EEB Benefits

Support your employees at every stage of life with our comprehensive healthcare benefits. Our plans are designed to promote wellbeing, reduce absenteeism, and give your team peace of mind knowing they’re covered when it matters most.

Doctor Consultations

Regular access to a GP ensures early detection and treatment, helping employees stay healthy and productive.

Employees enjoy unlimited GP consultations with network doctors. Each visit requires pre-authorisation, and alternative medical interventions may be recommended where appropriate.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Specialist Consultations

When general care isn’t enough, specialist support can make all the difference.

Our plans provide R2 500 specialist cover per member when referred by a network GP, ensuring access to the right expertise at the right time. This is limited to R4 000 per policy.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Dental Benefits

Oral health is essential for overall wellbeing and confidence and regular check-ups help prevent costly treatments down the line.

Each member receives two dental check-ups per year, including scaling, polishing, extractions, and fillings at any EEB Network Dentist.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Optometry Benefits

Healthy vision keeps employees performing at their best — both at work and in life.

Access eye care at any Specsavers nationwide, including:

A consultation every 24 months (refraction, tonometry, visual field screening, and dispensing).
One set of frames (grey sticker range) and lenses every 24 months.
Multifocals covered up to the standard bifocal limit.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Radiology and Pathology

Diagnostic tests help doctors get to the root of the problem, ensuring fast, accurate treatment.

Members have unlimited access to basic black-and-white scans and pathology tests as referred by a network doctor subject to EEB formulary list.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Maternity Benefits

Supporting employees through pregnancy promotes family wellbeing and peace of mind during a crucial life stage.

Our maternity cover includes:

Three growth scans (as outlined in your benefit schedule) and unlimited antenatal medication according to the EEB formulary.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit).

Birth cover up to R25 000 for natural and R35 000 for cesarean section.

Available on the Combined Plan (Hospital Plan Benefit).

Chronic Medication

Consistent access to chronic medication helps employees manage long-term conditions and maintain their quality of life.

Get unlimited chronic condition cover for 27 listed chronic illnesses.

Medication is provided according to the EEB Chronic Formulary, ensuring you receive the right treatment when you need it.

Covered conditions include:

Addison’s, Asthma, Bipolar Mood Disorder, Bronchiectasis, Cardiac Failure, Cardiomyopathy, COPD, Chronic Renal Failure, Coronary Artery Disease, Crohn’s Disease, Diabetes (Type 1 & 2), Dysrhythmia, Epilepsy, Glaucoma, Haemophilia, HIV/AIDS, Hyperlipidaemia, Hypertension, Hypothyroidism, Multiple Sclerosis, Parkinson’s Disease, Rheumatoid Arthritis, Schizophrenia, SLE (Systemic Lupus Erythematosus), and Ulcerative Colitis.

Unlimited as per Covered Chronic Conditions list (27 Chronic Condition covered) with a chronic prescription from a network GP. (Dispensing limits may apply)

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Acute and Over-the-Counter (OTC) Medication

Everyday illnesses can strike anytime. Quick access to medication helps employees recover faster and return to work sooner.

Members receive:

Unlimited medication from dispensing GPs (formulary applies), or
R2 000 per policy, per annum for scripted medication from a GP (formulary applies) and up to R250 per month for OTC medication.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit).

Emergency Ambulance Services

Quick medical response can save lives. Immediate access to professional emergency transport ensures employees receive the right care without delay.

Members have access to 24/7 emergency ambulance transport services through the EEB call centre (010 020 9008), for life-threatening conditions, providing dependable, nationwide assistance in times of crisis.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Trauma Room Access

Accidents and unexpected injuries can happen anytime. This benefit ensures employees get prompt medical attention without worrying about costs.

Members receive access to trauma room treatment up to R5 000 per annum per policy, helping them get back on their feet quickly and safely.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit).

General Hospital Admissions

Unexpected illness or disease can strike at any time. Having hospital cover ensures employees get the care they need without financial strain.

Members receive up to R53 000 cover per illness for hospital admissions due to sudden illness or disease.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Intensive Care

Serious medical events often require critical care. This benefit ensures employees have access to high-level treatment when every moment counts.

Members receive up to R15 000 per day for intensive care, for a maximum of 5 days.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Accident Cover

Accidents can happen at any time. Immediate access to a private hospital ensures urgent care for accidental injuries—without delays or added stress.

Members are covered for up to R400 000 per individual per incident and up to R1 000 000 per family per incident.

No waiting periods apply.

Available on the Combined Plan (Hospital Plan Benefit)

Dreaded Disease Cover

A severe illness can impact every aspect of an employee’s life. This benefit provides financial relief during difficult times, allowing members to focus on recovery.

Covered up to R250 000 paid out per disease stage if diagnosed with a listed dreaded disease. Cover is based on Standardised Critical Illness Definitions Project (SCIDEP) rating scale.

Available on the Combined Plan (Hospital Plan Benefit)

Surgery

Surgical procedures can be costly. This benefit ensures employees receive financial support for necessary operations when they arise.

Access to stated surgery cover for specified procedures such as appendectomy, hernia repair, kidney stone removal, and gallbladder removal, as outlined in the policy document.

Available on the Combined Plan (Hospital Plan Benefit)

Pharmacy Clinic Consultations

Convenient access to primary care helps employees stay healthy and reduces absenteeism due to minor illnesses.

Members can visit over 600 pharmacy-based primary care clinics nationwide, including Clicks, Dis-Chem, and Medirite.

Services include:

Primary care consultations and medication
Flu and COVID-19 vaccinations
Health screenings (blood pressure, glucose, cholesterol, haemoglobin, urine, BMI)
Women’s and men’s health services
HIV testing and counselling
Diabetes, asthma, malaria, and wound care services
Over-the-counter medication where needed

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit)

Employee Assistance Programme (EAP)

A healthy workforce is a productive one. Our EAP supports employees’ mental, emotional, and physical wellbeing — helping them manage life’s challenges both inside and outside the workplace.

Holistic Support for Every Employee

Mental Wellness

24/7 telephonic, virtual, or in-person counselling for stress, anxiety, trauma, or life challenges.

Financial Guidance

Expert advice and debt counselling to help employees regain financial control.

Legal Support

Access to professional legal advice on family law, contracts, and debt-related matters.

Career & Life Coaching

Workplace coaching to enhance leadership, teamwork, and personal growth.

Health & Wellness

24/7 nurse advice line for medical queries and benefit navigation, plus ongoing health education via SMS and email. Support includes chronic illness management, diet and lifestyle guidance, and pregnancy or family planning advice.

Available on the Essential Plan (Day-to-Day Benefit) and Combined Plan (Hospital Plan Benefit) or as a standalone wellness solution.

Grocery Coupons

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