HEALTH4ME SILVER

Mid Level health insurance

The flexibility to to chose the cover you need

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    Choosing an affordable entry level health insurance

    Start smart with entry-level health insurance — affordable cover for life’s essentials, with room to grow.

    Getting started with health insurance doesn’t have to be complicated or expensive. An entry-level plan gives you the essentials you need now, with the freedom to grow later.

    • Affordable peace of mind
    • Cover for the unexpected
    • Easy access to care
    • Perfect for first-time earners
    • Upgrade anytime

    Health insurance resources

    Helpful guides and articles to help you understand your cover and make informed choices.

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    bloom health4me bronze leaf

    Bloom Health4Me Sliver key benefits

    ☆

    Unlimited GP care

    Unlimited Network GP visits
    Unlimited Hello Doctor consults
    Acute medication on formulary

    ☆

    Basic dentistry

    Fillings, extractions and cleaning
    Emergency dental care included
    At any Dental Network dentist

    ☆

    Eye care

    Eye test every two years
    Clear lenses and a standard frame
    At any Optical Network optometrist

    ☆

    Maternity support

    A 2D foetal growth scan
    Antenatal tests and vitamins
    Through your Network GP

    ☆

    Wellness and rewards

    Annual flu vaccine and health check
    More4Me and Multiply rewards
    Counselling and legal support

    Waiting periods, pre-authorisation and Network rules apply.

    Premiums

    Main Member

    from

    R758 / per month

    Spouse

    from

    R758 / per month

    Child

    from

    R446 / per month

    Powered by Momentum

    We’ve partnered with Momentum, one of South Africa’s most trusted healthcare providers, to bring you affordable, reliable coverage backed by decades of experience.

    +
    3M
    Clients
    25+
    Years experience

    Affordable day-to-day benefits for the whole family

    Day-to-day benefits cover your GP needs, virtual doctor access, medications, maternity, tests, vaccinations, health checks, support services, and wellness rewards.

    Maternity benefit

    • One 2D foetal growth scan per pregnancy.
    • Antenatal pathology tests covered when linked to and referred by a Network GP.
    • Antenatal vitamins covered per the Network acute medication formulary.

    Basic pathology

    • Unlimited pathology cover when linked to and referred by Hello Doctor or a Network GP, per the Health4Me list.

    Basic radiology

    • Unlimited black and white x-ray cover when linked to and referred by Hello Doctor or a Network GP, per the Health4Me list.

    Other benefits include

    • Health assessments, employee assistance telephonic support, and Multiply Engage wellness benefits.

    Major medical event benefits

    Major medical event benefits are added onto the Health4Me day-to-day benefits options, and include cover for accidents and emergencies to ensure that you and your loved ones receive high quality care when you really need it. Accident and emergency cover provides in-hospital benefits for qualifying accidents and emergencies at a private hospital. A hospital cash and maternity lump-sum benefit, as well as a funeral benefit are also included to ensure that you are covered holistically.

    Day to Day Benefits

    GP Visits

    Unlimited GP visits at a Network GP per member per year

    GP in Room Procedures

    Minor medical procedures performed as part of a Network GP consult in rooms, such as stitching of wounds and nebulisation

    Hello Doctor

    Unlimited GP consultations with a Hello Doctor GP

    Hello Doctor consultations can either be via chat, phone call or video (virtual) call

    Hello Doctor consultations include referral for pathology, according to the applicable Health4Me pathology list

    Hello Doctor consultations include referral for radiology, according to the applicable Health4Me radiology list

    Hello Doctor Scripting

    Hello Doctor consultations include unlimited scripting of Schedule 1 to Schedule 4, formulary-based medication, in accordance with the Network prescribed acute medication formulary. Rules and protocols are applied

    Acute Medication

    Provided in accordance with the Network prescribed acute medication formulary.

