2012 Resolution Health Medical Aid Plan Quote

Should you wish to get an idea of what an Resolution Health medical aid will cost, please complete the blocks below and send to me.

GOTO RESOLUTION HEALTH MEDICAL AID for full details.

Your Details

Do you have to join a specific medical aid or can you choose?
Company scheme
Own

Your email address:
Your telephone/cell number:
Your name and surname:
Your Date of Birth:
Your partner's name and surname (if required) :
Your partner's Date of Birth:
Any OTHER Adult dependant's - if so, how many?
First child's name:
Child's Date of Birth:
Second child's name:
Child's Date of Birth:
Third child's name:
Child's Date of Birth:

Type of plan. Please select from the following;

FULL PRIVATE HOSPITAL COVER and DEBIT CARD CASH for your daily costs! No overall annual limit, private rate, in-hospital cover - at any hospital! Casualty cover! Excellent maternity and confinement benefits, including 2 antenatal specialist visits! High prosthetic limits! Specialised radiology (MRI/CT/PET and Nuclear scans) even out of hospital! Unlimited oncology on the program! Psychiatric services paid! Full emergency services! Unlimited 25 PMB Chronic medicines! International travel cover! R 2 950 for preventative care like vaccinations and regular health assessments! Certain exclusion as in the brochure. Co-payments are levied. PREVENT IN-HOSPITAL SHORTFALLS AND CO-PAYMENTS FOR R170 PM! OPTION TO PAY DAY-TO-DAY, OUT OF HOSPITAL COSTS BY YOUR DEBIT CARD! Average monthly single rate R 899 and family of four R 2,187 pm (EXCLUDING your health card savings).

Yes

PROGRESSIVE FLEX - No overall annual limit, private rate, in-hospital cover - at any hospital! Casualty cover! Specialists paid at 150% of scheme rates. Excellent maternity and confinement benefits, including 2 antenatal specialist visits! Unlimited oncology on the program! Specialised radiology (MRI/CT/PET and Nuclear scans). Emergency evacuation and international cover. Out of hospital - up to 9 GP and 5 specialist consultations paid at scheme rates. Basic dentistry and optometry. Limited specialised dentistry. Additional up to R 2,150 for use on a range of listed areas of treatment such as alternative health care services, radiology, pathology, physiotherapy, speech therapy and audiology, psychology and psychiatric treatment, specialised dentistry and OTC. R 2,950 for preventative care like vaccinations and regular health assessments. Unlimited 25 PMB chronic medicine. Certain exclusion as in the brochure. Co-payments are levied. PREVENT IN-HOSPITAL SHORTFALLS AND CO-PAYMENTS FOR R170 PM! OPTION TO PAY DAY-TO-DAY, OUT OF HOSPITAL COSTS BY YOUR DEBIT CARD! Average monthly single rate R 1,278 and family of four R 2,972 pm.

Yes

PROGRESSIVE SAVER - No overall annual limit, private rate, in-hospital cover - at any hospital! Casualty cover! Specialists paid at 150% of scheme rates. Excellent maternity and confinement benefits, including 2 antenatal specialist visits! Unlimited oncology on the program! Specialised radiology (MRI/CT/PET and Nuclear scans). Emergency evacuation and international cover. Savings for out of hospital costs with additional specialised dentistry benefit - INCLUDES BRACES! Additional optical benefits! Pharmacist Benefit for limited over-the-counter medication! R 2,950 for preventative care like vaccinations and regular health assessments. Unlimited 25 PMB chronic medicine. Additional chronic conditions. Certain exclusion as in the brochure. Co-payments are levied. PREVENT IN-HOSPITAL SHORTFALLS AND CO-PAYMENTS FOR R170 PM! Average monthly single rate R 1,750 and family of four R 4,665 pm.

Yes

PRESTIGE - No overall annual limit, private rate, in-hospital cover - at any hospital! Casualty cover! Specialists paid at 220% of scheme rates. Excellent maternity and confinement benefits, including 2 antenatal specialist visits! Unlimited oncology on the program! Specialised radiology (MRI/CT/PET and Nuclear scans). Emergency evacuation and international cover. Video EEG epilepsy surgery benefit. Unlimited GP and up to 6 specialist consultations paid! Basic dentistry and optometry. Limited specialised dentistry benefits - INCLUDES BRACES! An additional up to R 10,100 for use on a range of listed areas of treatment such as radiology, pathology, pharmacy advised treatment, physiotherapy, speech therapy and audiology, psychology and psychiatric treatment, 0TC and acute medicines provided (Some sum-limits apply). R 2,950 for preventative care like vaccinations and regular health assessments. Unlimited 25 PMB chronic condition medicine. Additional chronic conditions. Certain exclusion as in the brochure. Co-payments are levied. PREVENT IN-HOSPITAL SHORTFALLS AND CO-PAYMENTS FOR R170 PM! Average monthly single rate R 2,083 and family of four R 5,177 pm.

Yes

FOUNDATION - primary healthcare plan, provides access to private healthcare through a designated service provider network. Unlimited private in-hospital (Netcare, Mediclinic, Life, Clinix and NHN) and day-to-day cover plan. Includes casualty and maternity benefits. Unlimited Oncology benefit at Networks. Unlimited GP visits, R 1,050 specialist visits. Limited basic dentistry, optometry and acute medicines covered. Preventative care like vaccinations and regular health assessments, including access to the revolutionary cervical cancer vaccine. Chronic medication is available at network providers. Certain exclusion as in the brochure. Co-payments are levied. PREVENT IN-HOSPITAL CO-PAYMENTS FOR R90 PM Income-related rates single from R 492 pm family of four from R 1,268 pm

Yes

Any other information we should know about?

Your current medical aid plan (if any): Please state the actual plan as well.

Would you like to receive my informative letter on personal financial matters? Yes

Please note:

• The submission of this request does not constitute any legal obligation, either on your or Peter J Pyburn's behalf.
  It is simply a request to get some medical aid options.
• All information provided will be strictly confidential at all times and will be freely transmitted to the email address provided.
  Peter J Pyburn will not be responsible should the information be incorrectly transmitted or not reach the correct recipient.
• Your email address will never be given to any other person or organisation.
  (I would never be in business if this happened!)
• YOU MUST CONSULT THE SCHEMES BROCHURES FOR COMPREHENSIVE BENEFIT DESCRIPTIONS AND CONSULT THE SCHEME DIRECTLY FOR ANY UNDERWRITING CONCERNS.
• AT ALL TIMES, THE SCHEME RULES WILL OVERRIDE ANYTHING PETER J PYBURN HAS SAID OR WRITTEN AND AS SUCH YOU AGREE WITH THE DISCLAIMER AS PRESENTED IN THE QUOTE/S YOU HAVE ACTED UPON.

I confirm that I have read and understood the notes above. Yes

pyburn@peterpyburn.co.za