YOUR HEALTH, THERE S A LOT RIDING ON IT.
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1 YOUR HEALTH, THERE S A LOT RIDING ON IT. Bespoke health cover for the tourism sector JWS SAFARI HEALTH PLAN Offered by Hollard Cigna Health
2 Your health, there s a lot riding on it. Call us to find out more about the JWS Safari Health Plan: Kenya: Tanzania: Mauritius: talk2us@jwseagon.com
3 TRUST US TO COVER YOUR HEALTH At JW Seagon one of Africa s leading independent brokers - we re always on the lookout for new and innovative solutions. And for those companies operating in the tourism and hospitality sector, we ve teamed up with Hollard Cigna Health to offer a bespoke medical plan that really stands out in the market. Hollard Cigna Health combines Hollard s strong regional brand and local knowledge with Cigna s extensive Global network of doctors and hospitals, clinical capabilities and comprehensive digital services. Together with JW Seagon s commitment to exceptional customer service, the JWS Safari Health Plan is a product that can be trusted and relied upon. After all, your health and wellbeing are crucial to the success of your business. You ll also be pleased to know that we take our social responsibility seriously. A percentage of all income earned on the JWS Safari Health Plan will go towards our nominated wildlife and conservation charities. JWS Safari Health Plan is available to companies actively involved within the following tourism industry sectors: Accommodation providers, including hotels, lodges, tented camps, hostels, bed and breakfast, timeshares, private residence clubs, game conservancies and safari parks Specialist transport providers, including 4x4 cars, boats, planes Tourism professionals, including hotel / accommodation staff, tour operators, professional guides, trackers, rangers, game scouts and guide trainers Tourist attractions, including wine farms, aquariums, botanical gardens, dive centres, and safari parks To find out more about the JWS Safari Health Plan: call Kenya: , Tanzania: , Mauritius: or visit
4 PARTNERING WITH THE EXPERTS A little more about Hollard and Cigna With its head office in Johannesburg, Hollard is South Africa s largest independent insurance company. Brave, challenging and inventive, the worldwide Hollard group has interests in insurance operations in 18 countries across 4 continents. Serving over 6 million policyholders through more than 100 hand-picked partnerships, the group enjoys an AA global credit rating. Part of an increasing number of companies advocating an inclusive growth model, Hollard seeks to enable more people to create and secure a better future, and measures its social impact alongside its financial dividends. Cigna is a Fortune 500 company based in Connecticut, USA, with 41,000 employees worldwide and sales capabilities in 30 countries. With almost 60 years of experience on the continent, a regional office in Nairobi and a strong widespread presence, Cigna is no stranger to Africa. Its presence includes an established infrastructure with Africa-dedicated claims teams, medical board and fraud unit. Recognised as one of the world s leading providers of health benefits and related services, Cigna is dedicated to helping the people they serve improve their health, wellbeing and sense of security. To find out more about the JWS Safari Health Plan: call Kenya: , Tanzania: , Mauritius: or visit
5 KEY BENEFITS JWS Safari Health Plan gives you access to a range of benefits such as: 2 areas of cover to choose from - Africa, India, Pakistan and Sri Lanka or Worldwide excluding the USA 3 levels of cover to choose from - Key, Enhanced or Complete Generous overall annual maximum on all levels of cover Cancer treatment paid in full Local road and air ambulance, and evacuation, paid in full Cover for emergency treatment when traveling out of area Please see the benefit table for more details. Keeping you happy and healthy The health and wellbeing programmes offer a comprehensive and integrated prevention and wellbeing approach to help you lead a healthy, happy and well-balanced life: Online health and wellbeing assessment International employee assistance programme Chronic condition management Second medical opinion. Easy access to care There are almost 2,000 directly contracted health care providers in Africa and more than 1,000,000 health care providers worldwide. Innovation at the core of our business We want to empower you by giving you accessible tools to easily manage your health. That s why Cigna invests heavily in state-of-the- art technology solutions as a way to make health insurance plans personalised, highly relevant and more intuitive. Your health plan in your pocket The personal webpages and mobile app are a perfect example of Cigna s digital strategy as they provide you with access to all the essentials of your