PINNACLE (Executive Plan)
FROM R6 535 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 2022
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
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
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
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
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
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
DIS-CHEM – Pharmacists Who Care
NETCARE – You’re In Safe Hands