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Sinawe Health Plan

The Sinawe Health Plan provides a per day benefit to assist with the expenses incurred during admission to a public hospital. It also provides Funeral and Accidental Death & Disability Cover, Emergency Transportation, HIV Counselling.

Medical Repatriation
and Transportation

Emergency transportation from the scene of the accident to the closest State Hospital and transfer between hospitals.

Removal and repatriation of mortal remains

All costs covered as long as the designated Service Provider is used

- ER24 - 084 124

Hospital per day
(Principal member, spouse and up to 8 children)

In the case of an accident or emergency, Injury will be covered from day one onwards.

In the case of illness (e.g. pneumonia) or an elective procedure (e.g. pregnancy), cover will commence from day 1 onwards, provided the client is hospitalised for 3 days or more. In the case of confinement in ICU the benefit is increased by 50% (i.e. R 300.00 per person per day)

An additional 100% cover if more than one family member is hospitalised for the same event (i.e. R 200.00 per day)

R 200.00 per day
R 300.00 per day - ICU

R 400.00 per day - 1 or more family members

TB Limitations:
Claims for Tuberculosis will be limited to R5,000.00 per person
and R25,000.00 per family

HIV Limitations:
The maximum benefit for HIV related illnesses is 10 days

HIV trauma help-line (P3)

A call centre facility to assist members if they have been accidentally exposed to HIV virus e.g. rape or violent assault. Counselling, HIV testing and initial antiretroviral treatment are some of the features or this benefit.

Call 0860 10 29 93

Accidental Death and
Disability

Death, total and permanent disability, partial disability and disfigurement due to an accident.

Death, loss of speech, sight or hearing, physical separation at or above the wrist or ankle of one or more limbs, or loss of use of one or more limbs - 100%
 
Loss of hearing one ear – 25%
Permanent disfigurement – Variable cover

Cover per adult 
R50 000
 
Cover per child  
R20 000
 
Cover per family 
R70 000

Family Funeral Cover

Member & Spouse

Child  ages 14 - 21  

Child ages 6 - 13

Child   ages 0 - 5 

Stillborn

R 10,000

R 5,000

R 2,500

R 1,250

R 500

 

 

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