Selfmed – Medical Aid Bible http://medicalaidbible.co.za Thu, 01 Jun 2017 13:06:31 +0000 en-US hourly 1 https://wordpress.org/?v=4.6.6 116699740 Selfmed: All the 2017 medical aid plans http://medicalaidbible.co.za/selfmed-all-the-plans/ Tue, 07 Jun 2016 07:07:14 +0000 http://medicalaidbible.co.za/?p=802171 All plans “]

The post Selfmed: All the 2017 medical aid plans appeared first on Medical Aid Bible.

]]> All plans
Selfnet Essential
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R850 pm
Savings: R0- yr
 Premium: R850 pm
Savings: R0- yr
 Premium: R300 pm
Savings: R0- yr
 Pay for maximum 3 children 100% Network

View this plan |
Selfnet
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,185 pm
Savings: R0- yr
 Premium: R1,185 pm
Savings: R0- yr
 Premium: R418 pm
Savings: R0- yr
 Pay for maximum 3 children 100% Network

View this plan |
MexXXI
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,599 pm
Savings: R0- yr
 Premium: R1,592 pm
Savings: R0- yr
 Premium: R818 pm
Savings: R0- yr
 Pay for maximum 3 children 100% Network

View this plan |
Selfsure
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R2,456 pm
Savings: R0- yr
 Premium: R2,451 pm
Savings: R0- yr
 Premium: R836 pm
Savings: R0- yr
 Pay for maximum 3 children 100% Network

View this plan |
Selfmed 80%
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R6,335 pm
Savings: R0- yr
 Premium: R5,485 pm
Savings: R0- yr
 Premium: R1,100 pm
Savings: R0- yr
 Pay for maximum 3 children 100% Network

View this plan |

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]]> 802171 Selfmed preventative benefits: 2017 http://medicalaidbible.co.za/selfmed-preventative-benefits/ Thu, 29 Dec 2016 10:41:09 +0000 http://medicalaidbible.co.za/?p=810452 All preventative benefits, compared, for Selfmed medical scheme 2017

The post Selfmed preventative benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare wellness benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Preventative Health Benefits
In brief:
1. Flu vaccination:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Pneumonia vaccines:
3. Back Rehabilitation Programme:
4. Biometric Screening:
5. Child Immunisation:
6. Pap Smear:
7. Mammogram:
8. PAS Test:
9. HIV Test:

View this plan

Selfmed Selfnet 2017: Preventative Health Benefits
In brief:
1. Flu vaccination:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,185 R1,185 R418
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Pneumonia vaccines:
3. Back Rehabilitation Programme:
4. Biometric Screening:
5. Child Immunisation:
6. Pap Smear:
7. Mammogram:
8. PAS Test:
9. HIV Test:

View this plan

Selfmed MexXXI 2017: Preventative Health Benefits
In brief:
1. Flu vaccination:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,599 R1,592 R818
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Pneumonia vaccines:
3. Back Rehabilitation Programme:
4. Biometric Screening:
5. Child Immunisation:
6. Pap Smear:
  • Covered
7. Mammogram:
  • Covered
8. PAS Test:
9. HIV Test:

View this plan

Selfmed Selfsure 2017: Preventative Health Benefits
In brief:
1. Flu vaccination:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,456 R2,451 R836
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Pneumonia vaccines:
3. Back Rehabilitation Programme:
4. Biometric Screening:
5. Child Immunisation:
6. Pap Smear:
  • Covered
7. Mammogram:
  • Covered
8. PAS Test:
9. HIV Test:

View this plan

Selfmed 80% 2017: Preventative Health Benefits
In brief:
1. Flu vaccination:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R6,335 R5,485 R1,100
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Pneumonia vaccines:
3. Back Rehabilitation Programme:
4. Biometric Screening:
5. Child Immunisation:
6. Pap Smear:
  • Covered
7. Mammogram:
  • Covered
8. PAS Test:
9. HIV Test:

View this plan

The post Selfmed preventative benefits: 2017 appeared first on Medical Aid Bible.

