r322 per family/single member per month · help arrives. • assessing day-to-day symptoms: give...
TRANSCRIPT
R322 per family/single member per month
Core Benefits
• Emergency accident hospital cover of up
to R126 000 per dependant per year
• Full maternity benefit of up to R30 000
• Netcare 911 Emergency Services
• Unlimited HIV, Trauma and Assault
Counselling
Value-added Benefits
• Comprehensive Family Funeral Plan
• 24-hour health advisory services by
qualified medical practitioners
• Discount digital coupons redeemable at
Dis-Chem, Shoprite, Checkers and
CheckersHyper
GetSavvi Health’s Get Care Plan offers emergency hospital cover so that you don’t have to deal with the burden of high costs in an emergency if you need hospital care. This option is perfectly packaged for you with value-added benefits like comprehensive funeral cover, emergency services, counselling and more.
OUR GET CARE PLAN OFFERS YOU AND YOUR FAMILYTHE FOLLOWING BENEFITS:
Page | 01
ContentsWHY CHOOSE GETSAVVI HEALTH?
WAITING PERIODS, EXCLUSIONS & LIMITATIONS
CLAIMS PROCESS
HOW TO GET IN TOUCH
CORE BENEFITS
VALUE-ADDED BENEFITS
• Comprehensive Family Funeral Plan ................................. 08
• 24-hour Health Advisor ....................................................... 09
• GetSavviSavings Coupons ................................................... 10
• FeelBetterFast .................................................................... 11-12
• Emergency Hospital Cover ............................................... 04
• Maternity Benefits ............................................................... 05
• Netcare 911 Emergency Services .................................... 06
• Unlimited HIV, Trauma & Assault Counselling ............. 07
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Maternity cover of up to
R30 000 at a private hospital.
No more waiting for your
membership card – get a digi-card
that you can print and present to
your service provider.
Value-added benefits like
comprehensive funeral cover,
24-hour health advice, STD
medication, counselling and
monthly discount coupons at
no extra cost.
One cost covers the whole family. No joining fees.Unlimited children covered.
Over 2 500 network
providers available nationwide.
Certified as the Best Medical
Insurance Provider 2019 in
South Africa at the Healthcare &
Pharmaceutical Awards 2019.
Our GetSavviSavings Coupons will
help you save on your shopping
every month up to R250 at Shoprite,
Checkers and CheckersHyper and up
to R250 at Dis-Chem.
GetSavviHealth?
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Our 24-hour Health Advisor benefit
offers you and your family telephonic
medical advice, anytime, anywhere.
Benefits
EMERGENCY HOSPITAL COVER
YOU’LL HAVE ACCESS TO THE FOLLOWING HOSPITAL BENEFITS:
• Emergency Casualty Benefit: Outpatient hospital treatment in an emergency for injuries
sustained as the result of an accident, limited to R6 680 per insured person per annum.
• Emergency Stabilisation Benefit: Inpatient hospital treatment in an emergency for
stabilisation of the patient in a private/public hospital emergency unit, limited to
R19 500 per insured person per annum.
• Personal Accident Benefit: Inpatient hospital treatment, including all associated services
at a private facility for injuries sustained due to an accident, limited to R126 000 per
insured person per annum.
Our Emergency Hospital Cover benefit offers peace of mind so that you don’t have to deal
with the burden of high hospital costs in an emergency should you need hospital care.
These are the essential services on your plan to support your healthcare needs and give you and your family peace of mind.
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YOU HAVE THE OPTION OF
CHOOSING ONE OF TWO BIRTH PROCEDURES:
1
2
Cover of R20 000 for a normal birth. A normal birth is
defined as when the infant is born spontaneously (without
help) in the vertex position (head down) between 37 and 42
completed weeks of pregnancy.
Cover of R30 000 for a caesarean delivery (C-Section).
A C-Section is a surgical procedure used to deliver a baby
through incisions in the abdomen and uterus.
MATERNITY BENEFITSStarting a family is a very special occasion. That’s why we at GetSavvi
Health want to make this time as seamless as possible in terms of your
medical needs.
Your maternity cover will include visits to the gynaecologist and
ultrasound scans as well as the costs related to birth.
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WHAT TO DO IN A MEDICAL EMERGENCY:
NETCARE 911 EMERGENCY SERVICES We have an ongoing partnership with one of South Africa’s leading emergency services
providers, Netcare 911, to guarantee you excellent emergency cover when you need it.
This means that you have access to your Netcare 911 Emergency Services benefit 24 hours a
day, seven days a week.
