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Hospital Plan
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Gomomo Plan
Sizwe Gomomo A 2017: Preventative Health Benefits |
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In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: maternity. Limits apply. All else paid from savings or from out of pocket, unless PMB. |
1. Flu vaccination: |
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
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Total Cost: |
R1,666 |
R1,546 |
R410 |
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Children: |
Pay for all children |
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Income limit: |
R0-R10,112 (other limits) |
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Day-to-Day Benefit: |
Out-of-hospital, scheme pays for some:maternity. Limits apply. All else paid from savings or from out of pocket, unless PMB. |
|
Main: |
Adult: |
Child: |
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(S) Savings: |
R0- |
R0- |
R0- |
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Compare with these plans: |
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2. Pneumonia vaccines: |
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3. Back Rehabilitation Programme: |
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4. Biometric Screening: |
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5. Child Immunisation: |
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6. Pap Smear: |
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7. Mammogram: |
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8. PAS Test: |
|
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9. HIV Test: |
|
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View this plan |
Sizwe Gomomo B 2017: Preventative Health Benefits |
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In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: GPs, specialists, medication, radiology, physio, pathology, standard dentistry, optometry, maternity. Limits apply. All else paid from out of pocket, unless PMB. |
1. Flu vaccination: |
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
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Total Cost: |
R2,060 |
R1,623 |
R420 |
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Children: |
Pay for all children |
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Income limit: |
R10,113+ (other limits) |
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Day-to-Day Benefit: |
Out-of-hospital, scheme pays for some: GPs, specialists, medication, radiology, physio, pathology, standard dentistry, optometry, maternity. Limits apply. All else paid from out of pocket, unless PMB. |
|
Main: |
Adult: |
Child: |
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(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
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2. Pneumonia vaccines: |
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3. Back Rehabilitation Programme: |
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4. Biometric Screening: |
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5. Child Immunisation: |
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6. Pap Smear: |
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7. Mammogram: |
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8. PAS Test: |
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9. HIV Test: |
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View this plan |
Savings Plan
Sizwe Savings Care A 2017: Preventative Health Benefits |
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In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: radiology, pathology, maternity. Limits apply. All else paid from out of pocket, unless PMB. |
1. Flu vaccination: |
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R2,015 |
R1,742 |
R490 |
---|
Children: |
Pay for all children |
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Income limit: |
R0-R15,052 (other limits) |
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Day-to-Day Benefit: |
Out-of-hospital, scheme pays for some: GPs, specialists, medication, radiology, physio, pathology, standard dentistry, optometry, maternity. Limits apply. All else paid from out of pocket, unless PMB. |
|
Main: |
Adult: |
Child: |
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(S) Savings: |
R3,627 |
R3,136 |
R882 |
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Compare with these plans: |
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2. Pneumonia vaccines: |
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3. Back Rehabilitation Programme: |
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4. Biometric Screening: |
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5. Child Immunisation: |
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6. Pap Smear: |
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7. Mammogram: |
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8. PAS Test: |
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9. HIV Test: |
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View this plan |
Sizwe Savings Care B 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R2,800 |
R2,243 |
R555 |
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Children: |
Pay for all children |
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Income limit: |
R15,053+ (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
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(S) Savings: |
R5,040 |
R4,037 |
R999 |
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Compare with these plans: |
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|
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2. Pneumonia vaccines: |
|
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3. Back Rehabilitation Programme: |
|
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4. Biometric Screening: |
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5. Child Immunisation: |
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6. Pap Smear: |
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7. Mammogram: |
|
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8. PAS Test: |
|
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9. HIV Test: |
|
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View this plan |
Primary Plan
Sizwe Primary Care A 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R407 |
R407 |
R407 |
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Children: |
Pay for all children |
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Income limit: |
R0-R530 (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
---|
(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
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|
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2. Pneumonia vaccines: |
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3. Back Rehabilitation Programme: |
|
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4. Biometric Screening: |
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5. Child Immunisation: |
|
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6. Pap Smear: |
|
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7. Mammogram: |
|
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8. PAS Test: |
|
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9. HIV Test: |
|
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View this plan |
Sizwe Primary Care B 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R1,907 |
R1,488 |
R480 |
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Children: |
Pay for all children |
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Income limit: |
R531-R8,766 (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
