Makoti out-of-hospital benefits: 2017

Click here to compare out-of-hospital benefits across all schemes, or use the menu bar above for more options. Makoti home page.

Primary Plan

Comprehensive Plan

Makoti Comprehensive A 2017: Out Of Hospital Benefits
In brief:
1. GP consultations:
  • Chosen network GP: Unlimited
Overall Annual Limit (OAL):
PMBs only, in private hospitals
Contributions:
Main: Adult: Child:
Total Cost: R1,469 R1,266 R488
Children: Pay for all children
Income limit: R0-R9,250 (other limits)
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

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2. Specialists consultations:
  • Subject to pre-authorisation
3. Pathology:
  • Basic pathology covered by scheme
4. General radiology:
  • Basic radiology covered by scheme
5. Specialised radiology:
  • No benefit, unless PMB
6. Supplementary Services: (Physio, etc)
  • Physio and occupational therapy: 20 consults per family

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Makoti Comprehensive B 2017: Out Of Hospital Benefits
In brief:
1. GP consultations:
  • Chosen network GP: Unlimited
Overall Annual Limit (OAL):
PMBs only, in private hospitals
Contributions:
Main: Adult: Child:
Total Cost: R1,699 R1,415 R554
Children: Pay for all children
Income limit: R9,251-R12,250 (other limits)
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Specialists consultations:
  • Subject to pre-authorisation
3. Pathology:
  • Basic pathology covered by scheme
4. General radiology:
  • Basic radiology covered by scheme
5. Specialised radiology:
  • No benefit, unless PMB
6. Supplementary Services: (Physio, etc)
  • Physio and occupational therapy: 20 consults per family

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Makoti Comprehensive C 2017: Out Of Hospital Benefits
In brief:
1. GP consultations:
  • Chosen network GP: Unlimited
Overall Annual Limit (OAL):
PMBs only, in private hospitals
Contributions:
Main: Adult: Child:
Total Cost: R1,832 R1,537 R594
Children: Pay for all children
Income limit: R12,251-R16,250 (other limits)
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Specialists consultations:
  • Subject to pre-authorisation
3. Pathology:
  • Basic pathology covered by scheme
4. General radiology:
  • Basic radiology covered by scheme
5. Specialised radiology:
  • No benefit, unless PMB
6. Supplementary Services: (Physio, etc)
  • Physio and occupational therapy: 20 consults per family

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Makoti Comprehensive D 2017: Out Of Hospital Benefits
In brief:
1. GP consultations:
  • Chosen network GP: Unlimited
Overall Annual Limit (OAL):
PMBs only, in private hospitals
Contributions:
Main: Adult: Child:
Total Cost: R2,008 R1,722 R653
Children: Pay for all children
Income limit: R16,251+ (other limits)
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Specialists consultations:
  • Subject to pre-authorisation
3. Pathology:
  • Basic pathology covered by scheme
4. General radiology:
  • Basic radiology covered by scheme
5. Specialised radiology:
  • No benefit, unless PMB
6. Supplementary Services: (Physio, etc)
  • Physio and occupational therapy: 20 consults per family

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