]]> 810452 Selfmed other benefits: 2017 http://medicalaidbible.co.za/selfmed-benefits/ Thu, 29 Dec 2016 10:40:57 +0000 http://medicalaidbible.co.za/?p=810451 All other benefits, compared, for Selfmed medical scheme 2017

The post Selfmed other benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare other benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Other Benefits
In brief:
1. General Appliances:
  • PMBs only
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
2. Dialysis:
  • Unlimited
3. HIV:
  • Covered if part of Disease management Programme
4. Emergency Transport: ER24
5. International Coverage:
6. Other:

View this plan

Selfmed Selfnet 2017: Other Benefits
In brief:
1. General Appliances:
  • PMBs only
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,185 R1,185 R418
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
2. Dialysis:
  • Unlimited
3. HIV:
  • Covered if part of Disease management Programme
4. Emergency Transport: ER24
5. International Coverage:
6. Other:

View this plan

Selfmed MexXXI 2017: Other Benefits
In brief:
1. General Appliances:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,599 R1,592 R818
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • Unlimited
3. HIV:
  • Covered if part of Disease management Programme
4. Emergency Transport: ER24
5. International Coverage:
6. Other:
  • Cochlear implant: R30,200 per implant

View this plan

Selfmed Selfsure 2017: Other Benefits
In brief:
1. General Appliances:
  • R4,300 per family
  • This may be increased to R12,900 with respect to certain appliances, under case management
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,456 R2,451 R836
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs: See above
2. Dialysis:
  • Unlimited
3. HIV:
  • Covered if part of Disease management Programme
4. Emergency Transport: ER24
5. International Coverage:
6. Other:
  • Cochlear implant: R30,200 per implant

View this plan

Selfmed 80% 2017: Other Benefits
In brief:
1. General Appliances:
  • 20% co-payment and limited to R5,300 per family
  • This may be increased to R15,900 with respect to certain appliances, under case management
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R6,335 R5,485 R1,100
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • 20% co-payment and limited to R16,200 per family
1.2. Wheelchairs:
2. Dialysis:
  • Unlimited
3. HIV:
  • Covered if part of Disease management Programme
4. Emergency Transport: ER24
5. International Coverage:
6. Other:
  • Cochlear implant: R74,500 per implant

View this plan

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]]> 810451 Selfmed medicine benefits: 2017 http://medicalaidbible.co.za/selfmed-medicine-benefits/ Thu, 29 Dec 2016 10:40:47 +0000 http://medicalaidbible.co.za/?p=810450 All medicine benefits, compared, for Selfmed medical scheme 2017

The post Selfmed medicine benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare medicine benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Medicine Benefits
In brief:
1. Chronic:
  • PMB chronic: paid by scheme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Acute (presrcibed) medication:
  • No benefit
3. Over-the-counter:
  • No benefit
4. On Discharge:
  • 7 days supply
5. Birth Control:
  • No benefit
6. Notes:
  • Chronic meds: Must be obtained from DSP. Formularies apply. Otherwise, 40% co-payment

View this plan

Selfmed Selfnet 2017: Medicine Benefits
In brief:
1. Chronic:
  • PMB chronic: paid by scheme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,185 R1,185 R418
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Acute (presrcibed) medication:
  • Covered if prescribed by Network GP and part of formulary
3. Over-the-counter:
  • No benefit
4. On Discharge:
  • 7 days supply
5. Birth Control:
  • No benefit
6. Notes:
  • Chronic meds: Must be obtained from DSP. Formularies apply. Otherwise, 40% co-payment

View this plan

Selfmed MexXXI 2017: Medicine Benefits
In brief:
1. Chronic:
  • PMB chronic: paid by scheme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,599 R1,592 R818
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Acute (presrcibed) medication:
  • No benefit
3. Over-the-counter:
  • No benefit
4. On Discharge:
  • 7 days supply
5. Birth Control:
  • R1,500 per family
6. Notes:
  • Chronic meds: Must be obtained from DSP. Formularies apply. Otherwise, 40% co-payment

View this plan

Selfmed Selfsure 2017: Medicine Benefits
In brief:
1. Chronic:
  • PMB chronic: paid by scheme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,456 R2,451 R836
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Acute (presrcibed) medication:
  • Paid from day-to-day benefit
3. Over-the-counter:
  • Paid from day-to-day benefit
4. On Discharge:
  • 7 days supply
5. Birth Control:
  • R1,500 per family
6. Notes:
  • Chronic meds: Must be obtained from DSP. Formularies apply. Otherwise, 40% co-payment

