Healthcare Benefits
Healthcare benefits designed around
your family
Medical care built with a network of quality specialists to support you and your family's everyday healthcare needs as well as unexpected emergencies.
Health insurance, not a medical scheme. Benefits are paid as stated cash amounts.
Everyday Healthcare Support
Everyday care we provide
Quality care when you need access to a private doctor, with support for everyday healthcare costs your current cover often leaves you paying for.
Private doctor consultations
Unlimited in-person consultations with private doctors in our national PAMC network, plus a 24/7 virtual nurse line. Pre-authorised after your third visit.
Over-the-counter and acute script medication
Over-the-counter and acute script medication, limited to R155 per script or OTC event, up to an overall annual limit of R1,340 per annum.
24/7 nurse line
Access to a 24/7 virtual nurse line when you need support or advice. WhatsApp Nurse Line: 072 815 8226
Specialist consultation benefit
Specialist consultations up to R4,120 per policy per year — on referral from a doctor in the national PAMC network and subject to authorisation.
What's Included
Everyday care and hospital cash, together.
A comprehensive range of healthcare benefits designed around you and your family.
Hospital and emergency support
Protection when you need it
Cash paid directly to you when you're hospitalised, helping you during life's unexpected medical moments.
Hospital cash benefits
Cash paid directly to you for qualifying hospital admissions.
Emergency care
Emergency healthcare assistance and hospital transportation support when urgent care is needed.
ICU support
Additional support for qualifying ICU-related events, including up to R15,000 a day.
Accident protection
Support for qualifying accidental hospitalisation and traumatic medical events.
Health insurance, not a medical scheme. Benefits are paid as stated cash amounts for qualifying events; limits, waiting periods and terms and conditions apply.
Serious illness support
Support through major health challenges
Additional support for qualifying serious illnesses and major medical conditions when you need it most.
Cancer
Stroke
Heart attack
Kidney failure
Major organ transplant
Blindness
Paraplegia
Chronic coronary heart disease
Health insurance, not a medical scheme. Benefits are paid as stated cash amounts for qualifying events; limits, waiting periods and terms and conditions apply.
Maternity and family support
Healthcare support for life's bigger moments
Support for life's bigger moments, including maternity and qualifying surgical procedures.
Maternity benefits
Support for qualifying maternity-related healthcare needs and childbirth benefits.
Surgery benefits
Financial support for qualifying surgical procedures and related medical events.
Family-focused cover
Considered cover designed around individuals, couples and families.
Why Lion Health
A more personal approach to healthcare support
Premium healthcare built on clinical quality and trust — private doctors for your family, and the everyday care your current cover often leaves you paying for.
Quality care
Quality care designed around you and your family.
Nationwide support
Access support through the PAMC healthcare network.
Flexible plan options
Choose between Day-to-Day, Hospital and Combined healthcare cover options.
Considered experience
Digital member access through the PAMC member app.
Compare Your Options
Choose the cover that suits your needs
Day-to-Day Plan
Unlimited in-person doctor consultations and a 24/7 virtual nurse line, plus up to R1,340 a year towards acute and over-the-counter medication, access to specialists and more.
From
Hospital Plan
Cash paid directly to you when you're hospitalised, including R10,000 on day one and ICU support.
From
Combined Plan
Everyday healthcare support and hospital cash benefits combined in one plan, designed around your life.
From
Find the cover that fits your life
Because confidence looks different when quality care is always within reach.
Trusted Healthcare Cover
Supporting South African families with modern healthcare solutions.
Licensed & Authorised Insurer
Healthcare cover backed by a licensed insurer and authorised FSP.
Trusted Member Support
Dedicated support when you need it most.
Built Around People
Healthcare cover focused on real life and everyday wellbeing.
Health insurance, not a medical scheme. Hospital benefits are stated cash amounts paid to you and do not reimburse your hospital bill. Limits, waiting periods and terms and conditions apply.
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