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Through MyHealth, employees can enjoy access to a national network of professional health providers. This includes general practitioners, dentists, optometrists and pharmacists. MyHealth addresses employees primary health needs by providing personalised treatment and medication for a comprehensive range of health problems. Four plans are available: MyHealth Plus, MyHealth Elite, MyHealth Core and MyHealth Vital. Additional benefits include full access to an Employee Assistance Programme, onsite health screenings, hospital trauma cover, Post Exposure Prophylaxis (for HIV prevention), Road Cover and Work Cover. Primary Care For new business enquiries please contact the KaeloXelus team on 011 759 9600 or [email protected] Affordable Employer-Based Healthcare Delivered through a Private National Network Healthy Employees Affordable Primary Healthcare The majority of employees in the formal sector do not have access to any form of private healthcare, putting their health and their lives at risk. Employees who are at risk of sickness and disease can have a crippling impact on the workplace through absenteeism, low productivity and poor performance. MyHealth is the ideal solution, putting affordable care in easy reach of millions of South Africans. A choice of four MyHealth plans provides affordable solutions that can be tailored to suit specific needs. For employers, MyHealth helps you take care of your employees by giving them access to quality primary healthcare. Along with health screenings, onsite visits and regular reporting, your business can stay up to date regarding workplace wellness and keep track of your investment in your employees. Uniquely designed for the South African workforce, MyHealth gives employees affordable access to private healthcare, keeping them healthy, happy and productive. MyHealth MyHealth Advantages Key Benefits of MyHealth Retain a healthy, productive workforce by reducing illness, disability and absenteeism Become an employer of choice by investing in your employees Electronic Enrolment Tax Efficient Direct Provider Payments No Waiting Periods on Compulsory Membership Integrated Care Kaelo Consulting (Pty) Ltd is a registered company and Xelus (Pty) Ltd is an authorised financial services provider FSP: 36931, underwritten by Centriq Insurance Company Limited.

Primary Care MyHealth - Kaelo · Through MyHealth, employees can enjoy access to a national network of professional health providers. This includes general practitioners, dentists,

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Page 1: Primary Care MyHealth - Kaelo · Through MyHealth, employees can enjoy access to a national network of professional health providers. This includes general practitioners, dentists,

Through MyHealth, employees can enjoy access to a national network of professional health providers. This includes general practitioners, dentists, optometrists and pharmacists.

MyHealth addresses employees primary health needs by providing personalised treatment and medication for a comprehensive range of health problems. Four plans are available: MyHealth Plus, MyHealth Elite, MyHealth Core and MyHealth Vital.

Additional benefits include full access to an Employee Assistance Programme, onsite health screenings, hospital trauma cover, Post Exposure Prophylaxis (for HIV prevention), Road Cover and Work Cover.

Primary Care

For new business enquiries please contact the KaeloXelus™ team on 011 759 9600 or [email protected]

Affordable Employer-Based Healthcare

Delivered through a Private National Network

Healthy Employees

Affordable Primary HealthcareThe majority of employees in the formal sector do not have access to any form of private healthcare, putting their health and their lives at risk. Employees who are at risk of sickness and disease can have a crippling impact on the workplace through absenteeism, low productivity and poor performance.

MyHealth is the ideal solution, putting affordable care in easy reach of millions of South Africans. A choice of four MyHealth plans provides affordable solutions that can be tailored to suit specific needs.

For employers, MyHealth helps you take care of your employees by giving them access to quality primary healthcare. Along with health screenings, onsite visits and regular reporting, your business can stay up to date regarding workplace wellness and keep track of your investment in your employees.

Uniquely designed for the South African

workforce, MyHealth gives employees

affordable access to private healthcare,

keeping them healthy, happy and productive.

MyHealth

MyHealth Advantages

Key Benefits of MyHealth

• Retain a healthy, productive workforce by reducing illness, disability and absenteeism

• Become an employer of choice by investing in your employees

ElectronicEnrolment

Tax Efficient

Direct Provider Payments

No Waiting Periods onCompulsory Membership

Integrated Care

Kaelo Consulting (Pty) Ltd is a registered company and Xelus (Pty) Ltd is an authorised financial services provider FSP: 36931, underwritten by Centriq Insurance Company Limited.

