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Elixi Blue Plan (🇿🇦 2025)

Overall, the Elixi Blue Plan is a trustworthy and comprehensive health insurance plan that offers 24/7 medical emergency assistance and Acute Medicine to up to 3 Family Members. The Elixi Blue Plan starts from R453 ZAR. Elixi has a trust rating of 4.19.

🔎 Medical Health Plan	🥇 Elixi Blue
🌎 International Cover	None
👤 Main Member Contribution	R453
👥 Adult Dependent Contribution	R316
👶 Child Dependent Contribution	R176
🔁 Gap Cover	None
📈 Annual Limit	None
💴 Prescribed Minimum Benefits	None
💙 Screening and Prevention	✅ Yes
💵 Medical Savings Account	None

Elixi Blue Plan – 6 Key Point Quick Overview

✅ Elixi Blue Plan Overview
✅ Elixi Blue Plan Benefits and Cover Comprehensive Breakdown
✅ Elixi Blue Plan Exclusions and Waiting Periods
✅ Elixi Blue Plan vs Plans Offered by Other Providers
✅ Our Verdict on the Elixi Blue Plan
✅ Elixi Blue Plan Frequently Asked Questions

Elixi Blue Plan Overview

The Elixi Blue Plan is one of 4, starting from R453, and includes GP visits, Nurse and Telemedicine Consultations, Acute Medicine, Pathology, and more. Gap Cover is available on the Elixi Blue Plan, along with 24/7 medical emergency assistance. According to the Trust Index, Elixi has a trust rating of 4.19.

💙You can review the following plans Elixi has to offer:

✅Elixi Black Plan
✅Elixi Blue Plan
✅Elixi Gold Plan
✅Elixi Purple Plan

Elixi Blue Plan Benefits and Cover Comprehensive Breakdown

Blue Plan Primary Care Benefits

🟦 GP Consultations	Access to Unity Health Network General Practitioners at the GP’s consulting rooms during the GP’s regular consulting hours. Minor medical procedures are included in your doctor’s visits. For instance, suturing a wound or applying a cast to a broken limb. Unlimited visits per year, per individual. Pre-approval is required for ten (10) GP, Out-of-Network GP, nurse, telemedicine, and Intercare video-based GP consultations per Insured Person per policy year.
🔵 Nurse Consultations	Minor ailments can be treated by a network of Nurse practitioners during normal consulting hours at approved pharmacy clinics (Alpha Pharm, Clicks, Dischem, Local Choice, Medicare, or Pick n Pay Pharmacy). In many practices, nurses can write prescriptions for up to schedule 2 medications for minor ailments. Pre-authorization is required for 10 or more consultations with a general practitioner or nurse per insured per policy period.
💙 Telemedicine Consultations	Intercare provides unlimited online GP visits via the Unity Health App or the Unity Health Member portal.
🟦 Acute Medicine	According to a list of medications, a Network GP will prescribe acute medication for acute illnesses at one or more consultations. If your Network GP can dispense medications, you will receive everything you require during your visit. If your Network primary care physician does not dispense medication. You will receive a prescription that can be picked up at the pharmacy. Limited to medications prescribed by Network physicians. Limited to certain quantities per person and year. A formulary governs all acute medications.
🔵 Basic Pathology	If you receive a referral from your Network primary care physician, a basic list of blood tests is covered, subject to a list of tariff codes. Your Network primary care physician will recommend any necessary blood tests during your visit.
💙 Basic Radiology	Basic (black and white) X-rays are covered when referred by a Network physician. Your Network physician will recommend X-rays if necessary. A list of X-ray procedures is applicable. Specialized radiology, including MRI and CT scans, are not covered.
🟦 Maternity Benefits	All plans cover a limited number of annual gynecologist visits and ultrasounds per family. You can go to any gynecologist. You might have to pay in advance, but you will be reimbursed. If you prefer to have an ultrasound scan at your Network doctor’s office, this will not count as an additional Network doctor’s visit. Annual limits apply per family.
🔵 Health Assessments	Included in wellness screenings are tests for the following: Blood pressure Cholesterol Glucose levels Body mass index (BMI) Waist circumference HIV and pre-and post-test counseling for HIV This benefit is available at Dischem and Clicks pharmacies. Limited to one screening per person per year is allowed.
💙 Pap Smears	Available once every three years after the age of 21. Available at the pharmacies of Clicks and Dischem. Your Network primary care physician might offer Pap smears.
🟦 PSA Screening	After age 50, PSA (Prostate-Specific Antigen) screening will be available every two years. Available at the pharmacies of Clicks and Dischem.
🔵 Vaccinations	The following are available at any approved Dischem and Clicks pharmacy: Flu – annually before 31 May. Tetanus – once every 10 years. Hepatitis A and B – Once off. Pneumococcal – Once every 5 years for insured members 60> or those with medically proven compromised immune systems. Pre-approval is required for vaccinations.
💙 Assistance Program	Registered counselors provide unlimited telephone and Skype counseling services per specific procedures and clinical protocols. The service is available 24 hours a day, seven days a week, and includes counseling for the following: Critical incidence/trauma counseling HIV counseling Legal Advice Financial Advice Personal counseling is available but will be arranged for the insured member’s account.
🟦 COVID-19 Screening Benefit	The benefit is payable only if Pre-authorisation and referral by a network GP are completed (rapid tests are not covered).

