Elixi Purple Plan
Overall, the Elixi Purple Plan is a trustworthy and comprehensive health insurance plan that offers 24/7 medical emergency assistance and Assistance Programs to up to 3 Family Members. The Elixi Purple Health Insurance Plan starts from R575 ZAR. Elixi has a trust rating of 5.8.
| 🔎 Medical Health Plan | 🥇 Elixi Purple Plan |
| 🌎 International Cover | None |
| 👤 Main Member Contribution | R537 |
| 👥 Adult Dependent Contribution | R537 |
| 👶 Child Dependent Contribution | R537 |
| 🔁 Gap Cover | ✅ Yes |
| 💴 Prescribed Minimum Benefits | None |
| 😷 Screening and Prevention | ✅ Yes |
| 💙 Medical Savings Account | None |
| 🍼 Maternity Benefits | ✅ Yes |
Elixi Purple Plan – 6 Key Point Quick Overview
- ✅ Elixi Purple Plan Overview
- ✅ Elixi Purple Plan Benefits and Cover Comprehensive Breakdown
- ✅ Elixi Purple Plan Exclusions and Waiting Periods
- ✅ Elixi Purple Plan vs Plans Offered by Other Providers
- ✅ Our Verdict on the Elixi Purple Plan
- ✅ Elixi Purple Plan Frequently Asked Questions
Elixi Purple Plan Overview
The Elixi Purple Plan is one of 4, starting from R575, and includes GP Visits, Maternity, Assistance Programs, In-Patient Hospital Treatment and stabilization, MRI and CT scans, Physiotherapy, Emergency services, and more.
Gap Cover is available on the Elixi Purple Plan, along with 24/7 medical emergency assistance. According to the Trust Index, Elixi has a trust rating of 5.8.
You can review the following plans Elixi has to offer:
Elixi Black Plan
Elixi Blue Plan
Elixi Gold Plan
Elixi Purple Plan
Elixi Purple Plan Benefits and Cover Comprehensive Breakdown
Purple 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). |
Purple Plan Hospital Care Benefits
| 🟪 In-Patient Hospital Treatment | The benefit is available if an emergency occurs that necessitates stabilization of the patient in an emergency unit before transfer to a public hospital, the actual cost of hospitalization as an in-patient.
Limited per insured individual and incident.
Authorization in advance is required. |
| 🟣 In-Patient Stabilisation | Available in an accident-related injury occurs, the actual cost of hospitalization as an in-patient, including all associated services during the hospital admission at a private facility.
Planned medical procedures, such as hysterectomy and hip replacement, are not covered.
Limited per insured individual and incident.
Authorization in advance is required. |
| 💜 Out-Patient Casualty Treatment | The benefit is payable for injuries sustained in an accident.
It is limited to treatment received in an emergency department of a hospital.
Limited per insured individual and incident.
Authorization in advance is required. |
| 🟪 MRI and CT scans | The actual cost of an MRI or CT scan is necessitated because of an accident-related injury.
Authorisation is required before service.
Limited annually per insured person. |
| 🟣 Physiotherapy and Occupational Therapy | Physiotherapy and Occupational Therapy following an accident-related in-patient hospitalization.
Limited to three months following an in-patient hospitalization discharge.
Authorization in advance is required.
