Our flagship offering, the Titanium Executive Plan, is designed for those seeking the highest level of medical cover and peace of mind. This premium plan includes a comprehensive Savings component and provides extensive In-Hospital and Out-of-Hospital benefits.
Members enjoy access to advanced diagnostic services, specialist consultations, surgical procedures, mental health support, alternative therapies, and a wide range of wellness benefits. The plan also covers 62 chronic conditions, ensuring continuity of care and long-term health management.
Experience exceptional healthcare tailored to your lifestyle.
Access Saver
Contribution: Titanium Executive
Principal
R11737
Adult
R10385
Child
R2399
MSA Allocation
Medical Savings Account(MSA): Titanium Executive
Principal
R29295.55 pm
Adult
R25920.96 pm
Child
R5987.90 pm
In-hospital PMBs
- Subject to DSPS, pre-authorisation and case management, clinical guidelines and scheme rules
- Emergency admissions must be notified to the Scheme within 48 hours of admission
Hospital Admission
- Subject to PMB, clinical protocols and scheme rules. All procedures must be preauthorised
In-hospital General Practitioner
- Subject to PMB, preauthorisation, clinical protocols and scheme rules. Subject to adherence to conservative treatment
Back and Neck Surgery
- Subject to PMB, preauthorisation, clinical protocols and scheme rules
- Subject to adherence to conservative treatment
Organ Transplant
- Department of Health Protocols apply
- Unlimited benefits for PMBs
- Subject to pre-authorisation, clinical guidelines, medicine formulary* and registration on the Disease Management Programme
Stereotactic Radio-Surgery
- Subject to PMBs, preauthorisation, managed care protocols and scheme rules
Male Sterilisation/ Vasectomy
- Subject to pre-authorisation and PMBs at Day Clinic or as Day Case
Female Sterilisation/ Tubal Ligation
- Subject to PMBs and preauthorisation at Day Clinic or as Day Case
Dental Hospitalisation
- Subject to PMBs pre-authorisation, treatment protocols and the use of DSP
- General in-hospital benefit rules apply Advanced dentistry benefits In-Hospital are limited to extensive conservative treatment for children under the age of 7 years involving three (3) teeth
- General anaesthetic benefits are only available for children under the age of seven (7) years for extensive dental treatment, limited to once per beneficiary per annum
- Removal of symptomatic impacted wisdom teeth covered only as Day Case at a day hospital
Maxillo-facial and Oral Surgery
- Subject to PMBs, pre-authorisation, treatment protocols and scheme rules
- Benefit for Temporo-Mandibular Joint (TMJ) therapy is limited to non-surgical intervention/treatments
- Oral pathology procedures (cysts and biopsies, the surgical treatment of tumours of the jaw and soft tissue tumours) will only be covered if supported by a laboratory report that confirms diagnosis
