Elixi is a health insurance offering from Talksure, an independent financial services provider. So here we will have a look at a health plan from Elixi.
Elixi Health Insurance plans are designed to be affordable, offering medical insurance for day-to-day, in-hospital and also out-of-hospital treatment using specific network providers.
So Elixi Health Insurance aims to make private healthcare accessible to more South Africans, in addition to a range of plans to suit your needs and your budget. So below is an overview of the five plans offered by Elixi.
Gold Plan – Health Plan from Elixi
The following Gold plan would be the plan that offers the most comprehensive cover from Elixi.
- Cover starts from R472
- Unlimited GP visits (over 1700 network GPs nationwide)
- Minor procedures covered in GP visits (such as wound stitching, cast application etc.)
- Unlimited acute medication (up to R2750 per person per year)
- Chronic medication for seven listed “high impact” conditions and HIV/AIDS
- Unlimited basic radiology & pathology (with GP referral)
- Also, basic & emergency dentistry (for pain, sepsis and extractions; over 2200 network dentists nationwide)
- Optometry benefits (at a network optometrist)
- Maternity benefits (2 specialist visits & 2 ultrasound scans per year)
- Also, in-patient emergency stabilisation (limited to R17500 per insured person per incident)
- In-patient hospital treatment following an accident (limited to R1000000 per insured person per incident)
- Out-patient casualty treatment following an accident (limited to R5000 per insured person per incident)
- Also, emergency services – hospital pre-authorisation, inter-hospital transfers, ambulance services & repatriation of remains)
- Accidental death benefit
- Wellness screenings
- Helpline access (GP or nurse)
- C5 HIV Prevention programme
- Trauma counselling
Purple Plan
- Cover starts from R394
- Unlimited GP visits (over 1700 network GPs nationwide)
- Also, minor procedures covered in GP visits (such as wound stitching, cast application etc.)
- Unlimited acute medication (up to R2750 per person per year)
- Unlimited basic radiology & pathology (with GP referral)
- Maternity benefits (2 specialist visits & 2 ultrasound scans per year)
- In-patient emergency stabilisation (limited to R17500 per insured person per incident)
- Also, in-patient hospital treatment following an accident (limited to R200000 per insured person per incident)
- Out-patient casualty treatment following an accident (limited to R5000 per insured person per incident)
- Accidental death benefit
- Wellness screenings
- Also, emergency services – hospital pre-authorisation, inter-hospital transfers, ambulance services & repatriation of remains)
- Helpline access (GP or nurse)
- C5 HIV Prevention programme
- Trauma counselling
Green Plan – Health Plan from Elixi
- Cover starts from R377
- Unlimited GP visits (over 1700 network GPs nationwide)
- Minor procedures covered in GP visits (such as wound stitching, cast application etc.)
- Unlimited acute medication (up to R2750 per person per year)
- In-patient emergency stabilisation (limited to R17500 per insured person per incident)
- In-patient hospital treatment following an accident (limited to R200000 per insured person per incident)
- Emergency services – hospital pre-authorisation, inter-hospital transfers, ambulance services & repatriation of remains)
- Out-patient casualty treatment following an accident (limited to R5000 per insured person per incident)
- Accidental death benefit
- Wellness screenings
- Helpline access (GP or nurse)
- C5 HIV Prevention programme
- Trauma counselling
Blue Plan
- Cover starts from R297
- Unlimited GP visits (over 1700 network GPs nationwide)
- Also, minor procedures covered in GP visits (such as wound stitching, cast application etc.)
- Unlimited acute medication (up to R2750 per person per year)
- Unlimited basic radiology & pathology (with GP referral)
- Also, maternity benefits (2 specialist visits & 2 ultrasound scans per year)
- Wellness screenings
- C5 HIV Prevention programme