Emergency benefit

Benefit description
Emergency hospital / casualty benefit for accidental injuries, and emergency medical illness
Emergency accidental injuries

Hospital casualty / emergency room benefit.

and/or

Hospitalisation resulting from an emergency accidental injury.

Hospital casualty / emergency room benefit and/or hospitalisation resulting from an emergency accidental injury limited to up to R100 000 per insured person per 12-month period. Reimbursed up to the authorised amount, subject to the benefit limit, based on severity level, subject to pre-authorisation of treatment.

Note: Hospital admission is ONLY covered where clinically indicated for in-hospital treatment of an injury following an accident.
Emergency medical illness

Hospital casualty / emergency room benefit.

and/or

Hospitalisation resulting from an emergency medical illness.

Hospital casualty / emergency room benefit; and/or hospitalisation resulting from an emergency medical illness.

Limited to R25 000 per insured person per 12-month period. Reimbursed up to the authorised amount subject to the benefit limit based on severity level, subject to pre-authorisation of treatment.

Note: This benefit is ONLY available for an emergency medical illness, and does not cover non-emergency doctor consultations at a hospital casualty / emergency room. Hospital admission is ONLY covered where clinically indicated to stabilise an emergency medical illness.
Emergency medical services

Response to the scene of an accident or medical emergency and transportation by road to the closest, most appropriate private or public healthcare facility within the border of South Africa.

R25 000 per insured person is available per 12-month period based on the emergency service required and the severity of the health event.
Benefit description
Emergency hospital / casualty benefit for accidental injuries, and emergency medical illness
Emergency accidental injuries

Hospital casualty / emergency room benefit.

and/or

Hospitalisation resulting from an emergency accidental injury.

Hospital casualty / emergency room benefit and/or hospitalisation resulting from an emergency accidental injury limited to up to R100 000 per insured person per 12-month period. Reimbursed up to the authorised amount, subject to the benefit limit, based on severity level, subject to pre-authorisation of treatment.

Note: Hospital admission is ONLY covered where clinically indicated for in-hospital treatment of an injury following an accident.
Emergency medical illness

Hospital casualty / emergency room benefit.

and/or

Hospitalisation resulting from an emergency medical illness.

Hospital casualty / emergency room benefit; and/or hospitalisation resulting from an emergency medical illness.

Limited to R25 000 per insured person per 12-month period. Reimbursed up to the authorised amount subject to the benefit limit based on severity level, subject to pre-authorisation of treatment.

Note: This benefit is ONLY available for an emergency medical illness, and does not cover non-emergency doctor consultations at a hospital casualty / emergency room. Hospital admission is ONLY covered where clinically indicated to stabilise an emergency medical illness.
Emergency medical services

Response to the scene of an accident or medical emergency and transportation by road to the closest, most appropriate private or public healthcare facility within the border of South Africa.

R25 000 per insured person is available per 12-month period based on the emergency service required and the severity of the health event.
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