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(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
|
|
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2. Pneumonia vaccines: |
|
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3. Back Rehabilitation Programme: |
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4. Biometric Screening: |
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5. Child Immunisation: |
|
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6. Pap Smear: |
|
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7. Mammogram: |
|
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8. PAS Test: |
|
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9. HIV Test: |
|
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View this plan |
Sizwe Primary Care C 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R2,326 |
R1,519 |
R480 |
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Children: |
Pay for all children |
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Income limit: |
R8,767+ (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
---|
(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
|
|
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2. Pneumonia vaccines: |
|
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3. Back Rehabilitation Programme: |
|
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4. Biometric Screening: |
|
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5. Child Immunisation: |
|
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6. Pap Smear: |
|
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7. Mammogram: |
|
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8. PAS Test: |
|
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9. HIV Test: |
|
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View this plan |
Affordable Plan
Sizwe Affordable Care A 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
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Total Cost: |
R2,733 |
R2,511 |
R630 |
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Children: |
Pay for all children |
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Income limit: |
R0-R15,052 (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
---|
(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
|
|
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2. Pneumonia vaccines: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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3. Back Rehabilitation Programme: |
|
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4. Biometric Screening: |
|
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5. Child Immunisation: |
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6. Pap Smear: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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7. Mammogram: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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8. PAS Test: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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9. HIV Test: |
|
---|
View this plan |
Sizwe Affordable Care B 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R2,843 |
R2,610 |
R660 |
---|
Children: |
Pay for all children |
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Income limit: |
R15,053-R18,444 (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
---|
(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
|
|
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2. Pneumonia vaccines: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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3. Back Rehabilitation Programme: |
|
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4. Biometric Screening: |
|
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5. Child Immunisation: |
|
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6. Pap Smear: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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7. Mammogram: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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8. PAS Test: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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9. HIV Test: |
|
---|
View this plan |
Sizwe Affordable Care C 2017: Preventative Health Benefits |
---|
In brief: |
1. Flu vaccination: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R3,657 |
R3,251 |
R730 |
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Children: |
Pay for all children |
---|
Income limit: |
R18,445+ (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
---|
(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
|
|
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2. Pneumonia vaccines: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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3. Back Rehabilitation Programme: |
|
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4. Biometric Screening: |
|
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5. Child Immunisation: |
|
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6. Pap Smear: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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7. Mammogram: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
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8. PAS Test: |
- Covered, with R1,920 per family sublimit for all preventative benefits
|
---|
9. HIV Test: |
|
---|
View this plan |
Full Benefit Plan
Sizwe Full Benefit A 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R4,210 |
R3,825 |
R860 |
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Children: |
Pay for all children |
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Income limit: |
R0-R18,879 (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
---|
(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
|
|
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2. Pneumonia vaccines: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
---|
3. Back Rehabilitation Programme: |
|
---|
4. Biometric Screening: |
|
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5. Child Immunisation: |
|
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6. Pap Smear: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
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7. Mammogram: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
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8. PAS Test: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
---|
9. HIV Test: |
|
---|
View this plan |
Sizwe Full Benefit B 2017: Preventative Health Benefits |
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In brief: |
1. Flu vaccination: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
Overall Annual Limit (OAL): |
Unlimited overall, with sub-limits |
Contributions: |
|
Main: |
Adult: |
Child: |
---|
Total Cost: |
R4,885 |
R4,441 |
R960 |
---|
Children: |
Pay for all children |
---|
Income limit: |
R18,880+ (other limits) |
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Day-to-Day Benefit: |
|
|
Main: |
Adult: |
Child: |
---|
(S) Savings: |
R0- |
R0- |
R0- |
---|
Compare with these plans: |
|
|
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2. Pneumonia vaccines: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
---|
3. Back Rehabilitation Programme: |
|
---|
4. Biometric Screening: |
|
---|
5. Child Immunisation: |
|
---|
6. Pap Smear: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
---|
7. Mammogram: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
---|
8. PAS Test: |
- Covered, with R2,500 per family sublimit for all preventative benefits
|
---|
9. HIV Test: |
|
---|
View this plan |
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