- In-hospital management of dentistry, limited to impacted teeth for minors under 18 years or reconstructive plastic surgery due to an accident during the period of cover
- Functional nasal surgery
- Surgery for oesophageal reflux and hiatus hernia
- Knee and shoulder surgery
- Back and neck treatment or surgery, joint replacements, including but not limited to hips, knees, shoulders, and elbows
- Cochlear implants, auditory brain implants and internal nerve stimulators. This includes procedures, devices, and processors
- Bunionectomy
- Arthroscopy
- Removal of varicose veins
- Breast lumpectomy limited to the excision of the lump only and excluding any pathology and testing thereof
- Skin diseases including benign growths and lipomas
- Non-cancerous breast conditions
Please take note: Keycare Network Specialists and Hospitals must be used if being hospitalised for any of the listed procedures.
Co-payments/Deductibles
We pay the defined co-payment/deductible amount that medical aid schemes have specified for co-payments or deductibles. Annual limit of R10,000, limited to R500 per event.
Medical Aid Assist and Premium Waiver
We pay a maximum amount of R2,500 per month for a period of 6 months to assist with medical aid premiums should the principal member on the policy suffer a total and permanent disability. We will also provide free Network Plus Gap cover for a period of 12 months, provided that the insured member remains insured on the medical aid.
Casualty Benefit
We pay when you have accidental trauma-related or crime-related injuries, which require treatment in a hospital out-patients or casualty unit. The limit is R9,000 per event. Illness-related emergencies for infants and children under the age of 8 will be covered at any time of the day or night. Illness-related emergencies for members 8 years and older will be covered between 6pm and 8am. All illness-related emergencies are limited to R3,000 per event and R8,000 per family per annum.
Consumables
We pay for shortfalls on medicine, materials and appliances used during an in-hospital procedure or used by doctors during procedures performed in rooms that are deemed by the medical scheme to be ‘in hospital‘. Annual limit of R3,000, limited to R500 per event.
Private room
We pay up to 50% of the additional cost of a private room in any ward, to a maximum of R2,500.
Specialised dentistry
We pay for root canal and/or surgical extractions. Limited to R4,000 per family per annum only. The benefit does not include consultation fee.
Specialist radiography
We pay for MRI and CT scans not covered by the medical scheme. The limit is R10,000 per family per annum, limited to R4,000 per event.
Accidental death
We pay R15,000 in the event of accidental death of the principal member.
Our products
sure a medical crisis doesn’t become a financial crisis.
COMPREHENSIVE
FAMILY
Top of the range medical
gap cover for you and
your family.
R639 pm
COMPREHENSIVE
INDIVIDUAL
Top of the range medical
gap cover for the
individual.
R435 pm
GAP 500
PLUS
A focused list of benefits at a lower premium for you and your family.
R465 pm
NETWORK
PLUS
A focused number of
procedures at Network
hospitals.
R390 pm
CORPORATE
GAP COVER
Very competitive group rates and bespoke solutions for corporates, businesses and large organisations.
Why not come across to Linksave?
Contact us or speak to your broker