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ZEST

Access to NetCare facilities in South Africa. 

Introduction of a Low Claims Bonus Benefit per family

The low claims bonus is introduced as reward mechanism for families with low levels of utilisation.

    • The bonus is for and after every three (3) years of active membership beginning January 2015.
    • The bonus will be paid for the family with a claims ratio of less than 65%.

Contributions

Contributions are as follows:

Adult

290

Child Under 18

174

Child Above 18 (student)

290

Benefit Limits Schedule

Benefit Limits Schedule

Anesthetic

20,000

Consultation

7,184

Dental

3,000

Gynecology

3,505

Hearing

2,811

Heart

1,874

Hospitalisation

40,000

Lab Test

3,000

Maternity (2 years)

6,000

Optical    (2 years)

1,500

Other

2,374

Physiotherapy

5,000

Prescription Drugs

4,000

Radiology

15,920

Surgery

40,000

Global Limit

156,168

Waiting Periods

 The following waiting periods will apply for the below services:

Consultation

3 months

Optical Services

6 months

Dental procedures

6 months

Hospitalisation

6 months

Maternity

9 months

Surgical Operations

6 months

MRI & CT Scan

12 months

Chemotherapy

24 months

Dialysis

24 months

Requirements

Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence

NB:  Subject to terms and conditions as specified in the Steward Health Policy available through our Membership and Subscriptions department.