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Essential medical cover such as your general trip to the doctor for all your common illness treatments. Includes medication, dentistry, radiology and more.

Day-to-Day Hospital PlanOut of hospital health cover Private Hospitalisation cover

Hospitalisation in the event of a medical emergency such as an accident, severe illness and maternity. Access to a wider choice of hospitals and doctors.

Maximum entry age is 54 (17 for Affinity Junior) for Both Day-to-Day and Hospital Plans.

Unlimited GP managed visits, Pre- and Post Natal Care including two growth sonars referred by your Affinity Health Provider, subject to Affinity Health’s Maximum Expenditure Formulary.

1 Monthwaiting period

DoctorConsultations

Specialist visit

Casualty roombenefit

Acute Medication

Radiology

Pathology

Out-of-networkvisit

Dentistry

Optometry

Family FuneralBenefit

Principal MemberSpouse and Children over the age of 14Children - over the age of 6Children - birth to 6 years of ageStillborn - from 28 weeks

R12 500R12 500R6 000R3 000R1 500

1 Specialist visit per member per year up to R700 or R1 300 per family as referred by the Network GP only. (Subject to pre-authorisation.)

Casualty Room treatment for accident or illness up to R2 500 per annum. Must be pre-authorized and only available after hours.

Linked to the doctor consultation dispensed by the Network Provider or obtained on script from a pharmacy linked to the Affinity Health Medicine Formulary.

Unlimited Basic Radiology linked to the doctor visit as referred by the Network Provider from the Radiology Formulary. Basic black and white x-rays only.

Unlimited Basic Pathology linked to the doctor visit as referred by the Network Provider from the Affinity Health Pathology Formulary.

Unlimited, according to Affinity Health’s Maximum Expenditure Formulary. Member pays GP and claims back.

Full mouth assessment, infection control, 2 intra oral radiographs, 1 scale and polish, extractions max 3 per year, 3 amalgam fillings.

One eye test and one set of standard frames and lenses per beneficiary per 24 months.

3 Monthwaiting period

1 Month waitingperiod forillness event

1 Monthwaiting period

1 Monthwaiting period

1 Monthwaiting period

1 Monthwaiting period

3 Monthwaiting period

12 Monthwaiting period

3 Monthwaiting period

Affinity JuniorExcluded

included in both day-to-dayand hospital plans.

Each benefit has its own applicable waiting period from date of inception.

Accidents are covered from date of inception for the Hospital Plan.

Family FuneralBenefit

Daily illnesshospital benefit

Specific statedconditions benefit

Accident Benefit

AccidentalPermanentDisability

Casualty RoomBenefit

24 HourEmergency

Dread Disease

Post Hospital Private Home Nursing for up to R10 000 as recommended by an Affinity Health Specialist.

Principal MemberSpouse and Children over the age of 14Children - over the age of 6Children - birth to 6 years of ageStillborn - from 28 weeks

R25 000R10 000R5 000R2 500R1 250

3 Monthwaiting periodAffinity JuniorExcluded

3 monthwaiting periodand 24 monthsfor pre-existing

Appendix RemovalKidney Stones - TheaterEctopic PregnancyHerniaGall Bladder RemovalMiscarriageMaternity - NaturalMaternity C-SectionHysterectomy

12 monthwaiting period

24 monthwaiting period forHysterectomy

R30 000R30 000R20 000R15 000R40 000R10 000R20 000R30 000R40 000

Up to R175 000 per single member per event. R275 000 per family per event.

No waitingperiod

R250 000 principal member or spouse only.

No waitingperiodAffinity JuniorExcluded

Casualty Room treatment for illness only up to R2 500 per annum. Must be Pre-Authorised and only available after hours.If a combined option is taken out the casualty room benefit increases to R4 000 per annum.

1 Monthwaiting periodfor illness event

24/7 emergency medical advice, ambulance services, inter-hospital transfers. Hospital pre-authorisation & arranging for guarantee of payment to the treating facility in the event of an accident.

No waitingperiod

thereafter R1 500 per day up to max of 21 days per member, per illness event.

Dayst1

th4 th5

nd2 rd3Day DayR8 500 R5 500 R5 000

Day DayR4 000 R4 000

R9 000 is payable per day upon diagnosis up to R200 000 according to severity, covering Heart Attack, Coronary Heart Disease, Stroke, Brain Tumour, Cancer, Kidney Failure, Major Organ Transplant, Paraplegia and Blindness.