View this plan

Selfmed 80% 2017: Medicine Benefits
In brief:
1. Chronic:
  • 20% co-payment and R23,300 per person and R45,400 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R6,335 R5,485 R1,100
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Acute (presrcibed) medication:
  • 20% co-payment and R5,800 per person and R17,200 per family
3. Over-the-counter:
  • 20% co-payment and R1,500 per family
  • Shared with acute medicine and birth control benefit
4. On Discharge:
  • 7 days supply
5. Birth Control:
  • 20% co-payment and R1,500 per family
  • Shared with acute medicine and OTC benefit
6. Notes:
  • Chronic meds: Must be obtained from DSP. Formularies apply. Otherwise, 40% co-payment

View this plan

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]]> 810450 Selfmed mental health benefits: 2017 http://medicalaidbible.co.za/selfmed-mental-health-benefits/ Thu, 29 Dec 2016 10:40:26 +0000 http://medicalaidbible.co.za/?p=810449 All mental health benefits, compared, for Selfmed medical scheme 2017

The post Selfmed mental health benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare mentalhealth benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Mental Health Benefits
In brief:
1. In-hospital:
  • Covered if part of Case Management Programme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Out-of-hospital:
  • Subject to referral by Network GP

View this plan

Selfmed Selfnet 2017: Mental Health Benefits
In brief:
1. In-hospital:
  • Subject to referral by Network GP
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,185 R1,185 R418
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Out-of-hospital:
  • Subject to referral by Network GP

View this plan

Selfmed MexXXI 2017: Mental Health Benefits
In brief:
1. In-hospital:
  • Covered if part of Case Management Programme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,599 R1,592 R818
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Out-of-hospital:
  • No benefit

View this plan

Selfmed Selfsure 2017: Mental Health Benefits
In brief:
1. In-hospital:
  • Covered if part of Case Management Programme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,456 R2,451 R836
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Out-of-hospital:
  • No benefit

View this plan

Selfmed 80% 2017: Mental Health Benefits
In brief:
1. In-hospital:
  • Covered if part of Case Management Programme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R6,335 R5,485 R1,100
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Out-of-hospital:
  • 20% co-payment and limited to R8,800

View this plan

The post Selfmed mental health benefits: 2017 appeared first on Medical Aid Bible.

]]> 810449 Selfmed maternity benefits: 2017 http://medicalaidbible.co.za/selfmed-maternity-benefits/ Thu, 29 Dec 2016 10:39:57 +0000 http://medicalaidbible.co.za/?p=810448 All maternity benefits, compared, for Selfmed medical scheme 2017

The post Selfmed maternity benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare maternity benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Maternity Benefits
In brief:
1. Confinement:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Consultations:
  • No benefit
3. Scans:
  • No benefit

View this plan

Selfmed Selfnet 2017: Maternity Benefits
In brief:
1. Confinement:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,185 R1,185 R418
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Consultations:
  • Subject to network provider
3. Scans:
  • Subject to network provider

View this plan

Selfmed MexXXI 2017: Maternity Benefits
In brief:
1. Confinement:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,599 R1,592 R818
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Consultations:
  • 2 consults per year
  • Antenatal classes: R1,600 shared with scan benefit
3. Scans:
  • R1,600 per family, shared with antenatal class benefit

View this plan

Selfmed Selfsure 2017: Maternity Benefits
In brief:
1. Confinement:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,456 R2,451 R836
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Consultations:
  • Consults: Unlimited
  • Antenatal classes: R1,600 shared with additional scan benefit
3. Scans:
  • 2 x 2D scans
  • Additional scans: shared with antenatal class benefit

View this plan

Selfmed 80% 2017: Maternity Benefits
In brief:
1. Confinement:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R6,335 R5,485 R1,100
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Consultations:
  • Benefits shared with GP and specialist benefit
  • Antenatal classes: R1,400 shared with scan benefit
3. Scans:
  • 2 x 2D scans
  • Additional scans: shared with antenatal class benefit up to R1,400 in total

View this plan

The post Selfmed maternity benefits: 2017 appeared first on Medical Aid Bible.

