PINNACLE
FROM R5 852 PER MONTH
Click here for the PINNACLE Efficiency Discounted Option
Cover At Its Most Exclusive
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 plan 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. Basically, you want the best money can buy.
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
We’ve Got This!
Benefits Paid From Risk Include:
- Prescribed Minimum Benefits (PMBs)
- Cover for 74 Chronic Conditions
- 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 2020
Principal Member
Risk: R5 671
Savings: R1 330
Annual Savings: R15 960
AFB: R4 000
Total Day-To-Day: R19 960
Annual Threshold: R22 250
Annual SPG: R3 010
Monthly Payment: R7 001
Adult Dependant
Risk: R4 415
Savings: R1 035
Annual Savings: R12 420
AFB: R3 100
Total Day-To-Day: R15 520
Annual Threshold: R17 100
Annual SPG: R2 100
Monthly Payment: R5 450
Child Dependant
Risk: R1 570
Savings: R368
Annual Savings: R4 416
AFB: R1 100
Total Day-To-Day: R5 516
Annual Threshold: R5 900
Annual SPG: R600
Monthly Payment: R1 938
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 2020
Principal Member
Risk: R4 741
Savings: R1 111
Annual Savings: R13 332
AFB: R3 358
Total Day-To-Day: R16 690
Annual Threshold: R19 100
Annual SPG: R3 010
Monthly Payment: R5 852
Adult Dependant
Risk: R3 688
Savings: R865
Annual Savings: R10 380
AFB: R2 610
Total Day-To-Day: R12 990
Annual Threshold: R14 608
Annual SPG: R2 100
Monthly Payment: R4 553
Child Dependant
Risk: R1 321
Savings: R309
Annual Savings: R3 708
AFB: R930
Total Day-To-Day: R4 638
Annual Threshold: R5 075
Annual SPG: R600
Monthly Payment: R1 630
DIS-CHEM – Pharmacists Who Care
NETCARE – You’re In Safe Hands