6 monthswaiting period

R417p/m R197p/m eachR373p/mSingle Member Spouse Child - Max 6

Day-to-Day R549p/m R98p/m eachR494p/mSingle Member Spouse Child - Max 6

Hospital

Affinity Health (Pty) Ltd, the Product Supplier; National Risk Managers (Pty) Ltd, the Underwriting Manager (Juristic Rep of FSP 37213); Lion of Africa Life Assurance Company Ltd FSP 15283, the Insurer and its Services Providers reserve the right to decline any application for cover. This policy shall be voidable in the event of misrepresentation, mis-description or non-disclosure by or on behalf of an insured person of any particular material fact to this insurance. Terms and conditions as contained in the policy document apply.

R846p/m R263p/m eachR769p/mSingle Member Spouse Child - Max 6Combined

R648p/m

R395p/m

R549p/m

R846p/m

R197p/m

R131p/m

R263p/m

R200p/m eachR581p/mSingle Member

Single Child

Single Child

Single Child

Additional Child - Up to 6 children

Additional Child - Up to 6 children

Additional Child - Up to 6 children

Spouse Child - Max 4

Ages 55 to 64 years Ages 0 to 17 years

Day-to-DayDay-to-Day Only

Hospital

Combined

Junior planSenior planBenefits as stated on our Day-to-Dayand Hospital cover (includes combined).* Standard waiting periods apply.

Benefits as stated on ourDay-to-Day cover only.* Standard waiting periods apply.

We help ease the confusion and stress in the event of an emergency and we look after your child's well-being for day-to-day worries.

Day-to-Day healthcare benefits for clients over the age of 55. With our Affinity Health Senior plan you benefit from access to a wider range of healthcare.

The insured appliesto the child only

Chronic Medication BenefitWhen taking the cover yourCombinedFamily Funeral Benefits areautomatically increased.

Optional Accident Booster

Linked to the doctor consultation. Dispensed by the Network Provider or obtained on script from a pharmacy linked to the Affinity Health Medicine Formulary. 6 Month waiting period

R58p/m PER CHRONIC CONDITION

Cover available for over 23 different chronic conditions.

(Affinity Junior not included)

Principal MemberAdults & Children over 14Children 6 to 14Birth to 6Stillborn from 28 weeks

R30 000R15 000R10 000R5 000R2 500

Optional ICU Add-On BenefitR12 500 Intensive Care Unitcover per day for 5 days.

Additional for single member. Additional for family.R65p/m R130p/m

Single Family

OPTION OPTIONPREMIUM PREMIUMCOVER COVER

Level 1 Booster coverLevel 2 Booster coverLevel 3 Booster coverLevel 4 Booster coverLevel 5 Booster coverLevel 6 Booster coverLevel 7 Booster coverLevel 8 Booster coverLevel 9 Booster cover

R67 R134 R201 R268 R335 R402 R469 R536 R603

R250 000R350 000R450 000R550 000R650 000R750 000R850 000R950 000R1 050 000

R132

R264

R396

R528

R660

R400 000

R550 000

R700 000

R850 000

R1 000 000

Level 1 Booster cover

2 Booster coverLevel

3 Booster coverLevel

4 Booster coverLevel

5 Booster coverLevel

Maximum entry age is 54 (17 for Affinity Junior) for Both Day-to-Day and Hospital Plans.

Each benefit has its own applicable waiting period from date of inception.

Accidents are covered from date of inception for the Hospital Plan.

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Diabetes

from R391p/m

Depression

from R161p/m

Bipolar

from R334p/m

MenopauseHRT for women

from R219p/m

Includes 2 GP consults and formulary blood tests.

Chronic Booster We offer additional cover for Chronic Medication for four specific chronic illnesses over and above the Chronic Essential Medication benefit on our Day-to-Day plan. 6 Month waiting period

Chronic Essential

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Affinity Health (Pty) Ltd, the Product Supplier; National Risk Managers (Pty) Ltd, the Underwriting Manager (Juristic Rep of FSP 37213); Lion of Africa Life Assurance Company Ltd FSP 15283, the Insurer and its Services Providers reserve the right to decline any application for cover. This policy shall be voidable in the event of misrepresentation, mis-description or non-disclosure by or on behalf of an insured person of any particular material fact to this insurance. Terms and conditions as contained in the policy document apply.