Scheme option info for a single person
|Scheme membership size||66199|
|Account paid at||100%|
|Choice of hospital||Hospital of choice|
|Standard co-payment for hospital admissions||No|
|Hospital Co-Payment / Deductable||No co-payments|
|Chronic Medicine Benefits||Sizwe|
|Number of conditions covered||26|
|Does scheme pay for high cost specialist medicines||No stated benefit|
|Day to day benefits||Sizwe|
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:
2 general check ups (consultation / oral hygiene / extractions / fillings) per beneficiary per year. Motivation required for extensive restorative (fillings) treatment plans.
1 eye test per beneficiary every 2 years. Frames and lenses range from R1821 - R2609 depending on family size.
MRI, CT scans and angiograms (combined in and out of hospital) - R21236 per family per annum.
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