Flexicare makes healthcare more accessible and affordable for South African consumers

Nearly 1.2 million people in South Africa have health insurance, and demand is growing as awareness increases. However, a significant gap remains. According to Discovery Health, 6 to 8 million formally employed South Africans lack medical aid or health insurance and often pay out-of-pocket for private healthcare.

Investing in health insurance protects against unexpected medical costs and ensures access to quality care. Discovery Health and Auto & General are enhancing accessibility with Flexicare, offering monthly private medical benefits from R368.

Flexicare provides access to high-quality yet affordable private primary healthcare cover. It covers daily medical expenses such as consultations with nurses or GPs (doctors) and access to medication.

You can purchase Flexicare for yourself, your family, your household employees, or other employees who may be working with you in a small home office business. Flexicare is also available to corporate employers wishing to provide affordable private healthcare coverage for employees.

Affordable, high-value healthcare 

“We are seeing a promising uptake of the product. Flexicare currently provides primary healthcare to more than 120,000 members,”

- Maria Makhabane, Chief Growth Officer at Discovery Health 

Currently, Flexicare is funding nearly 22,500 GP visits per month – which means that one in every five Flexicare members is consulting with a GP each month. One in seven members is also getting a script filled per month. 

“This growth is attributed to the high value that members are receiving from Flexicare with rich benefits at the most affordable price point,”

- Maria Makhabane, Chief Growth Officer at Discovery Health

Nurse visits and digital clinic consultations 

Flexicare members can access primary healthcare through a vast network of over 12,000 providers and via their website or WhatsApp. Partners like Intercare, Netclinic, and Unjani Clinics enhance accessibility with nurse-led, digitally enabled clinics that facilitate virtual and in-person doctor consultations.

Flexicare Core and Flexicare Plus

Significant investment has also been channelled into providing Flexicare members with a differentiated service experience. It offers swift claims processing and user-friendly digital tools and servicing channels. Importantly, Flexicare has been designed with no out-of-pocket payments to ensure members are always covered and can access care when needed.

Members can choose between two Flexicare plan options – Flexicare Core and Flexicare Plus – offering a basket of primary healthcare benefits. Here’s a breakdown of benefits available on each plan option:

From R368, the Flexicare Core plan gives members access to: 

• Unlimited face-to-face consults with a network doctor (GP) when referred by a network nurse or online consultation with a GP
• Unlimited network clinic or online GP consultations
• A defined list of procedures in a network GP rooms, when referred by a network nurse
• A defined list of prescribed acute medicine
• HIV treatment, counselling and education
• Over-the-counter medication from a network pharmacy of up to R150 per policy per year
• Basic radiology and pathology (GP referral required)
• Two pregnancy scans, relevant blood tests and supportive prescribed medicine within the network
• Cover for an annual flu vaccine from a network pharmacy
• Cover for a yearly wellness screening at a network pharmacy

From R499, Flexicare Plus members have access to all the above benefits PLUS these additional benefits:

• Unlimited face-to-face consults with a network doctor (GP)
• Cover for a defined list of 27 prescribed chronic medicines
• Fillings, extractions, pain and sepsis scaling at a network dentist
• An annual eye test and a new frame and lenses every two years at a network optometrist
• Over-the-counter medication from a network pharmacy of up to R440 per policy per year

Click here for more information and to speak to a consultant today!