    Rules and protocols are applied

    Maternity Benefit

    1 Foetal growth 2D scan per member per pregnancy

    Antenatal pathology tests linked to a Network GP visit and referred by a Network GP, according to the applicable Health4Me pathology list

    Antenatal vitamins in accordance with the Network prescribed acute medication formulary. Rules and protocols are applied Pre-authorisation is required

    Basic Pathology

    Unlimited cover for pathology, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me pathology list

    Basic Radiology

    Unlimited cover for black and white x-rays, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me radiology list

    Basic and Emergency Dentistry

    Covered at any dentist on the Dental Network

    Basic dentistry such as fillings, extractions, infection control, cleaning and polishing of teeth

    Specialised dentistry such as bridges, crowns, surgical extractions, implants, root canals, gold fillings, dentures and braces are not covered

    Provided in accordance with the Dental Network protocols and approved Health4Me dentistry list Waiting periods apply

    Basic Optometry

    Covered at any optometrist on the Optical Network

    Benefit available every 2 years

    1 Eye test and 1 pair of clear standard single vision lenses, or 1 pair of bi-focal lenses, with a standard frame

    Sunglasses, tinted lenses, hard coating and contact lenses are not covered

    Provided in accordance with the Optical Network protocols and approved Health4Me optometry list

    Waiting periods apply

    Flu Vaccination

    1 Flu vaccination per member per year at any pharmacy clinic, preferably at a Dis-Chem, Clicks or MediRite pharmacy clinic

    COVID-19 screening test

    1 COVID-19 screening test is covered per member per year, subject to a Hello Doctor, Network GP or specialist referral

    The COVID-19 screening test can also be performed as part of a Network GP consultation or as part of a specialist consultation in rooms

    Health Assessment

    1 Health assessment (blood pressure test, cholesterol and blood sugar finger-prick tests, height, weight and waist circumference screening) is provided per member per year on site at a Wellness day or at a pharmacy clinic, preferably at a Dis-Chem, Clicks or MediRite pharmacy clinic

    Employee Assistance Programme

    Counselling and support services for adults, teenagers and children

    Trauma and critical incidence counselling services

    Legal assist, credit health and debt management services

    Advice for road accident claims and injury on duty claims

    Managerial support services

    Telephonic counselling services and on-site trauma and critical incidence support services

    Multiply Engage

    Members have access to Multiply Engage for free. By doing the digital health and fitness assessment on the Momentum App, members gain immediate insights into their health and start earning rewards from day one. Multiply offers members rewards from a wide range of partners like Checkers, Nu Metro, Amazfit, Virgin Active, Zone Fitness and many more!

    Additional Value Added Services included in Policy

    More4Me Incentive

    More4Me

    More4Me incentivises members through three rewards: R50 per year for digital engagement and completing a digital health assessment, and up to R80 per month based on their Healthy Heart Score, which they receive when doing an in-person health assessment at a Dis-Chem, Clicks or MediRite pharmacy clinic. Members can choose to redeem their rewards as airtime, data, Shoprite and Checkers vouchers or Takealot vouchers

    Digital Engagement Reward

    Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R50

    Monthly Reward

    Based on their Healthy Heart Score, members will receive monthly rewards

    Green: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R80

    Amber: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R50

    Red: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R25

    Members can save up their rewards and redeem even larger vouchers.

    Bloom MediTax

    MediTax

    Members can qualify for tax rebates for qualifying medical expenses and claim these expenses on their annual tax returns.

    Bloom’s Meditax product includes completing a full breakdown of the taxpayer’s qualifying additional medical expenses to assist customers with claiming these amounts back from SARS in your annual income tax return.

    Also included is the cost of submitting your tax return.

    For this benefit to be available, you will need to be up to date on your monthly fees for the year of assessment.

    A nominal amount will be debited to cover the cost of submitting your return if your paid fees do not cover the full assessment period.

    Take a look
    at our other health insurance options

    Partner with Health4Me for top-quality healthcare at an affordable price.

    From entry-level to comprehensive day-to-day benefit cover, as well as a variety of major medical event benefit cover, we have a solution that suits your needs.

    Health4Me Bronze

    From R709 P/M

    Our entry-level option is designed to cover day-to-day needs and includes unlimited GP visits, acute medication, maternity benefits and more.

    Health4Me Gold

    From R818 P/M

    Our most comprehensive option covers all the benefits offered on the Bronze and Silver options, plus specialist visits.

    Ready to protect what matters most?
    Speak to a Bloom adviser today.

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