DOCSURE ADVANCED

The Supreme Solution

Overall Annual Limit

R1 000 000

Individual Premium

R1 835

Family of 3 Premium

R2 452

Family of 5 Premium

R2 923

Docsure Advanced Benefits

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Pre-Authorisation Required.  Please call 010 599 1172.

Hospital Footprint 
National Private / State facilitated by Africa Assist.

Maternity Benefit 
A sub-limit of R20 000 per policy per annum for confinement, includes 3 Pre-natal consultations refunded at R900 each.

Illness Benefit Includes All Ward Fee Structures
This benefit limit incoporates all pre-authorised hospitalisation and treatments related to the date of the loss of the approved issued GOP. Limited to R65 000 per event.

Hospital Booster
A sub-limit of R40 000. Paid out at R2 500 per day. Limited to 2 events per annum.

Treating And Admitting Practitioners
Maximum of R8 000 per event for treating and admitting practitioners.

Anaesthetic Benefit
Maximum of R4 500 per event for anaesthetic practitioners.

Radiology and Pathology (In and out of hospital)
R8 000 per policy per annum. R1 000 excess per scan and R500 excess for blood tests.

Network Providers
PAMC Africa Assist.

GP Consultations
5 consultations per beneficiary per annum. Dispensing GP reimbursement paid at R330 per consultation and non-dispensing GP reimbursement paid at R300 per consultation.

Out Of Network Consultations
2 consultations refunded at R250 per policy.

Specialist Consultations
Individual Option:
1 consultation refunded at R850.
Family Option 3:
2 consultations refunded at R850 each.
Family Option 5:
3 consultations refunded at R850 each.

Acute Medication

Individual Option: R1 000.
Family Option 3: R1 800.
Family Option 5: Limited to R2 500 per policy per annum. Up to a maximum of R220 per script.

Chronic Medication (Per CDL)
Individual Option: R1 500.
Family Option 3: R2 000.
Family Option 5: Limited to R3 000 per policy per annum. Up to a maximum of R300 per script.

Basic Dentistry
R700 as a combined benefit for consultations, Fillings, X-Rays and Extractions, including Scale and Polish, 2 Emergency Root Canal at R400 each, 2 Crowns at R500 each and in chair Wisdom Teeth at R750, per beneficiary per annum.

Optometry
All activities for optometry services including (eye test, 1  consultation, frames and lenses up to R900) Or contact lenses up to R900 every 24 months per beneficiary.

24 Hour Emergency Medical Services (EMS)
Through Africa Assist. Telephone: 010 599 1172

Casualty Benefit (Accident Only)
R4 000 per policy per annum.

Additional Cover Benefit
R500 per beneficiary per annum for Crutches, Zimmer Frame, Moonboots and Slings.

Accidental Death Benefit
R20 000 (Principal and Spouse) R5 000 per child.

Total Permanent Disability
R25 000 (Principal only)

Premium Waiver
Actual premium held as a credit for 6 months.

Personal Health Advisor
Clinically trained consultant available 24/7.

Legal Compliance

Wesmart Financial and Administration Solutions (Pty) Ltd is an authorised Financial Services Provider (FSP: 45769) Underwriting Agency for GENRIC Insurance Company Limited (FSP: 43638). GENRIC is an authorised Financial Services Provider and registered Short-term insurer.

Contact Info

Tel: 010 599 1170

Email: info@wesmart.co.za

Address: Building 3, Midrand Business Park, 563 Old Pretoria Main Road, Midrand, Gauteng