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Elixi Blue Plan Exclusions and Waiting Periods

Elixi Blue Plan Exclusions

💙The following are typical exclusions that members can expect with Elixi Blue Plan:

✅Pre-existing conditions: Health insurance policies may exclude coverage for medical conditions that existed before the purchase of the policy or the expiration of the waiting period.
✅Numerous health insurance policies exclude coverage for cosmetic procedures, such as elective surgery, cosmetic dentistry, or hair restoration, as they are purely aesthetic.
✅Treatments that are considered experimental or have not been demonstrated to be effective may not be covered by insurance companies.
✅Some health insurance policies may not cover alternative treatments like acupuncture, chiropractic care, or homeopathy.
✅Health insurance policies may not cover injuries caused by substance abuse or intentional self-infliction.

Injuries or illnesses that result from illegal activities, such as drug use or criminal behavior, may be excluded from insurance coverage.

Elixi Blue Plan Waiting Periods

Typically, there is a three-month waiting period for all benefits and a 12-month waiting period for pre-existing conditions, during which neither you nor your family is eligible for cover.

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Elixi Blue Plan vs Plans Offered by Other Providers

🔎 Medical Health Plan	🥇 Elixi Blue	🥈 Clientèle Health Ultimate H.E.L.P	🥉 Fedhealth FlexiFED Savvy
🌎 International Cover	None	None	None
👤 Main Member Contribution	R453	R573	R1055
👥 Adult Dependent Contribution	R316	R573	R1055
👶 Child Dependent Contribution	R176	R573	R775
🔁 Gap Cover	None	None	None
📈 Annual Limit	None	R250,000	Unlimited Hospital Cover
💴 Prescribed Minimum Benefits	None	None	✅ Yes
💙 Screening and Prevention	✅ Yes	None	✅ Yes
💵 Medical Savings Account	None	None	✅ Yes

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Our Verdict on the Elixi Blue Plan

The Elixi Blue Plan is a comprehensive medical insurance plan offered by Elixi Health, a South African health insurance provider. It is designed to provide cover for a range of medical expenses, including hospitalization, screening and prevention, and Covid-19 testing. One of the key features of the Elixi Blue Plan is its screening and prevention benefits. These include cover for various health checks and tests, such as pap smears, mammograms, and cholesterol and blood pressure tests.

Another important feature of the Elixi Blue Plan is its gap cover, which provides additional financial protection for medical expenses not covered by medical schemes. This can include co-payments, deductibles, and other out-of-pocket expenses.

However, one of the drawbacks of the Elixi Blue Plan is its limited coverage for optometry, dentistry, and other essential medical services. For example, the plan does not cover basic dentistry, and there are limits on coverage for other dental procedures. Similarly, the plan provides limited cover for optometry services, including eye tests and glasses.

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Elixi Blue Plan Frequently Asked Questions

What is the Elixi Blue Plan?

The Elixi Blue Plan is a health insurance plan that covers various medical services, including basic radiology, pathology consultations, health assessments, and more.

What does the Elixi Blue Plan cover for mental health?

No, the Elixi Blue plan does not currently cover mental health.

How much does the Elixi Blue Plan cost?

The Elixi Blue plan starts from R453 per month.

Does the Elixi Blue Plan have a deductible?

Yes, the Elixi Blue Plan might include a deductible, which you must pay out of pocket for medical expenses before your insurance coverage kicks in.

What are the benefits of the Elixi Blue Plan?

The Elixi Blue Plan offers many benefits, including access to a wide network of healthcare providers, cover for various medical services, and customizing your cover to fit your needs.

Can I choose my doctor with the Elixi Blue Plan?

Yes, the Elixi Blue Plan allows you to choose your doctor, but you may pay less out of pocket if you choose a healthcare provider in the Elixi network.

How do I enroll in the Elixi Blue Plan?

You can enroll in the Elixi Blue Plan online or by telephone. You must complete an application form and provide some supporting documents. Once your application and documentation have been reviewed, an Elixi Health agent will contact you with the outcome of your application.

Adriaan Schoeman

Adriaan holds an MBA and specializes in medical aid research. With his commitment to perfection, he ensures the accuracy of all data presented on medicalaid.com every three months. When he is not conducting research, Adriaan can be found indulging in his passion for trout fishing amidst nature.

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