United Solutions Group Benefits
note: there is a 3 month waiting period on benefits below
DOCTORS
General Practitioner consultations paid paid in full at a network provider
MEDICATION
Medicine scripts per year only when dispensed at your GP visit
RADIOLOGY - on referral from GP
Paid up to a maximum limit per year for black and white x-rays
PATHOLOGY - on referral from GP
Paid up to a maximum limit per year only on request from the GP and in collaboration with a GP visit
HOSPITALISATION
Accidental Private Hospital cover paid up to a maximum per year
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EMERGENCY SERVICES - ACCIDENTAL AMBULANCE
Ambulance services anywhere in South Africa after pre-authorisation from call centre paid up to a maximum per year
DENTISTRY
Dentist Consultations
Fillings
X-rays
Extractions
Emergency Pain Relief Treatments
Scale and Polish
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FUNERAL COVER
2
​
2
R800
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​
​
R800
​
R25 000
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​
​
R15 000
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2
2
2
2
2
1
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R10 000
3
​
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3
​
R800
​
​
​
R800
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R50 000
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​
​
R15 000
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​
2
2
2
2
2
1
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R15 000
Only Network DOCTORS & DENTISTS on our list may be used to access the GP, Medication and Dental benefit.
1.
These doctors dispense meds on site so you save TIME by not still having to go to a pharmacy!
2.
WHAT WE MEAN WITH ACCIDENTAL HOSPITALISATION AND ACCIDENTAL EMERGENCY SERVICES - A sudden, unforeseen, unusual and unexpected specific event, which is unintended, arises from a source external to the Insured, is independent of illness, disease or other bodily malfunction, which occurs at an identifiable time and place during the period of the Policy.
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The sudden and, at the time, unexpected injury that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the person’s life in serious jeopardy.
3.
When injury takes place due to an accident as defined above and you are unable to get the a hospital for emergency treatment on your own call 0861 333 621 immediately. We will asses the injury and dispatch a ambulance via road or air
4.
You have access to any hospital in SA for emergency injury treatment. The call centre must be notified of your hospital treatment on 0861 333 621
5.
A valid death certificate is required to access this benefit. The ID of the deceased + the death certificate must be emailed to us to request a claim form.
6.
