Resolution Millenium Select medical aid plan: 2017 vs 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:
Millennium Select
2018 costs In brief:
What’s new in 2018?
Main: Adult: Child:
Cost 2018: R R R
Cost 2017: (R3,819) (R3,271) (R890)
Gap (optional): KaeloXelus: R350 per family
(R600 per family if anyone is 60yrs+)
Overal Limit: 2018 benefits coming soon. 2017 benefits:
  • Unlimited
PMBs: Day-to-day expenses for PMBs (eg. cancer) are always paid for by the scheme, according to protocols. Find out more
Children:

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Avoid bills! Get up to: 800% scheme rate;  R12,800 per ER visit; unlimited cancer cover;  

co-payments paid and cash payout for hospital stay. R350pm per family


IN HOSPITAL PROCEDURES:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
Payout Rate for Specialists: 2018 benefits coming soon. 2017 benefits:
  • 150% scheme rate for contracted providers, otherwise100% scheme rate
  • 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

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Hospital Choice: 2018 benefits coming soon. 2017 benefits:
  • Network or R3,896 co-payment
  • R12,800 per person per year for use of a non-network hospital
Specialised Radiology: 2018 benefits coming soon. 2017 benefits:
  • R15,003 per family with R1,892 co-payment. In and out of hospital
Supplementary Services: (Physio, etc) 2018 benefits are coming soon!
Transplants: 2018 benefits coming soon. 2017 benefits:
  • Unlimited
Co-payments: 2018 benefits coming soon. 2017 benefits:
  • Excision nail bed, skin lesions:R1,881 co-payment
  • Dental admissions, circumcision, colonoscopy, sigmoidoscopy, proctoscopy, cystoscopy, gastroscopy: R2,504 co-payment
  • Hysteroscopy: R2,816 co-payment
  • Arthroscopy, endometrial ablation, laparoscopic procedures, urinary incontinence repair, varicose veins, conservative back, spinal treatment, hernia repair, hysterectomy: R3,751 co-payment
  • Nasal surgery: R5,632 co-payment
  • Joint replacements, rotator cuff surgery: R7,157 co-payment
  • Spinal surgery: R7,824 co-payment
  • Reflux surgery: R10,752 co-payment
  • 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 coming soon. 2017 benefits:
  • Home nursing: 10 days per family
  • Hospice, rehab and step down facility: 18 days per family
Casualty: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
Other: 2018 benefits are coming soon!
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OUT OF HOSPITAL BENEFITS:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
GP consultations: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit


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Childcare:
  • No benefit
Specialists consultations: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
Pathology: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
General radiology: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
Specialised radiology: 2018 benefits coming soon. 2017 benefits:
  • R15,003 per family with R1,892 co-payment. In and out of hospital
Supplementary Services: (Physio, etc) 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
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MATERNITY BENEFITS:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
Hospital stay: 2018 benefits coming soon. 2017 benefits:
  • Vaginal birth: 3 days, 2 nights
  • Caesarean birth: 4 days, 3 nights
  • Elective Caesarean: no benefit

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Consultations: 2018 benefits coming soon. 2017 benefits:
  • 9 consults, from day-to-day benefit
  • Antenatal classes: from day-to-day benefit
  • Baby care products: R813 at DSP
Scans: 2018 benefits coming soon. 2017 benefits:
  • 2 x 2D scans, paid by scheme
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CANCER (ONCOLOGY):
Millennium Select
2017 v 2018 benefits Gap benefits Notes
Overall coverage (in and out of hospital): 2018 benefits coming soon. 2017 benefits:
  • Unlimited subject to DSP
All oncology benefits are assessed on a case-by-case basis, and are subject to protocols, preferred providers and scheme rules. Benefit covers out-of-hospital treatment too, like chemotherapy.
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DENTISTRY:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
Dentistry: Standard dentistry: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit, subject to sub limits below
MainAdultChild
R5,899R8,137R9,673
Advanced dentistry: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit, subject to sub limits below
  • Implants and periodontics: no benefit
MainAdultChild
R5,899R8,137R9,673

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Orthodontics: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
Maxillo Facial Surgery: 2018 benefits are coming soon!

