The Emergency Casualty Benefit Explained

Pays for emergency casualty room expenses that are not related to an accident


Emergency Casualty Room Cover

In an emergency, you might need to see a doctor urgently after hours. Hospital casualty rooms are one of the best places to go.

This benefit helps to pay for casualty room costs when the medical emergency is not related to an accident.

1 Month Waiting Period
3 Benefit Levels
Included in Hospital Plan

Choose Your Level of Cover

Flexible levels of cover mean you get to build your plan to suit your needs and budget.

Level 1

Up to R2,120 per member per year

R4,240 Annual Overall Limit per policy

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Level 2

Up to R4,240 per member per year

R8,480 Annual Overall Limit per policy

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Level 3

Up to R6,360 per member per year

R12,720 Annual Overall Limit per policy

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How Does It Work?

Find answers to the most common questions about this benefit. Browse our Help pages and Blog posts for more information.

What is Emergency Casualty cover?

Stated amounts per year are available to pay for medical. emergencies at a hospital casualty rooms.

The benefit is for events that are

  • life threatening emergencies
  • not accident related

The stated amounts available for claims depend on the level of cover that you choose. They are limited:

  • per policy per year
  • per member per year

How is this different to the Accident Casualty Benefit?

The difference is simply whether you visiting a casualty room for an accident event or for some other illness related reason.

If it was an accident that led you to the casualty room then the Accident Casualty Benefit applies.

If it was not accident but some other illness emergency reason then the Emergency Casualty Benefit applies.

What is the waiting period?

Emergency Casualty cover has a 1 month waiting period. You will be able to use the benefit 1 month after the member joins a policy.

Is authorisation required?

Yes. In general, all hospital related claims need to be authorised first.

Authorisation is a simple procedure where the administrator and the hospital determine:

  • if the procedure you need is covered by your policy
  • if you have available amounts left over after previous claims

The authorisation procedure is described on the Claims page.

What Health Plan are you going to build?

Get a quote and find out. Talk to us or build your own.


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