plan, anywhere, anytime. With the app, you can: Search for a doctor, hospital or facility, and save the results Download or send an electronic version of your membership card for you or a family member Submit a claim by taking photos of your invoice Consult past claims or track the status of your pending claims Contact us with the tap of a finger. On your personal webpages you can also update your personal details and check online settlements. Global coverage locally admitted While our product is harmonised across African territories to provide easy administration and reporting, we carefully ensure that it fully complies with the regulations of each country we operate in including Kenya, Tanzania and Uganda. To find out more about the JWS Safari Health Plan: call Kenya: , Tanzania: , Mauritius: or visit
6 BENEFIT TABLE The table highlights the key benefits of the policy - full details are available on request. BENEFITS MORATORIUMS KEY ENHANCED COMPLETE OVERALL ANNUAL MAXIMUM $2,500,000 $4,000,000 $6,000,000 OUT-PATIENT TREATMENT Outpatient surgical operations Outpatient treatment received in the Emergency Room in hospital $ 2,000 Covered under out patient benefits Wellness - mammogram, PAP test, prostate cancer screening or colon cancer screening 1 year Not covered Full Health screening: cholesterol, blood pressure, diabetes, anaemia, lung function, liver and kidney function, cardiac risk assessment and hearing tests Doctors fees for consultations Pathology, x-rays and diagnostic tests Costs for treatment by therapists and complementary medicine practitioners 1 year Not covered $3,000 post hospitalisation $500 $500 up to 30 visits Doctors fees and psychologists fees for psychiatric treatment 2 years Not covered up to 30 visits Vaccinations $500 Costs for treatment by a family doctor Not covered Prescribed drugs and dressings Not covered $2,000 $2,000 Accident-related dental treatment - Africa and India $1,500 $1,500 $1,500 Accident-related dental treatment - Worldwide excluding USA $1,500 $2,000 $2,000 IN-PATIENT TREATMENT Hospital accommodation Surgical operations, including pre- and post-operative care Nursing care, drugs and surgical dressings Physicians' fees Operation theatre charges Intensive care, intensive therapy, coronary care and high dependency unit Pathology, x-rays, diagnostic tests and therapies Prostheses, implants, and appliances Parent accommodation Psychiatric treatment 2 years up to 30 days per insurance year
7 BENEFIT TABLE The table highlights the key benefits of the policy - full details are available on request. BENEFITS MORATORIUMS KEY ENHANCED COMPLETE FURTHER BENEFITS Advanced imaging Cancer treatment Medical advice and support Included HIV/AIDS drug therapy including ART $10,000 $10,000 $10,000 Home nursing after inpatient treatment Hospice and palliative care $20,000 per lifetime Inpatient cash benefit $450 per night up to 30 nights Local air ambulance Local road ambulance Maternity and childbirth 10 months Not covered Childbirth at home or birthing centre 10 months Not covered $8,000 $8,000 Medically essential Caesarean section 10 months Not covered Complications of pregnancy & childbirth Newborn care Prosthetic devices $4,000 $4,000 $4,000 Rehabilitation Transplant services Evacuation Congenital and hereditary Not covered $100,000 $100,000 Emergency out of area - limited to $100,000 in USA per insurance year Dental 25% co-pay Not covered $1,000 Optical 25% co-pay Not covered $400 Compassionate visit and return 5 trips per life limit Compassionate visit living allowance Maximum of 10 days each visit, up to $200 per day
8 Your health, there s a lot riding on it. Call us to find out more about the JWS Safari Health Plan: Kenya: Tanzania: Mauritius: talk2us@jwseagon.com or visit We take our social responsibility seriously and support various wildlife and conservation charities UNI
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Blue Choice. Hospital/$50, Physician's Office/Lesser of $50 or 20%; physician $40, facility $50. $35/trip $100/trip $50/trip $100/trip $100/trip
HOSPITAL SERVICES Hospital Inpatient : Paid in full No cost No cost No cost No cost Hospital Outpatient Hospital $40 or $60 per visit, : $20 per visit Hospital/$50, Physician's Office/Lesser of $50 or
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Calendar Year Deductible (CYD) 1 $3,000 single/ 3x family Out-of-Pocket Maximum - Deductibles and copays all accrue towards the out-of-pocket $6,200 single/ 2x family maximum. With respect to family plans,
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Regence Engage Plan Highlights For Groups of /1/2016
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BCBSM provides administrative claims services only. Your employer or plan sponsor is financially responsible for claims.
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