Limited annually per insured person. |
| 💜 Accidental Death Benefit | A benefit is payable if the principal insured person or their spouse dies due to an accident or the death of the principal insured person’s children due to a motor vehicle accident. |
| 🟪 Emergency Services | Includes the following:
Ambulance services (air or road)
Telephonic medical advice
Inter-hospital transfers
Repatriation of mortal remains within South Africa’s borders
Unity Health “push to call” emergency dialing, geo-locating, and “find a provider “ mobile app. |
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Elixi Purple Plan Exclusions and Waiting Periods
Elixi Purple Plan Exclusions
The following are typical exclusions that members can expect with Elixi Purple 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 Purple 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 Purple Plan vs Plans Offered by Other Providers
| 🔎 Medical Health Plan | 🥇 Elixi Purple Plan | 🥈 Day1 Health Value Plus Comprehensive | 🥉 GetSavvi Health Primary Care |
| 🌎 International Cover | None | None | None |
| 👤 Main Member Contribution | R537 | R565.00 | From R542 |
| 👥 Adult Dependent Contribution | R537 | R947 – R1,851 | From R542 |
| 👶 Child Dependent Contribution | R537 | R791 – R1,851 | From R542 |
| 🔁 Gap Cover | ✅ Yes | None | None |
| 💴 Prescribed Minimum Benefits | None | ✅ Yes | ✅ Yes |
| 😷 Screening and Prevention | ✅ Yes | None | ✅ Yes |
| 💙 Medical Savings Account | None | None | None |
| 🍼 Maternity Benefits | ✅ Yes | None | ✅ Yes |
READ more about the 10 Things to Consider Before Cancelling your Medical
Our Verdict on the Elixi Purple Plan
The Elixi Purple Plan offers a comprehensive range of benefits, including GP visits, maternity benefits, in-patient hospital treatment, MRI and CT scans, physiotherapy, emergency services, and more.
The plan is competitively priced, starting from R575 per insured member, and it also includes gap cover and 24/7 medical emergency assistance.
While the plan does not offer as many benefits as some medical aid schemes, it is a good option for those seeking an affordable health insurance plan.
One of the main drawbacks is that it does not include cover for optometry, chronic medication, dentistry, or specialist visits. As a result, if you need to see an optometrist, dentist, or specialist, you must pay for these services out of pocket. Additionally, while the plan covers in-patient hospital treatment, it does not cover planned medical procedures such as hysterectomy or hip replacement.
Finally, the plan has some limitations on the number of annual visits for some benefits, such as the number of gynecologist visits and ultrasounds covered under maternity benefits.
Elixi Purple Plan Frequently Asked Questions
What is the Elixi Purple Plan?
The Elixi Purple Plan is a health insurance plan that covers various medical services, including GP visits, in-patient hospital treatment, physiotherapy, and emergency services.
What does the Elixi Purple Plan cover?
The Elixi Purple Plan covers a range of medical services, including GP visits, maternity benefits, in-patient hospital treatment, MRI and CT scans, physiotherapy, and emergency services.
How much does the Elixi Purple Plan cost?
The cost of the Elixi Purple Plan starts from R575 per insured member. However, the insurer does not provide a comprehensive breakdown of its premiums.
Does the Elixi Purple Plan offer gap cover?
Yes, gap cover is available on the Elixi Purple Plan, along with 24/7 medical emergency assistance.
What is the Trust Index rating for Elixi?
According to the Trust Index, Elixi has a trust rating of 5.8.
Does the Elixi Purple Plan cover dentistry or specialist visits?
No, the Elixi Purple Plan does not include cover for dentistry or specialist visits. So, unfortunately, if you need to see a dentist or specialist, you will have to pay for these services out of pocket.
Are there any limitations to the number of visits covered under the Elixi Purple Plan?
Yes, there are some limitations to the number of visits covered under certain benefits of the Elixi Purple Plan.
What are the waiting periods for the Elixi Purple Plan?
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.
Can I choose my own doctor with the Elixi Purple Plan?
Yes, you can choose your doctor with the Elixi Purple Plan, but you may pay less out of pocket if you choose a healthcare provider in the Elixi network.
Does the Elixi Purple Plan cover optometry services?
No, the Elixi Purple Plan does not include cover for optometry services. So, unfortunately, you will have to pay out of pocket for eye exams, glasses, and contact lenses.
Does the Elixi Purple Plan cover chronic medication?
No, the Elixi Purple Plan does not cover chronic medication. Unfortunately, this means that if you have a chronic condition requiring medication, you must pay for your prescriptions out of pocket, or opt for another Elixi option that includes chronic medication benefits.
