Specialist cover

Access to private medical professionals

When your GP needs to phone friend, medical cover is available to help cover the costs

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Specialist Benefit includes

No network. See any practicing physician.
3 Levels of Cover to choose from
3 month waiting period
Annual limits

Choose from 3 Levels of Cover

Level 1

R1,000 per policy per year

Level 2

R1,500 per policy per year

Level 3

R2,000 per policy per year


How do I make use of this benefit

Your network GP might need to refer you to a Specialist. All you need is that referral script from your network GP. The benefit is a cash benefit with an amount available per year per policy. If the specialist takes direct payment, then simply hang on to the invoice and receipt and send them to us, we will reimburse if applicable.


R381 for single members and

R572 per month for families.

Episodic Health (Pty) Ltd, is a Financial Services Provider (FSP 49319). Health product is provided and administered by Essential Med (Pty) Ltd (FSP 42980), the Underwriting Management Agent on behalf of the insurer African Unity Life (FSP 8447). Episodic Health and Essential Med are a health insurance provider, not a medical aid scheme.