PINNACLE (Executive Plan)
FROM R6 168 PER MONTH
Click here for the PINNACLE Efficiency Discounted Executive Plan Option
You’ve made it. You’ve worked your way to the top of your game, so you deserve nothing but the best. You want a top of the range healthcare comprehensive plan, the best money can buy.
Download the brochure for detailed specifics of this plan.
Executive Cover At Its Most Exclusive
With the best benefits, including unlimited GP visits, unlimited dental visits, 200% cover for specialists in hospital, access to a private ward if you need to be admitted, and cover for 74 chronic illnesses. All the cover you need at a competitive cost!
Naturally, you get comprehensive hospital benefits with unlimited cover in any private hospital and in a private ward. Just what you’d expect from a top-level plan. Plus, you can rest assured that should something happen to you, like cancer, you’ve got all the cover you need.
Understanding Your Option
Day-to-day Benefits are subject to:
- LEVEL 1: Personal Medical Savings (PMSA)
- LEVEL 2: Annual Flexi Benefit (AFB)
- LEVEL 3: Self-payment Gap (SPG)
- LEVEL 4: Above Threshold Benefit (ATB)
Benefits Paid From Risk:
(Not subject to PMSA, AFB, SPG and ATB)
- All PMBs
- Wellness and Preventative Benefits
- Unlimited GP visits and Conservative Dentistry (after limits reached)
- Ambulance Services, Netcare911
Hospital Benefit:
- Unlimited cover for in-hospital and hospital-related services at 100% scheme rate
- Specialists are paid at 200% of the scheme rate
Quick links
You can download specific info about our medical scheme options in brochure format here.
We’ve Got This!
Benefits Paid From Risk Include:
- Prescribed Minimum Benefits (PMBs)
- Cover for 74 Chronic Conditions
- COVID-19 Benefit
- Emergency Care
- Woman’s Health
- Men’s Health
- Kids Wellness
- Preventative Care
- Emotional Wellness
- Active Lifestyle Programmes
- Speciality Care
Looking for an even lower monthly premium? Click here to learn more about the PINNACLE Efficiency Discounted (ED) option offering you an even lower monthly premium.
Contributions Effective From January 2021
Principal Member
Risk: R5 904
Savings: R1 475
Annual Savings: R17 700
AFB: R4 150
Total Day-To-Day: R21 850
Annual Threshold: R25 000
Annual SPG: R3 150
Monthly Payment: R7 379
Adult Dependant
Risk: R4 596
Savings: R1 148
Annual Savings: R13 776
AFB: R3 220
Total Day-To-Day: R16 996
Annual Threshold: R19 176
Annual SPG: R2 180
Monthly Payment: R5 744
Child Dependant
Risk: R1 635
Savings: R408
Annual Savings: R4 896
AFB: R1 140
Total Day-To-Day: R6 036
Annual Threshold: R6 686
Annual SPG: R650
Monthly Payment: R2 043
Want To Know More?
Cover Where It Counts.
Get more deets on the Day-to-Day and Hospital Benefits.
PINNACLE Efficiency Discounted (ED) Option
Efficiency Discounted options means you can only use
Dis-Chem pharmacies and Netcare hospitals.
Efficiency Discounted Contributions Effective From January 2021
Principal Member
Risk: R4 935
Savings: R1 233
Annual Savings: R14 796
AFB: R3 480
Total Day-To-Day: R18 276
Annual Threshold: R21 426
Annual SPG: R3 150
Monthly Payment: R6 168
Adult Dependant
Risk: R3 840
Savings: R959
Annual Savings: R11 508
AFB: R2 712
Total Day-To-Day: R14 220
Annual Threshold: R16 400
Annual SPG: R2 180
Monthly Payment: R4 799
Child Dependant
Risk: R1 375
Savings: R343
Annual Savings: R4 116
AFB: R966
Total Day-To-Day: R5 082
Annual Threshold: R5 732
Annual SPG: R650
Monthly Payment: R1 718
DIS-CHEM – Pharmacists Who Care
NETCARE – You’re In Safe Hands