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Page 1: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

R322 per family/single member per month

Page 2: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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

Page 3: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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

Page | 02

Page 4: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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?

Page | 03

Our 24-hour Health Advisor benefit

offers you and your family telephonic

medical advice, anytime, anywhere.

Page 5: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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.

Page | 04

Page 6: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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.

Page | 05

Page 7: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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.

Page | 06

Page 8: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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

Page | 07

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BenefitsThese support your core benefits by providing additional options and services for you and your family.

Page | 08

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:

Page 10: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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

Page | 09

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.

Page 11: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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

Page | 10

REDEEM AT:

Page 12: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

Page | 11

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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Page | 12

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

Page 14: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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.

Page | 13

Page 15: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

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

Page | 14

Exclusions &Limitations

Page 16: R322 per family/single member per month · help arrives. • Assessing day-to-day symptoms: give information on illnesses and guidance for home care. • Important health knowledge:

In Touch

WWW.GETSAVVI.CO.ZA

0861 18 92 02

0862 46 56 35

[email protected]

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.