]]> 810448 Selfmed optometry benefits: 2017 http://medicalaidbible.co.za/selfmed-optometry-benefits/ Thu, 29 Dec 2016 10:39:41 +0000 http://medicalaidbible.co.za/?p=810447 All optometry benefits, compared, for Selfmed medical scheme 2017

The post Selfmed optometry benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare optometry benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Optometry Benefits
In brief:
1. Optometry:
  • No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed Selfnet 2017: Optometry Benefits
In brief:
1. Optometry:
  • One pre-selected frame and set of lenses or contact lenses to value of R460 per person every two years
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,185 R1,185 R418
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed MexXXI 2017: Optometry Benefits
In brief:
1. Optometry:
  • No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,599 R1,592 R818
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed Selfsure 2017: Optometry Benefits
In brief:
1. Optometry:
  • R2,600 per person and R5,100 per family
  • Refractive surgery: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,456 R2,451 R836
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed 80% 2017: Optometry Benefits
In brief:
1. Optometry:
  • 20% co-payment
  • Refractive surgery: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R6,335 R5,485 R1,100
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

The post Selfmed optometry benefits: 2017 appeared first on Medical Aid Bible.

]]> 810447 Selfmed oncology benefits: 2017 http://medicalaidbible.co.za/selfmed-oncology-benefits/ Thu, 29 Dec 2016 10:39:28 +0000 http://medicalaidbible.co.za/?p=810446 All oncology benefits, compared, for Selfmed medical scheme 2017

The post Selfmed oncology benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare oncology benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Oncology Benefits
In brief:
1. Overall Limit (in and out of hospital):
  • PMBs only

Note: 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.

Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed Selfnet 2017: Oncology Benefits
In brief:
1. Overall Limit (in and out of hospital):
  • PMBs only

Note: 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.

Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,185 R1,185 R418
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed MexXXI 2017: Oncology Benefits
In brief:
1. Overall Limit (in and out of hospital):
  • R176,600 per family
  • Biological medicine: No benefit

Note: 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.

Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,599 R1,592 R818
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed Selfsure 2017: Oncology Benefits
In brief:
1. Overall Limit (in and out of hospital):
  • R242,400 per family
  • Biological medicine: No benefit

Note: 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.

Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,456 R2,451 R836
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

Selfmed 80% 2017: Oncology Benefits
In brief:
1. Overall Limit (in and out of hospital):
  • R408,500 per family
  • Biological medicine: R157,600

Note: 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.

Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R6,335 R5,485 R1,100
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

View this plan

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]]> 810446 Selfmed dentistry benefits: 2017 http://medicalaidbible.co.za/selfmed-dentistry-benefits/ Thu, 29 Dec 2016 10:39:16 +0000 http://medicalaidbible.co.za/?p=810445 All dentistry benefits, compared, for Selfmed medical scheme 2017

The post Selfmed dentistry benefits: 2017 appeared first on Medical Aid Bible.

]]> Click here to compare dentistry benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

All plans

Selfmed Selfnet Essential 2017: Dentistry Benefits
Standard and Specialised:
  • No benefit, unless PMB
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R850 R850 R300
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

Orthodontics:
Maxillo Facial Surgery:

View this plan

Selfmed Selfnet 2017: Dentistry Benefits
Standard and Specialised:
  • Standard dentistry: subject to protocols and use of network dentist
    		•
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R1,185 R1,185 R418
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    Orthodontics:
    Maxillo Facial Surgery:

    View this plan

    Selfmed MexXXI 2017: Dentistry Benefits
    Standard and Specialised:
    • No benefit, unless PMB
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R1,599 R1,592 R818
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    Orthodontics:
    • No benefit
    Maxillo Facial Surgery:
    • R1,100 co-payment, unless PMB

    View this plan

    Selfmed Selfsure 2017: Dentistry Benefits
    Standard and Specialised:
    • Standard dentistry: R4,900 per person or R6,900 per family. Shared with radiology, pathology, standard dentistry, physio and biokinetics
    • Specialised dentistry: from day-to-day limit
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R2,456 R2,451 R836
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    Orthodontics:
    Maxillo Facial Surgery:
    • Non-elective: R1,100 co-payment, unless PMB
    • Elective: R1,100 co-payment, and subject to day-to-day benefit

