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A Guide to Medical Insurance for Retirees

At any age medical facilities and treatment are important, but perhaps as we get older their importance becomes more prominent. We all want to know that in a time of illness or injury that we can access appropriate medical care and be looked after by professionals.

Few companies still offer retiree benefits. And even if your employer currently says that it will cover you when you retire, unfortunately, there is no guarantee it won’t break that promise 10, 20 or 30 years down the line.

Do I, as a retiree, need medical aid/insurance?

Whilst you are not required to have medical aid/insurance, it is recommended. Although the State hospitals have the expertise to be able to professionally assist in an emergency situation, the real concern is whether they have the capacity to handle you at all. The State facilities are often over utilised and so there are long waiting periods before you can be attended to, which can be detrimental if you need urgent medical attention – even in an emergency. Therefore, the need for Medical Insurance, even just a hospital plan, is very high.

With medical insurance, you have access to benefits like unlimited private Network GP visits and acute medicine, but without the expensive cost of private medical care! It can also be used as a top-up product for when your medical aid savings runs out.

What options are available for Private Medical Cover?

There are a variety of different options out there, from base hospital plans that only cover you when you are admitted into hospital to the high-end plans that would pay for out of hospital expenses including Doctors, Dentists, Specialist and Medication.

What does medical insurance cover?

Being on a South African Medical Insurance would allow you to go to a private hospital with the peace of mind that your stay will be covered (if it is pre-authorised).

Elixi offers 4 tiers of medical insurance to suit your needs and your budget. All plans include:

Unlimited Network GP Visits Coverage

All of our plans give you unlimited access to the Unity Health Network General Practitioners of over 2700 GP’s nationwide. Minor GP procedures are included in your visits to the GP.

Nurse Consultations

You will have access to a network of Nurse practitioners, during the normal consulting hours at approved pharmacy clinics for minor ailments. In many practices’ nurses can provide scripts for minor ailments for up to schedule 2 medications.

Acute Medication

Acute medication is prescribed for a short period of time often to combat a temporary illness. Acute medication will be dispensed or prescribed by a Network GP for acute illnesses.

Basic Pathology Blood Tests

A basic list of blood tests is covered if you receive a referral from your Network GP. During your visit, your Network GP will advise you if blood tests are necessary.

Basic Radiology X-rays

Basic X-rays are covered on referral by a Network GP. Your Network GP will advise you if X-rays are needed.

Wellness Screenings

“A stitch in time saves nine.” Keeping on top of your health can help you stay healthy or stop something disastrous from happening. That’s why we offer wellness screenings

Wellness Screenings include health checks for:

  • Blood pressure
  • Cholesterol
  • Glucose levels
  • Body mass index (BMI)
  • Waist circumference
  • Available at your nearest approved pharmacy.

Pap Smears

Detecting cervical cancer early with a Pap smear gives you a greater chance at a cure. A Pap smear can also detect changes in your cervical cells that suggest cancer may develop in the future. Detecting these abnormal cells early with a Pap smear is your first step in halting the possible development of cervical cancer.

PSA Screening

Cancer screening means looking for cancer before it causes symptoms. The goal of screening for prostate cancer is to find cancers that may be at high risk for spreading if not treated, and to find them early before they spread

Prostate-Specific Antigen (PSA) Screening is available once every 2 years after the age of 50. Available at Clicks and Dischem pharmacies.

Vaccination Programme

Available at approved Dischem and Clicks pharmacies, vaccinations for influenza, tetanus, hepatitis, and pneumococcal are available to you.

Our Gold Plan of medical insurance is particularly popular amongst retirees, as it not only offers all the above benefits but also:

  • Chronic Medications
  • Access to Accident and Emergency services
  • In-Patient Stabilisation – Emergency or Casualty Unit Only
  • In-Patient Hospitalisation – Accident Only
  • Medical Emergency Services
  • MRI & CT Scans – Accident Only
  • Physio & Occupational Therapists – Accident Only

Our Gold Plan above, like all our plans, has specific cover levels, terms and conditions. Contact Elixi today and we will gladly help you find the right medical insurance solution for you.

Let’s start your quote

  • (e.g. 0860333343)

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