PINNACLE
Executive Cover
From R9 187 / Month
When you’ve worked your way to the top of your game, you deserve nothing but the best. That includes a top of the range healthcare comprehensive plan that gives you the best quality that money can buy.
Click here to jump to the PINNACLE Efficiency Discounted Option from R8 172 p/m
PINNACLE
A good choice for you if:
- You want superior benefits, including unlimited GP visits, unlimited dental visits
- You want cover for specialists in hospital at 200% of scheme rate
- You want access to a private ward if you admitted to hospital
- You want extensive cover for cancer and 74 chronic illnesses
Day-to-day Benefits
- Personal Medical Savings (PMSA)
- When your PMSA is finished, your day-to-day benefits are paid from your Annual Flexi Benefit (AFB), a set amount you get each year that comes from risk
- When your AFB is also depleted, there is a Self-Payment Gap when you need to pay for your expenses
- When your claims reach the threshold amount, your Above Threshold Benefit (ATB) will start to cover your claims
Benefits Paid From Risk:
- All Prescribed Minimum Benefits (PMBs)
- Cover for 27 Chronic Conditions
- Emergency Care: Ambulance Services, Netcare 911
- Women’s & Men’s Health
- Kids’ Wellness
- Preventative Care Benefits
- Emotional Wellness
- Active Lifestyle Programmes
- COVID-19 Benefit
- Oncology and Speciality Care
Hospital Benefit:
- Cover for in-hospital and hospital-related services at 100% of the scheme rate and specialists at 200% of scheme rate
DOCUMENT LINKS
More info
PINNACLE Brochure
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Chronic conditions covered
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Co-payments, exclusions and limitations
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Sub-limits for devices and appliances
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Emergency services and international travel cover
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Contributions
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PINNACLE
Contributions and benefit amounts from January 2024
Principal Member
Risk: R7 350
Savings: R1 837
Monthly Payment: R9 187
Annual Savings: R22 044
AFB: R4 788
Total Day-To-Day: R26 832
Annual Threshold: R30 492
Annual SPG: R3 660
Adult Dependant
Risk: R5 721
Savings: R1 430
Monthly Payment: R7 151
Annual Savings: R17 160
AFB: R3 720
Total Day-To-Day: R20 880
Annual Threshold: R23 400
Annual SPG: R2 520
Child Dependant
Risk: R2 036
Savings: R508
Monthly Payment: R2 544
Annual Savings: R6 096
AFB: R1 296
Total Day-To-Day: R7 392
Annual Threshold: R8 148
Annual SPG: R756
PINNACLE
Efficiency Discounted (ED) Option
With Efficiency Discounted options, your contributions are lower but you can only use Dis-Chem pharmacies and Netcare hospitals.
PINNACLE ED
Efficiency Discounted Contributions and benefit amounts from January 2024
Principal Member
Risk: R6 538
Savings: R1 634
Monthly Payment: R8 172
Annual Savings: R19 608
AFB: R4 032
Total Day-To-Day: R23 640
Annual Threshold: R27 300
Annual SPG: R3 660
Adult Dependant
Risk: R5 088
Savings: R1 271
Monthly Payment: R6 359
Annual Savings: R15 252
AFB: R3 144
Total Day-To-Day: R18 396
Annual Threshold: R20 916
Annual SPG: R2 520
Child Dependant
Risk: R1 821
Savings: R455
Monthly Payment: R2 276
Annual Savings: R5 460
AFB: R1 116
Total Day-To-Day: R6 576
Annual Threshold: R7 332
Annual SPG: R756