Our Plans
Choose The Cover That Fits Your Life.
Three plans designed around real life — from everyday healthcare to full hospital protection.
Health insurance, not a medical scheme. Benefits are paid as stated cash amounts.
Day-to-Day Plan
Everyday healthcare support for doctor visits, medication and routine care.
Premiums effective from 1 January 2026
What's Covered
Basic Wellbeing
General Practitioners
UNLIMITED – Pre-authorisation required after 3 visits
Unlimited visits to network GPs
Basic Wellbeing
Virtual Consultations
Members can utilise the PAMC virtual Nurse Network. Available 24/7. Nurse line – Africa Assist – (010 211 6111)
Unlimited Virtual Consultations
Advanced Wellbeing
All Specialists
Specialist visits covered only if referred by a PAMC Network GP
R2 060 per member. Max R4 120 per policy per annum
Dental
Dentist
2 checkups per annum incl. scaling, polishing, extractions, fillings
Agreed network tariff
Optometry
Optometrist
One eye test every 24 months
Agreed network tariff
Optometry – Spectacles
Spectacles
1 set per 24 month period
Agreed network tariff
Pathology
Blood Tests
Referral from the network doctor
As per formulary
Radiology
Basic black and white X-rays
Referral from the network doctor
As per formulary
Maternity
Pregnancy
2 growth scans and antenatal medication incl. vitamins, limited to R120/month for 9 months
As per formulary
Medication – Chronic
Chronic CDL
UNLIMITED – Refer to conditions listed
As per medicinal formulary
Medication – Acute
Acute Medication
R155 per event, R1 340 per annum
As per medicinal formulary
Trauma Room
Emergency
R5 000 per annum
Stabilisation – Treatment of acute and life-threatening traumatic events. Pre-authorisation required.
Covid
Test and Vaccine
Referred to by a network GP
As per formulary
Insurance Product Disclosure: This is not a Medical Scheme and the cover is not the same as that of a Medical Scheme. This Policy is not a substitute for a Medical Scheme. Lion Health is a division of Lion of Africa Life Assurance Company Ltd (LionLife). LionLife is a licensed insurer and authorised FSP (FSP No. 15283).