| Standard and Specialised: |
- Standard dentistry: paid by scheme
- Specialised dentistry: one partial metal frame per person every 5 yrs, 1 crown per family per year, paid by scheme
- Implants: no benefit
- Periodontics: limited to conservative, non-surgical therapy
- In-hospital: R3,000 co-payment
|
| Overall Annual Limit (OAL): |
| Unlimited overall, with sub-limits |
| Contributions: |
|
Main: |
Adult: |
Child: |
|---|
| Total Cost: |
R2,597 |
R2,247 |
R760 |
|---|
| Children: |
Pay for maximum 3 children |
|---|
| Day-to-Day Benefit: |
| Out-of-hospital, scheme pays for some: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB. |
|
Main: |
Adult: |
Child: |
|---|
| (S) Savings: |
R0- |
R0- |
R0- |
|---|
| Compare with these plans: |
|
|
| Fund: |
| Main |
M+1 |
M+2 |
M+3 |
M4+ |
|---|
| R5,232 |
R7,970 |
R9,214 |
R10,062 |
R10,966 |
| Specialists, medicine, radiology, pathology, etc |
|
|---|