    View this plan

    Selfmed 80% 2017: Dentistry Benefits
    Standard and Specialised:
    • Standard dentistry: 20% co-payment
    • Specialised dentistry: 20% co-payment and limited to R7,700 per person and R23,600 per family
    • Implants: 20% co-payment and limited to R5,600 per person
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R6,335 R5,485 R1,100
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    Orthodontics:
    Maxillo Facial Surgery:
    • Non-elective: 20% co-payment

    View this plan

    The post Selfmed dentistry benefits: 2017 appeared first on Medical Aid Bible.

    ]]>     810445     Selfmed out-of-hospital benefits: 2017 http://medicalaidbible.co.za/selfmed-outofhospital-benefits/ Thu, 29 Dec 2016 10:38:50 +0000 http://medicalaidbible.co.za/?p=810444 All out-of-hospital benefits, compared, for Selfmed medical scheme 2017

    The post Selfmed out-of-hospital benefits: 2017 appeared first on Medical Aid Bible.

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

    All plans

    Selfmed Selfnet Essential 2017: Out Of Hospital Benefits
    In brief:
    1. GP consultations:
    • No benefit
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R850 R850 R300
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Specialists consultations:
    • No benefit, unless PMB
    3. Pathology:
    • No benefit, unless PMB
    4. General radiology:
    • No benefit, unless PMB
    5. Specialised radiology:
    • No benefit, unless PMB
    6. Supplementary Services: (Physio, etc)
    • No benefit, unless PMB

    View this plan

    Selfmed Selfnet 2017: Out Of Hospital Benefits
    In brief:
    1. GP consultations:
    • Network GP: Unlimited
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R1,185 R1,185 R418
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Specialists consultations:
    • R1,070 per person and R2,140 per family from network specialist, including radiology, pathology and medication
    3. Pathology:
    • Unlimited subject to network protocol, formulary and referral ny network GP
    4. General radiology:
    • Unlimited subject to network protocol, formulary and referral ny network GP
    5. Specialised radiology:
    • No benefit, unless PMB
    6. Supplementary Services: (Physio, etc)
    • No benefit, unless PMB

    View this plan

    Selfmed MexXXI 2017: Out Of Hospital Benefits
    In brief:
    1. GP consultations:
    • No benefit
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R1,599 R1,592 R818
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Specialists consultations:
    • Some day procedures covered
    3. Pathology:
    • No benefit, unless PMB
    4. General radiology:
    • No benefit, unless PMB
    5. Specialised radiology:
    • R1,600 co-payment. In and out of hospital
    6. Supplementary Services: (Physio, etc)
    • No benefit, unless PMB

    View this plan

    Selfmed Selfsure 2017: Out Of Hospital Benefits
    In brief:
    1. GP consultations:
    • Paid from day-to-day benefit
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R2,456 R2,451 R836
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Specialists consultations:
    • Paid from day-to-day benefit
    3. Pathology:
    • R4,900 per person or R6,900 per family
    • Shared with radiology, pathology, standard dentistry, physio and biokinetics
    4. General radiology:
    • R4,900 per person or R6,900 per family
    • Shared with radiology, pathology, standard dentistry, physio and biokinetics
    5. Specialised radiology:
    • R1,600 co-payment. In and out of hospital
    6. Supplementary Services: (Physio, etc)
      Physio and biokinetics:
    • R4,900 per person or R6,900 per family. Shared with radiology, pathology, standard dentistry, physio and biokinetics
    • Otherwise, from day-to-day benefits

