Medical Insurance from as little as R11 per day? Yes, you heard right! With Elixi Medical Insurance you can enjoy benefits like Unlimited GP (General Practitioner) Visits, Basic and Emergency Dentistry at a network medical professional and so much more!
Quality healthcare is important for you and your family! Don’t let rising medical costs become a concern. Everybody has different healthcare priorities, that’s why our medical insurance plans are designed to suit everybody’s budget.
If you want to avoid expensive medical costs, but still enjoy private medical healthcare, Elixi Medical Insurance can help. We offer affordable medical insurance plans using specific providers in our network for both day to day health care, in-hospital and out-of-hospital treatment in the event of an emergency or accident.
Compare our plans and request a callback, we’ll explain all the benefits and help select the right plan for you.
Access to Unity Health Network General Practitioners, at the consulting rooms of the GP during the normal consulting hours of the Network GP.
Minor GP procedures are included in your visits to the GP. For example stitching of a wound, application of a cast to a broken limb etc.
There are over 1700 Network GP’s nationwide.
Unlimited visits per person, per year. Pre-authorisation required for 10 or more GP visits per person, per year.
Acute medication will be dispensed or prescribed by a Network GP for acute illnesses at one or more consultations if required and subject to a list of medication.
Dispensing GP: If your GP dispenses medication, you will get everything that you need during your visit.
Non-dispensing GP: If your GP does not dispense medication. You will receive a prescription, which you can collect from the pharmacy.
Limited to medicine prescribed during GP visits. Limited per person, per year.
All acute medication is subject to a formulary.
Unlimited blood tests are provided if you receive a referral from your Network GP.
Subject to a list of basic blood tests e.g. cholesterol, glucose test.
During your visit, your GP will advise you if blood tests are necessary.
Basic X-rays (black & white) are covered on referral by a Network GP.
Your GP will advise you if X-rays are needed.
Subject to a list of X-ray procedures. Specialised radiology such as MRI, CT scans are not covered.
Black Plan covers 3 gynaecologist visits and 3 ultrasound scans per year, while Blue, Purple and Gold Plans cover 2 gynaecologist visits and 2 ultrasound scans per year.
You may go to any gynaecologist. Upfront payment may be required but will be reimbursed to you. If you prefer to have an ultrasound scan at your Network GP, we will not count this as an additional GP visit.
Limits apply per family, per year.
Wellness Screenings include health checks for:
Available at your nearest Dischem and Clicks pharmacies.
Limited to one screening per person, per year.
A benefit is payable in the event of the death of the principal insured person and/or the spouse of the principal insured person due to an accident.
Limited to one spouse.
Black and Gold Plans offer access to chronic medication. Covers medication for the following specified “high-impact” chronic conditions:
Access to a Unity Health Network Dental Practitioner or Unity Health Network Dental Therapist and subject to a list of dental procedures.
Specialised dentistry (such as bridges or crowns) is not covered. Orthodontic treatment (such as braces or dentures) is not covered.
There are over 2 200 network dentists nationwide.
Limits apply per person and family, per year.
Access to a PPN network optometrist for an annual optometric wellness examination.
And, if required, a standard frame to the value of R254 and one pair of clear standard spectacle lenses per person, per 24 months subject to the qualifying norms.
One eye test per person, per year.
Subject to Network GP referral. Specialist visits limited per family, per year.
Available once every 3 years after the age of 21. Available at Clicks and Dischem pharmacies. Your Network GP may or may not offer Pap smears.
Available at approved Dischem and Clicks pharmacies.
Influenza: Available annually and needs to be administered by 31 May each year.
Tetanus: Available once every 10 years.
Hepatitus A & B: Available once-off.
Pneumococcal: Available once every 5 years for those aged 60 or older and for those individuals with a medically proven compromised immune system.
The actual cost of hospitalisation as an in-patient, in the event of an emergency that necessitates the stabilisation of the patient in an emergency unit before the patient is transferred to a public hospital.