In the unfortunate event of an emergency, you can contact the emergency number:
082 911. Netcare 911’s trained staff will assess your emergency over the phone, provide you
with assistance and then dispatch an air or road ambulance, whichever is most appropriate.
1
2
3
Call Netcare 911 Emergency Services on 082 911.
If someone is calling on your behalf,
tell them to call 082 911.
Tell the Netcare 911 operator that you’re a GetSavvi
Health member – they will prompt you or the
caller through all the information they require to
get help to you fast.
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HIV ASSISTANCE PROGRAMME
With this benefit you can make use
of telephonic advice 24 hours a day,
seven days a week.
THIS MEANS THAT YOU’LL HAVE ACCESS TO:
Counselling and advice
• 24/7 365 days a year
telephonic counselling and support
• Directed to where a member
can receive antiretroviral therapy (ART)
• Directed to where a member can get
face-to-face counselling (optional)
Treatment
• HIV test 48 hours after exposure
• Starter pack of 3 days’ ART
• Combination ART for 28 days
• Sexually transmitted diseases
(STD) medication
• Alternative therapies (R1 500)
• HIV test 90 days after exposure
1
2
HEALTH ADVISOR
This benefit offers members
a better understanding of all chronic
illnesses and diseases such as HIV/
Aids, cancer, diabetes and asthma,
etc., with specific advice to help the
patient and those around them better
cope with their circumstances.
THE SERVICES OFFERED BY THE HEALTH
ADVISOR INCLUDE, BUT ARE NOT LIMITED TO:
Assisting members in
managing and living with their
condition to the best of their ability.
Where members suffer from
addiction, nurses offer advice on
coping skills or are able to refer
members to appropriate medical
care clinics.
1
2
TRAUMA ASSISTANCE PROGRAMME
The Care Centre hotline will offer you
telephonic or face-to-face trauma
assistance in the case of:
• Rape
• Hijacking
• Assault
• Mugging
• Armed robbery
• Domestic violence
• Suicide
• Murder
• Vehicle accidents
• Natural disasters
• Bereavement counselling.
This hotline is available 24 hours a day,
seven days a week. The phone lines are
staffed by trained medical personnel
who have extensive experience in
providing necessary care and support.
UNLIMITED HIV, TRAUMA AND ASSAULT COUNSELLING
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BenefitsThese support your core benefits by providing additional options and services for you and your family.
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In the unfortunate event of losing a loved one, the last
thing you want is to be burdened with high funeral costs.
With GetSavvi Health’s Comprehensive Family Funeral
Plan, you’ll be assured complete cover for death and
the funeral for you and your family. This benefit will
provide you with much-needed funds to plan a funeral
and honour your loved one.
COMPREHENSIVEFAMILY FUNERAL PLAN
Participant Cover
Main Member (aged 18-60) R13 500
Spouse R13 500
Children (aged 14-21) R13 500
Children (aged 6-13) R6 750
Children aged up to 5 years (including stillborn) R3 375
FUNERAL COVER BENEFITS FOR YOU,
YOUR SPOUSE AND CHILDREN:
If you or a member of your family is
feeling ill, it’s best to always speak to a
professional instead of searching for
your answers elsewhere. We offer a
Health Advisor benefit that will give you
quick and reliable health-related advice.
You’ll get access to professional
assistance for any of your health
queries 24 hours a day, 365 days a
year, offered in the majority of the
official South African languages.
24-HOURHEALTH ADVISOR
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THIS BENEFIT INCLUDES ACCESS TO:
• Emergency medical advice: assist with first-aid until medical
help arrives.
• Assessing day-to-day symptoms: give information on illnesses
and guidance for home care.
• Important health knowledge: explaining medical terms,
results of tests, procedures and diet.
• Drug database: assist with information on a specific drug.
• Poisoning: addressing immediate and long-term needs,
with referral to a medical facility and dispatching an
ambulance for a critical patient.
• Health counselling: provide understanding of chronic
ailments such as cancer, HIV/Aids, diabetes or asthma, etc.
• Stress management: provide counselling, advice and
relaxation techniques.
• Trauma debriefing: after a debrief, you’ll be invited to call
back and be referred to a professional trauma counsellor if
needed.
To make use of this benefit, simply call 082 911 and
ask to speak to a nurse. The nurse will then assess
your symptoms and provide you with medical advice
and what steps need to be taken.
GETSAVVISAVINGS COUPONSGetSavvi Health members are able to cut their grocery expenses by up to R250 as well as non-medical pharmacy costs by an additional R250 with our list of monthly discount coupons.
HOW DOES IT WORK?
GetSavvi Health members will receive a monthly SMS with a link to a
mobile website where they’ll have access to digital discount coupons.