Avoid bills! Get up to: 800% scheme rate;  R12,800 per ER visit; unlimited cancer cover;  

co-payments paid and cash payout for hospital stay. R350pm per family

MEDICATION:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
Chronic: 2018 benefits coming soon. 2017 benefits:
  • PMB chronic: paid by scheme
  • non-PMBs: Additional 10 conditions covered
  • M= R2,649 and M+= R5,310. Thereafter, only PMBs covered.

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Acute (presrcibed) medication: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit, subject to sub limits below
MM1M2+
R5,899R8,137R9,673
Over-the-counter: 2018 benefits coming soon. 2017 benefits:
  • Shared with acute medicine limit, subject to sub limits below
MM1M2+
R1,748R2,438R2,872
Birth Control: 2018 benefits coming soon. 2017 benefits:
  • R1,496 per female, from preventative benefit limit
On Discharge: 2018 benefits coming soon. 2017 benefits:
  • 7 days supply
Biological:
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OPTOMETRY:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
Optometry: 2018 benefits coming soon. 2017 benefits:
  • R2,649 per person, subject to day-to-day benefit
  • Every 2 years

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MENTAL HEALTH:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
In-hospital: 2018 benefits coming soon. 2017 benefits:
  • R18,755 per family

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Out-of-hospital: 2018 benefits coming soon. 2017 benefits:
  • Paid from day-to-day benefit
Trauma:
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OTHER BENEFITS:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
General Appliances: 2018 benefits coming soon. 2017 benefits:
  • R11,252, with sub limits
  • No benefit

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1.1. Hearing Aids: See above
  • No benefit
1.2. Wheelchairs: See above
  • No benefit
Dialysis: 2018 benefits coming soon. 2017 benefits:
  • PMBs only, at network providers
HIV: 2018 benefits coming soon. 2017 benefits:
  • Covered at network hospitals if on HIV Management Programme
  • No benefit
Emergency Transport:
  • No benefit
International Insurance: 2018 benefits coming soon. 2017 benefits:
  • R2 million per person per emergency incident
  • No benefit
Other: 2018 benefits coming soon. 2017 benefits:
  • Cochlear implants: R75,016 per family
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WELLNESS/PREVENTATIVE BENEFITS:
Millennium Select
2017 v 2018 benefits Gap benefits Notes
Flu vaccination: 2018 benefits coming soon. 2017 benefits:
  • Covered subject to overall R2,493 per family for preventative care benefits
  • No benefit

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Pneumonia vaccines: 2018 benefits are coming soon!
  • No benefit
Back Rehabilitation Programme: 2018 benefits are coming soon!
  • No benefit
Biometric Screening: 2018 benefits coming soon. 2017 benefits:
  • Covered subject to overall R2,493 per family for preventative care benefits
  • No benefit
Child Immunisation: 2018 benefits coming soon. 2017 benefits:
  • R1,875 subject to overall R2,493 per family for preventative care benefits
  • No benefit
Pap Smear: 2018 benefits coming soon. 2017 benefits:
  • Covered subject to overall R2,493 per family for preventative care benefits
  • No benefit
Mammogram: 2018 benefits coming soon. 2017 benefits:
  • Covered subject to overall R2,493 per family for preventative care benefits
  • No benefit
PAS Test: 2018 benefits coming soon. 2017 benefits:
  • Covered subject to overall R2,493 per family for preventative care benefits
  • No benefit
HIV Test: 2018 benefits coming soon. 2017 benefits:
  • Covered subject to overall R2,493 per family for preventative care benefits
  • No benefit
Other: 2018 benefits coming soon. 2017 benefits:
  • HPV vaccine
  • Oral contraceptive: R1,496
  • Subject to overall R2,493 per family for preventative care benefits
  • No benefit

Avoid bills! Get up to: 800% scheme rate;  R12,800 per ER visit; unlimited cancer cover;  

co-payments paid and cash payout for hospital stay. R350pm per family

2017 v 2018 benefits Gap benefits Notes
Overal Limit:
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Sub-limits:

    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