Update

Benefit Highlights 2026 As we move into 2026, we will continue to focus on affordability, innovation and better healthcare access for you. Here’s a look at our benefit highlights for 2026! Contributions We increased contributions by approximately 7% for all three plan options, which is still below the market average. Since 2020, our total increases […]

We communicate regularly with you via SMS and e-mail so it’s important that you keep your personal details updated or you will miss out on important updates. We need the updated details of your: Cellphone number. E-mail address. Physical address. We communicate regularly with you via SMS and e-mail so it’s important that you keep […]

What is a medical emergency? A medical emergency is a serious and unexpected situation that involves illness or injury and needs immediate action. A few examples include: A heart attack. A car crash. A stroke. If you or a loved one is having a medical emergency, here’s what you need to do: Step 1: Call […]

Turning 21 is an exciting time for both parents and children alike. The question is, can your child remain as a dependant on the Scheme? In terms of our Rules, your child dependant can remain on the Scheme in the following cases: If your child is studying full or part-time and financially dependent on you, […]

What you need to know! To streamline our claims payment processes, we have agreements with designated service providers (DSPs) to submit claims directly to us. This ensures that you don’t have to submit claims to us. But what if I receive an account or tax invoice from a service provider? What should I do? Call […]

Do you know when to get authorisation from us? Do you need to see a Specialist or visit the hospital soon? It’s important that you know when to get authorisation from us! After all, you have the benefits available to you, you just need to follow the right process. Here’s when to get authorisation from […]

  In this second issue of the year, I want to touch on a few critical matters you need to know. As members, you need to familiarise yourself with your benefits so that you know what you are covered for. In this issue, we focus on your optometry benefits, but for more information visit the […]

Having a newborn baby is a wonderful time in one’s life. Although it may feel as if your world is turned upside down, it’s important to remember to add your newborn as a dependent. This will give you peace of mind that your baby is covered for benefits such as getting immunised, consulting the doctor […]

To streamline our claims payment processes, we have agreements with designated service providers (DSP’s) to submit claims directly to the Scheme. This also ensures that you don’t have to submit claims to us. But what if I receive an account or tax invoice from a service provider? What should I do? Call us on 014 […]

If you’ve been diagnosed with a chronic condition, your doctor will work hand-in-hand with you to control your disease and improve your quality of life. As part of your treatment plan, your doctor will prescribe chronic medication to you. Here’s what you need to do to receive the full chronic medication benefits available to you! […]

Why should I be vaccinated? Vaccines protect you, your family and your community from diseases and saves lives. What happens if you don’t get vaccinated? If you are not vaccinated, you are not protected. Which vaccines should I get? There are different vaccines for the different stages of your life. The table below shows the […]

As a member, you can request a refund from the Scheme when you pay a healthcare provider up-front. We pay refunds electronically to you as the principal member. So, you need to make sure that we have your correct banking details to process your refund. How much time do I have to submit my refund […]

As a member of Platinum Health, visits to your optometrist are based on if you’re on PlatComprehensive, PlatCap or PlatFreedom. If you’re on PlatComprehensive, your optometry benefits include: Consultation, spectacles (frames & lenses) or contact lenses A combined benefit limit of R3 018 per beneficiary (PB) over a two-year period. For example, if you received […]