Page 2: Primary Care MyHealth - Kaelo · Through MyHealth, employees can enjoy access to a national network of professional health providers. This includes general practitioners, dentists,

1 in 6 employeesHIV positive

Why businesses need MyHealth

1 in 3 employees hasa chronic disease

1 in 6 employees are impacted bysevere psychosocial stress

1 in 4 employees sufferfrom a form ofemotional distress

The burden of disease in South Africa, when measured as an impact on productive life years, is more than double the average of similar developing countries.

Waiting PeriodsThe following waiting periods will be applied to voluntary groups:General - 3 monthsChronic/Dental/Optical - 6 monthsPlease note the maximum entry age on voluntary groups = 60Please note that there are no waiting periods on compulsory groups

Services Plus Elite Core Vital

Nominated GP 100% of cost (2 GPs can be nominated) Unlimited Unlimited 4 visits pa 2 visits pa

Non-Nominated GP 100% of cost if pre-authorised (max 2 pa) ✓ ✓ incl in above incl in above

Maternity 2 sonar scans per pregnancy ✓ ✓ ✓ ✓

Acute Medicine 100% of cost – formulary ✓ ✓ ✓ ✓

OTC Medicine Up to R80/script – max R240 pa ✓ ✓ ✓ ✓

Chronic Medicine 100% of cost – formulary 27 conditions 27 conditions 5 conditions 5 conditions,3m to StateHIV Medication ARV’s, Antibiotics, Prophylactics, Supplements ✓ ✓ ✓

HIV Programme Pathology, Radiology, Counselling ✓ ✓ ✓ ✓

Radiology 100% of cost - B&W and sonar formulary ✓ ✓ ✓ ✓

Pathology 100% of cost – formulary ✓ ✓ ✓ ✓

Dentistry Fillings, extractions, pain & sepsis, scaling ✓ ✓ ✓ ✓

Optometry 1 frame and lenses every 2 years ✓ ✓ ✓ ✓

MyDoctor Portal & Health Advice Line ✓ ✓ ✓ ✓

EAPCounselling, Trauma Support & Child Services ✓ ✗ ✓ ✓

Legal & Financial Advice, Debt Counselling ✓ ✗ ✓ ✓

Health Screenings Five conditions assessed onsite ✓ ✗ ✓ ✗

Road Cover End-to-end legal assistance for RAF claims ✓ ✗ ✗ ✗

Work Cover End-to-end legal assistance for COID claims ✓ ✗ ✗ ✗

Ambulance Call Centre and Transport - ER24 ✓ ✓ ✓ ✓

Emergency Trauma StabilisationOutpatient – Trauma Ward R15,000 R7,500 ✗ ✗

In-Patient – Private Hospital R100,000 ✗ ✗ ✗

Death Cover Natural Causes R10,000 R7,500 R5,000 ✗

(Member Only) Accidental R20,000 R15,000 R10,000 ✗

Terms & Conditions

Membership Participation

Compulsory or Voluntary

Compulsory or Voluntary

Compulsory Only

CompulsoryOnly

Conditions for Compulsory Membership

Can be for all employees or pre-determined group by ✓ ✓ ✓ ✓

Conditions for Voluntary Membership

Employer must subsidise at least 50% and Average Income must be > R8,500 pm

✓ ✓ n/a n/a

Payment TermsBulk EFT payment must be made by employer (no individual debit orders)

✓ ✓ ✓ ✓

Minimum monthly premium per Employer Group (ex VAT) R5,000 R5,000 R5,000 R5,000

Primary Healthcare Plans

Focused on you

Kaelo Consulting (Pty) Ltd is a registered company and Xelus (Pty) Ltd is an authorised financial services provider FSP: 36931, underwritten by Centriq Insurance Company Limited.

This brochure is a summary of the cover – please refer to your policy document for all conditions of cover or

contact us for clarification.