NXTHealthPrivate Health Insurance

Healthcare cover that fits your life.

Universal Health plans

Choose your cover in two simple steps.

Need a hand? Read the FAQs →

Plans, side by side

Clear cover differences.

Your rate basis
Who is being covered?
Compare plansPrimary healthcare

R580pm

View plan
Primary healthcare

R840pm

View plan
Primary healthcare

R675pm

View plan
Primary healthcare

R945pm

View plan
Cover overview
Cover typePrimary healthcarePrimary healthcarePrimary healthcarePrimary healthcare
Included benefits

Chronic-condition cover

All four core plans include cover for specified chronic conditions.

Standard family
15 conditions
Essential family
26 conditions
Specified chronic conditionStandard
Standard Advance
Essential
Essential Advance
Asthma✓✓
Bronchiectasis✓✓
Cardiac arrhythmias✓✓
Cardiomyopathy✓✓
Chronic obstructive pulmonary disease✓✓
Congestive cardiac failure✓✓
Coronary artery disease✓✓
Diabetes mellitus type 1✓✓
Diabetes mellitus type 2✓✓

Essential and Essential Advance include all 26 conditions shown; Standard and Standard Advance include the 15 marked conditions.

Chronic-condition cover is for specified conditions and remains subject to the policy terms, registration and formulary requirements, and applicable benefit limits.

Step 2 · Optional

Enhance your cover with these disease-management add-ons.

Disease management

Universal Health

DMP Prime

Disease-management support with PEP and HIV status pathology testing.

Individual · Principal member

R45pm

Included support

  • Post-Exposure Prophylaxis (PEP)
  • HIV status pathology testing

Disease management

Universal Health

DMP Elite

DMP Prime plus HIV disease-management consultations, pathology and medication management.

Individual · Principal member

R85pm

Included support

  • All DMP Prime benefits
  • HIV disease-management consultations and pathology
  • Antiretroviral (ARV) medication
  • Non-ARV medication management

FAQs

Questions worth asking before you choose.

Clear answers about cover, waiting periods, dependants, chronic conditions and the optional DMP add-ons.

Which plan is the right starting point for me?

Compare the four primary healthcare plans first. Look at the benefits that matter most to you, the monthly amount for your member category and the conditions that apply before deciding.

What waiting periods apply to individual cover?

Individual-business waiting periods include 9 months for chronic conditions, 6 months for optometry and dentistry, and 3 months for pathology. Hospitalisation and emergency benefits have no waiting period.

What does cover for chronic conditions mean?

All four core plans include cover for specified chronic conditions. The Standard family includes 15 conditions, while the Essential family includes 26. Registration, formulary and benefit limits still apply.

Can I include my partner or children?

Rates are shown separately for a principal member, adult dependant and child dependant. Confirm eligibility, the effective date and the provider's policy terms before applying.

Do DMP Prime and DMP Elite replace a core plan?

No. DMP Prime and DMP Elite are optional disease-management add-ons. They enhance relevant support alongside a primary healthcare plan; they are not alternatives to primary healthcare cover.

What should I check before I choose a plan?

Check the listed benefits, chronic-condition cover, waiting periods, provider-network requirements and the applicable policy limits. Confirm the final terms and availability with the provider.