    View this plan

    Selfmed 80% 2017: Out Of Hospital Benefits
    In brief:
    1. GP consultations:
    • 20% co-payment and limited to M =consults, M1 = 30 consults and M2+ =45 consults
    • Shared with GP and Specialist consults>/li>
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R6,335 R5,485 R1,100
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Specialists consultations:
    • 20% co-payment and limited to M =consults, M1 = 30 consults and M2+ =45 consults
    • Shared with GP and Specialist consults>/li>
    3. Pathology:
    • 20% co-payment
    4. General radiology:
    • 20% co-payment
    5. Specialised radiology:
    • 20% + R1,1000 co-payment
    • Scheme rate applies
    6. Supplementary Services: (Physio, etc)
    • Medical and clinical technology: 20% co-payment
    • Physio, speech therapy, occupational therapy, podiatry, orthotic treatment, hearing aid acoustics, dieticians, chiropractors, osteopaths, homeopaths, naturopaths, herbalists and biokinetics: 20% co-payment and limited to R4,800 per person and R13,600 per family

    View this plan

    The post Selfmed out-of-hospital benefits: 2017 appeared first on Medical Aid Bible.

    ]]>     810444     Selfmed in-hospital benefits: 2017 http://medicalaidbible.co.za/selfmed-hospital-benefits/ Thu, 29 Dec 2016 10:38:32 +0000 http://medicalaidbible.co.za/?p=810443 All in-hospital benefits, compared, for Selfmed medical scheme 2017

    The post Selfmed in-hospital benefits: 2017 appeared first on Medical Aid Bible.

    ]]>     Click here to compare in-hosital benefits across all schemes, or use the menu bar above for more options. Selfmed home page.

    All plans

    Selfmed Selfnet Essential 2017: In-hospital Benefits
    In brief:
    1. Payout Rate:
    • 100% scheme rate
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R850 R850 R300
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Hospital Choice:
    • Network
    3. Specialised Radiology:
    • PMBs only
    4. Supplementary Services: (Physio, etc)
    • PMBs only
    5. Transplants:
    • Heart, lung, bone-marrow, kidney and liver transplants only. Donor costs covered up to limits only if recipient is part of the scheme
    6. Co-payments:
    7. Alternatives to hospitals:

    View this plan

    Selfmed Selfnet 2017: In-hospital Benefits
    In brief:
    1. Payout Rate:
    • 100% scheme rate
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R1,185 R1,185 R418
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Hospital Choice:
    • Network
    3. Specialised Radiology:
    • PMBs only
    4. Supplementary Services: (Physio, etc)
    • PMBs only
    5. Transplants:
    • Heart, lung, bone-marrow, kidney and liver transplants only. Donor costs covered up to limits only if recipient is part of the scheme
    6. Co-payments:
    7. Alternatives to hospitals:

    View this plan

    Selfmed MexXXI 2017: In-hospital Benefits
    In brief:
    1. Payout Rate:
    • 100% scheme rate
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R1,599 R1,592 R818
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Hospital Choice:
    • Network
    3. Specialised Radiology:
    • R1,600 co-payment. In and out of hospital
    4. Supplementary Services: (Physio, etc)
    • 100% scheme tariff
    5. Transplants:
    • Donor costs covered up to limits only if recipient is part of the scheme
    6. Co-payments:
    7. Alternatives to hospitals:

    View this plan

    Selfmed Selfsure 2017: In-hospital Benefits
    In brief:
    1. Payout Rate:
    • 100% scheme rate
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R2,456 R2,451 R836
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Hospital Choice:
    • Network
    3. Specialised Radiology:
    • R1,600 co-payment. In and out of hospital
    4. Supplementary Services: (Physio, etc)
    • 100% scheme tariff
    5. Transplants:
    • Donor costs covered up to limits only if recipient is part of the scheme
    6. Co-payments:
    7. Alternatives to hospitals:

    View this plan

    Selfmed 80% 2017: In-hospital Benefits
    In brief:
    1. Payout Rate:
    • 100% scheme rate
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R6,335 R5,485 R1,100
    Children: Pay for maximum 3 children
    Day-to-Day Benefit:
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    2. Hospital Choice:
    • Network
    3. Specialised Radiology:
    • R1,100 co-payment
    4. Supplementary Services: (Physio, etc)
    • Unlimited
    5. Transplants:
    • Donor costs covered up to limits only if recipient is part of the scheme
    6. Co-payments:
    • 20% co-payment for consults and clinical procedures
    7. Alternatives to hospitals:

    View this plan

    The post Selfmed in-hospital benefits: 2017 appeared first on Medical Aid Bible.

    ]]>     810443