Please note that all retrieved coupons will be valid for 24 hours after
which they will expire and need to be regenerated when the member
is ready to use them.
The member will then provide the cashier with the digital coupon
once all of their products have been rung up and the products with the
same discount values that are available will be deducted automatically.
Coupons vary each month for a range of in-store products from
tinned food and fresh produce to cleaning and beauty products.
24hLimit
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REDEEM AT:
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FEELBETTERFAST
GetSavvi Health’s FeelBetterFast forms part of our day-to-day
benefits, offering you even more convenience and peace of mind should
you fall ill.
With this benefit we’ll help you nip any minor illness in the bud. If you don’t
have the time to schedule an appointment with your doctor or are unable
to get off sick from work, then FeelBetterFast will help you get better fast.
It offers access to pharmacy visits for a list of specified conditions, with
professional care and medication at your closest network pharmacy to get you
back on track quickly. Members also have access to selected acute medication
(subject to a formulary). And you won’t have to make any co-payments.
HOW DOES FEELBETTERFAST WORK?
If you’re suffering from a minor ailment covered on the list, contact our Care
Centre on 0861 18 92 02. You’ll be directed to the closest network pharmacy
and issued with an electronic voucher via your cell phone. Visit the clinic at the
pharmacy and present the voucher to the nurse or pharmacist.
WHICH PHARMACIES FORM PART OF THE FEELBETTERFAST NETWORK?
The FeelBetterFast benefit is available at all Pick n Pay Pharmacies across the country.
We also have a list of network facilities nationwide. Simply contact our Care Centre
and a GetSavvi Health consultant will help you find one closest to you.
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KNOW YOUR NUMBERS
THIS BENEFIT INCLUDES THE FOLLOWING HEALTH
ASSESSMENT TESTS DONE BY A NURSE OR PHARMACIST:
• Blood pressure
• Cholesterol
• Glucose
• Weight
• Smoking status
The nurse or pharmacist will provide you with a full health
report with the above test results, along with accompanying
information on how to keep your numbers in check.
WHAT AILMENTS ARE INCLUDED IN THE
FEELBETTERFAST BENEFIT?
THESE AILMENTS INCLUDE, BUT ARE NOT LIMITED TO:
• Muscle sprain or strain • Stomach cramps
• Diarrhoea and nausea • Backache
• Insect bites and stings • Colds and flu
• Headaches and migraines • Earache
• Hay fever and sinusitis • Toothache
ProcessNow you have several easy ways to make a claim:
1
Contact our claims
team on 0861 18 92 02 and our
professionally-trained agents will
assist you step by step.
2
Log on to our website at
www.getsavvi.co.za via the
internet or smartphone, click the
“Login” tab and submit your claim
immediately online.
3
Dial *120*8371# from any
cellphone, follow the prompts
on how to claim and one of our
professionally-trained agents will
call you back.
Our claims team will handle all claims during office hours from
8am to 5pm on weekdays and 9am to 1pm on Saturdays and
public holidays. All claims submitted after hours will be handled
the following working day. All valid claims will be processed
and paid for at predetermined and negotiated scheme rates.
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1. COMPREHENSIVE FAMILY FUNERAL PLAN
2. MATERNITY BENEFITS
A waiting period of two years will apply for death
due to suicide. This means that no benefit will be
paid if suicide is committed within the first two
years of the policy being entered into.
No benefit will be paid if a participant has been out
of the Republic of South Africa for a period of more
than 12 concurrent months immediately before
the participant’s death. Each participant must be a
resident within the Republic of South Africa.
YOUR MATERNITY BENEFITS
HAS BEEN UPGRADED!
Current members still have the use of: a specialist
gynaecologist, limited to two gynaecologist visits and/
or two ultrasound scans per pregnancy. This benefit
will be available until 31 December 2020 after which
the new maternity benefit will apply.
2Years
The waiting period for your new maternity benefits
is 12 months, effective 1 January 2020. This means
that you may access this benefit from 1 January 2021.12Months
31Dec
2020
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Exclusions &Limitations
In Touch
WWW.GETSAVVI.CO.ZA
0861 18 92 02
0862 46 56 35
PO BOX 378, CAPE GATE, 7562
@GETSAVVIHEALTH
@GETSAVVI
Page | 15GetSavvi Health is an authorised Financial Services Provider FSP No. 44283, underwritten by African Unity Life Limited, a registered long-term insurer, FSP No. 8447. GetSavvi Health is a medical insurance plan, not a medical aid scheme, and adheres to the long- and short-term insurance acts. Ts & Cs apply.