PINNACLE (Executive Plan)


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
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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

Pinnacle-Principal Member

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

Pinnacle-Adult Dependant

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

Pinnacle-Child Dependant

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

Pinnacle-ED Principal Member

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

Pinnacle-ED Adult Dependant

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

Pinnacle-ED Child Dependant

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

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DIS-CHEM – Pharmacists Who Care

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NETCARE – You’re In Safe Hands

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From R7 001 per month.


Executive Cover.

From R5 852 per month.

pinnacle ED

Efficiency Discounted Executive Cover.