Sizwe Affordable
Scheme option info for a single person
| Scheme data | Sizwe Affordable 2012 |
| Scheme membership size | 66199 |
| Scheme solvency | 32.1% |
| Plan Data | Sizwe Affordable 2012 |
| Plan type | Traditional
|
| Membership size | 25541 |
| Hospital Benefits | Sizwe Affordable 2012 |
| Hospital limit | Unlimited |
| Account paid at | 100% 100% NHRPL |
| Choice of hospital | Hospital of choice |
| Standard co-payment for hospital admissions | No
|
| Hospital Co-Payment / Deductable | No co-payments
|
| Chronic Medicine Benefits | Sizwe Affordable 2012 |
| Number of conditions covered | 26 |
| Does scheme pay for high cost specialist medicines | No stated benefit |
| Day to day benefits | Sizwe Affordable 2012 |
| Benefits | This plan provides you with a value of R 7,860 per annum to cover your day to day (out of hospital) expenses. *
These funds belong to the scheme, so if you do not use them in a given year, they revert back to the scheme and are not available for use in the following year.
This scheme does not offer any additional threshold cover for day to day expenses.
In addition to the above day to day benefits, the scheme will also pay for the following day to day services from their funds:
Basic dentistry: 2 general check ups (consultation / oral hygiene / extractions / fillings) per beneficiary per year. Motivation required for extensive restorative (fillings) treatment plans.
Optometry: 1 eye test per beneficiary every 2 years. Frames and lenses range from R1821 - R2609 depending on family size.
Specialised radiology: MRI, CT scans and angiograms (combined in and out of hospital) - R21236 per family per annum.
|
| RATES | Sizwe Affordable 2012 |
| Base rate | Member: R 1,798 Adult: R 1,636 Child: R 362
|
* Please note that these funds may be restricted for use on certain expense categories and sub-limits may apply for certain expense categories.
This comparison is a summarised overview of the scheme options. The rules of the scheme prevail. (C) Jenus Group