Limited per insured person, per incident.
The actual cost of hospitalisation as an in-patient, including all associated services during the hospital admission at a private facility in the event of injuries sustained due to an accident.
Planned medical procedures are not covered; e.g. hysterectomy, hip replacement.
Limits apply per insured person, per incident.
The benefit payable for injuries sustained in the event of an accident shall be limited to treatment received in a hospital emergency unit.
Limits apply per incident.
Hospital pre-authorisation and guarantee of payment to the treating facility.
Ambulance services (air or road). Telephonic medical advice. Inter-hospital transfers.
Repatriation of mortal remains within the borders of South Africa.
Unity Health push to call emergency dialling, geo-locating and find a provider mobile app.
The actual cost of an MRI or CT scan necessitated as a result of an injury sustained due to an accident. Pre-authorisation is required.
Limited per insured person, per year.
Physiotherapy & Occupational Therapy following an in-patient hospitalisation due to an accident.
Limited to a period of 3 months following the discharge from an in-patient hospitalisation incident. Pre-authorisation is required.
Limited per insured person, per year.
The 24 hour GP helpline is staffed by medical professionals providing advice and assistance to members.
Members will be able to discuss a number of medical-related matters with a qualified GP and or nurse on the following:
If a member is exposed to HIV through a trauma or assault, the member will have access to:
If a member is involved in a traumatic event or is witness to a traumatic event, the member will have access to:
Limits apply per event.
This service will provide members with a callout and up to one hour’s labour (initial fault only), for emergency events that relate to plumbing, electrical faults, faults with appliances, damage to external windows, and emergencies where a locksmith is required.
Professional, in-house, qualified legal advisors who provide advice to members on any legal topic or matter ranging from debt and divorce to labour and domestic violence, 24/7. The legal service also provides for standard legal documents such as a domestic worker employment contract, maintenance kit, offer to purchase, small claims court kit, Road Accident Fund, etc.
Talksure Trading (Pty) Ltd is an authorised financial services provider (FSP 42788), and offers broker and intermediary solutions with a range of insurance products, including medical insurance. Talksure takes great pride and responsibility in being an FSP and created the Elixi Medical Insurance brand to meet growing customer demand in the medical insurance space.
Unity Health is a division of Ambledown Financial Services (Pty) Ltd (FSP 10287). Unity have partnered with Elixi Medical Insurance to help create quality health care at an affordable price. Unity are the underwriting managers on behalf of the insurer Constantia Insurance Company Limited (FSP 31111). Unity Health administers the policies sold under the Elixi brand and manage the network of service providers offered by Elixi Medical Insurance.
Unity Health and Elixi Medical Insurance have partnered with one of South Africa’s top providers of emergency medical services. Their services to Elixi Medical Insurance members includes a 24-hour call centre to deal with emergencies, in-patient and out-patient hospital admissions, verifying membership, and issuing guarantee of payments (GOPs) to Elixi Medical Insurance members.
MEDICAL INSURANCE DISCLAIMER: This is not a medical scheme and the cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership. The benefits are subject to waiting periods and applicable limits. These are outlined in the policy wording which you are required to read and understand. T&Cs apply. The increase would be based on risk and inflation rates. This is not your policy wording and for the full disclaimer please go to www.elixi.co.za/disclaimer-notice
GAP COVER DISCLAIMER: This is not a medical scheme and will not be a substitute for medical scheme membership. It fills the GAP between what is covered by your Medical Aid, and the actual amount charged by your medical practitioner for in-hospital procedures. This is not your policy wording and for the full disclaimer please go to www.elixi.co.za/disclaimer-notice
Please note that the premiums presented on this website are based on the current rates and is subject to an increase which should take place in December 2018. The increase would be based on risk and inflation rates.
Constantia Insurance Company Ltd – an authorised FSP 31111. Talksure Trading (Pty) Ltd – an authorised FSP 42788. Ambledown Financial Services (Pty) Ltd – an authorised FSP 10287.