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Family Crises Health Plan for the Presented by PSG Konsult.

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Presentation on theme: "Family Crises Health Plan for the Presented by PSG Konsult."— Presentation transcript:

1 Family Crises Health Plan for the Presented by PSG Konsult

2 Hospital Cover HIV Cover Travelers Cover Funeral Cover Emergency Transport Covers principal, spouse and all children Membership is compulsory for all Contract Cleaners This is not a medical aid! R50 per family per month

3 Contribution The monthly contribution is R50 per family per month Subsidy = 2.5% of salary with the balance subsidised by the employer 4 Month Maternity waiver No contributions = no cover

4 Family Eligible spouse means the spouse of the principal insured person Where a person shares an abode with a principal insured person and has done so for six months and live together in the manner of a legally married couple the person shall be regarded as a spouse Eligible child means any child including a legally adopted or step child including any child that is fully dependant on the principal insured person who has not attained the age of 21 (25 if unmarried and studying full time) No age restriction for children who are mentally or physically handicapped and fully dependant on the principal member

5 Hospital Cover Pays R100 per 24 hour admission in hospital Pays R150 per 24 hour admission in ICU Pays R200 per 24 hour admission in hospital where more than one family member is hospitalised for the same incident Sub-limit of R5 000 per member per annum iro TB to a maximum of R per family per annum

6 Travelers Cover This plan will provide a lump sum benefit for accidental death as a result of making use of any form of registered public transport, ie taxis, trains, busses and registered vehicles The benefit will be as follows: Principal member and Spouse = R Eligible child = R12 000

7 Funeral Cover Upon the death of an eligible member, the following benefit shall be paid upon receipt of all required documentation MemberBenefit Principal MemberR5 000 SpouseR5 000 Child R5 000 Child R4 000 Child 0 - 5R3 000 StillbornR1 000

8 HIV Help Line In the event of accidental exposure to the HIV Virus, the member will have unlimited free access to the Lifesense Trauma Line which provides 24 hour professional counselling and guidance for –Reporting of any incident –Obtaining HIV information and advice –Advice on how to access AZT and 3TC starter packs, the morning after pill and STD medication –Combination anti-retroviral therapy for 28 days (upon the initial Elisa test being negative)

9 Emergency Medical Transport Only via ER24 Only for medical emergencies In certain high crime areas, members will be asked to get to the nearest police station where the ambulance will meet them

10 How to Claim Contact the PSG Konsult Member Support Unit on and request a claim form Submit the claim and all the necessary documentation within 6 months of the incident (claim will not be paid if it is older than 6 months) Death claims will be paid within 2 to 3 working days (upon receipt of all documentation) Hospital claims will be paid within 7 to14 working days (upon receipt of all documentation)

11 For all queries please contact the PSG Member Support Unit on or send your queries to


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