CompCare Mumed ED medical aid plan: 2018

View all plans in this scheme.
Please note that these benefits are still being updated as more information is made available to us. Always consult with your broker before making final decisions regarding your healthcare cover.

COSTS and OVERVIEW:
Mumed ED
Quick Overview
Main: Adult: Child:
Total Cost pm: R R R
Gap (optional): KaeloXelus: R350 per family
(R600 per family if anyone is 60yrs+)
Overal Limit: Unlimited
PMBs: Day-to-day expenses for PMBs (eg. cancer) are always paid for by the scheme, according to protocols. Find out more
Children:
See full benefits below

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IN HOSPITAL PROCEDURES:
Mumed ED
Benefits Gap benefits
Payout Rate for Specialists: 2018 benefits will be posted soon!
  • Up to 500% of scheme rate
  • In case of admission related to accident:
    • R300 per day, for days 1-13
    • R600 per day for days 14-20
    • R1,200 per day for days 21-30
Hospital Choice: 2018 benefits will be posted soon!
  • R12,800 per family per year for use of a non-network hospital
Specialised Radiology: 2018 benefits will be posted soon!
Supplementary Services: (Physio, etc) 2018 benefits will be posted soon!
Transplants: 2018 benefits will be posted soon!
Co-payments: 2018 benefits coming soon. 2017 benefits:
  • Excision lesion:R1,000
  • Gastroscopy, colonoscopy, cystoscopy, proctoscopy, nasal/sinus endoscopy, hysteroscopy, flexible sigmoidoscopy, diagnostic laparoscopy, dental: R3,300
  • Adenoidectomy, myringotomy, grommets, tonsillectomy: R2,550
  • Laparoscopic hemicolectomy, laparoscopic inguinal hernia repair, laparoscopic appendicectomy : R4,000
  • Laminectomy and spinal fusion, : R8,000
  • Hysterectomy (except for cancer), laparoscopy, hysteroscopy, endometrial ablation, arthroscopy, functional nasal surgry and septoplasty: R6,150
  • Joint replacements, conservative back and neck treatment - spinal cord injections, laminectomy and spinal fusion, nissen fundoplication (reflux surgery):R15,000
  • Gap covers co-payments for most scopes and a defined list of other procedures, incl MRIs etc See full list
Alternatives to hospitals: 2018 benefits will be posted soon!
Casualty: 2018 benefits will be posted soon!
Other: 2018 benefits will be posted soon!
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OUT OF HOSPITAL BENEFITS:
Mumed ED
Benefits Gap benefits
GP consultations: 2018 benefits will be posted soon!
Childcare:
  • No benefit
Specialists consultations: 2018 benefits will be posted soon!
Pathology: 2018 benefits will be posted soon!
General radiology: 2018 benefits will be posted soon!
Specialised radiology: 2018 benefits will be posted soon!
Supplementary Services: (Physio, etc) 2018 benefits will be posted soon!
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MATERNITY BENEFITS:
Mumed ED
Benefits Gap benefits
Hospital stay: 2018 benefits will be posted soon!
Consultations: 2018 benefits will be posted soon!
Scans: 2018 benefits will be posted soon!
  • No benefit
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CANCER (ONCOLOGY):
Mumed ED
Benefits Gap benefits
Overall coverage (in and out of hospital): 2018 benefits will be posted soon!
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DENTISTRY:
Mumed ED
Benefits Gap benefits
Dentistry: 2018 benefits will be posted soon!
  • Dental reconstruction due to due to trauma or oncology treatment: R40,000 per event
  • Full cover for in-hospital co-payments
Orthodontics: 2018 benefits will be posted soon!
  • No benefit
Maxillo Facial Surgery: 2018 benefits will be posted soon!
  • Dental reconstruction as result of trauma or oncology: R40,000 per event
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MEDICATION:
Mumed ED
Benefits Gap benefits
Chronic: 2018 benefits will be posted soon!
  • No benefit
Acute (presrcibed) medication: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
Over-the-counter: 2018 benefits coming soon. 2017 benefits:
  • One script per day, and R160 per event>
  • R530 per person and R950 per family
  • No benefit
Birth Control: 2018 benefits coming soon. 2017 benefits:
  • R120 per month
On Discharge: 2018 benefits coming soon. 2017 benefits:
  • 7 days supply
  • No benefit
Biological: 2018 benefits coming soon. 2017 benefits:
  • R117,980 with a 25% co-payment
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OPTOMETRY:
Mumed ED
Benefits Gap benefits
Optometry: 2018 benefits will be posted soon!
  • No benefit
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MENTAL HEALTH:
Mumed ED
Benefits Gap benefits
In-hospital: 2018 benefits will be posted soon!
Out-of-hospital: 2018 benefits will be posted soon!
Trauma:
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OTHER BENEFITS:
Mumed ED
Benefits Gap benefits
General Appliances: 2018 benefits will be posted soon!
  • No benefit
1.1. Hearing Aids: 2018 benefits will be posted soon!
  • No benefit
1.2. Wheelchairs: 2018 benefits will be posted soon!
  • No benefit
Dialysis: 2018 benefits will be posted soon!
HIV: 2018 benefits will be posted soon!
  • No benefit
Emergency Transport:
  • No benefit
International Insurance: 2018 benefits will be posted soon!
  • No benefit
Other: 2018 benefits will be posted soon!
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WELLNESS/PREVENTATIVE BENEFITS:
Mumed ED
Benefits Gap benefits
Flu vaccination: 2018 benefits will be posted soon!
  • No benefit
Pneumonia vaccines: 2018 benefits will be posted soon!
  • No benefit
Back Rehabilitation Programme: 2018 benefits will be posted soon!
  • No benefit
Biometric Screening: 2018 benefits will be posted soon!
  • No benefit
Child Immunisation: 2018 benefits will be posted soon!
  • No benefit
Pap Smear: 2018 benefits will be posted soon!
  • No benefit
Mammogram: 2018 benefits will be posted soon!
  • No benefit
PAS Test: 2018 benefits will be posted soon!
  • No benefit
HIV Test: 2018 benefits will be posted soon!
  • No benefit
Other: 2018 benefits coming soon. 2017 benefits:
  • HPV vaccine, 12yrs-18yrs
  • Tetanus vaccine
  • Glaucoma screen tests
  • Quit smoking program
  • School readiness assessment and psychometric testing
  • Eye and hearing screening for pre-school, 5 and 6yrs
  • No benefit
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PROSTHETICS:
Mumed ED
Benefits Gap benefits
Overal Limit:
Sub-limits:
  • An additional R40,000 per sublimit, per event

    Important!
  • Unless specified, assume that all benefits are paid are paid at 100% scheme rate
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • “Unlimited” benefits are still subject to authorisation, protocols and sublimits
  • Assume that all benefits need to be pre-authorised