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.

Please download our brochure for detailed information about 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 2022

Pinnacle-Principal Member

Principal Member

Risk: R6 255

Savings: R1 563

Annual Savings: R18 756

AFB: R4 320

Total Day-To-Day: R23 076

Annual Threshold: R26 376

Annual SPG: R3 300

Monthly Payment: R7 818

Pinnacle-Adult Dependant

Adult Dependant

Risk: R4 869

Savings: R1 217

Annual Savings: R14 604

AFB: R3 360

Total Day-To-Day: R17 964

Annual Threshold: R20 244

Annual SPG: R2 280

Monthly Payment: R6 086

Pinnacle-Child Dependant

Child Dependant

Risk: R1 732

Savings: R433

Annual Savings: R5 196

AFB: R1 176

Total Day-To-Day: R6 372

Annual Threshold: R7 056

Annual SPG: R684

Monthly Payment: R2 165

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.

Download the brochure for detailed specifics of this plan.

Efficiency Discounted Contributions Effective From January 2022

Pinnacle-ED Principal Member

Principal Member

Risk: R5 228

Savings: R1 307

Annual Savings: R15 684

AFB: R3 624

Total Day-To-Day: R19 308

Annual Threshold: R22 608

Annual SPG: R3 300

Monthly Payment: R6 535

Pinnacle-ED Adult Dependant

Adult Dependant

Risk: R4 068

Savings: R1 017

Annual Savings: R12 204

AFB: R2 820

Total Day-To-Day: R15 024

Annual Threshold: R17 304

Annual SPG: R2 280

Monthly Payment: R5 085

Pinnacle-ED Child Dependant

Child Dependant

Risk: R1 456

Savings: R364

Annual Savings: R4 368

AFB: R1 008

Total Day-To-Day: R5 376

Annual Threshold: R6 060

Annual SPG: R684

Monthly Payment: R1 820

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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 818 per month.


Executive Cover.

From R6 535 per month.

pinnacle ED

Efficiency Discounted Executive Cover.