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COMPARE PLANS

BENEFITS ACTIVATOR ULTRA AFFORDABLE ULTRA AFFORDABLE VALUE STANDARD SUPREME EXTREME
Monthly Fees Main: R1 607.00
Adult: R1 607.00
Child: R838.00
Below
Main: R1 095.00
Adult: R1 095.00
Child: R695.00

Above
Main: R1 612.00
Adult: R1 612.00
Child: R842.00
Below
Main: R1 009.00
Adult: R1 009.00
Child: R641.00

Above
Main: R1 484.00
Adult: R1 484.00
Child: R775.00
Main: R2 175.00
Adult: R2 064.00
Child: R863.00
Main: R2 704.00
Adult: R2 542.00
Child: R892.00
Main: R3 525.00
Adult: R3 313.00
Child: R1 181.00
GP Visits Nominated consultations Unlimited but managed Unlimited consultations as clinically necessary Unlimited but managed Consultations Consultations
Specialist Visits 5 visits per family per year 5 visits per family per year 5 visits per family per year 10 visits per family per year Subject to available family benefit Subject to available family benefit
Acute Medication Limited Unlimited Unlimited Scripted Scripted Scripted
Chronic Medication CDL unlimited CDL unlimited CDL unlimited CDL unlimited CDL unlimited CDL unlimited
Over The Counter Medication Limited to R125 per event, per beneficiary. Maximum of R575 per beneficiary per year Limited to R100 per event, per beneficiary Limited to R100 per event, per beneficiary Limited to R730 per event, per beneficiary. Maximum of R110 per beneficiary per year Limited to R180 per event, per beneficiary. Maximum of R2 100 per beneficiary per year Limited to R230 per event, per beneficiary. Maximum of R2 460 per beneficiary per year
Terminal & Wound Care R5 000 per family per year R5 000 per family per year R5 000 per family per year R8 000 per family per year R10 000 per family per year R10 000 per family per year
Optometry Limited to R2 200 per beneficiary every 24 months 1 eye test and 1 set of spectacles per beneficiary every 24 months 1 eye test and 1 set of spectacles per beneficiary every 24 months 1 eye test and 1 set of spectacles per beneficiary every 24 months Limited to R3 200 per beneficiary every 24 months Limited to R4 000 per beneficiary every 24 months
Dental Care Limited to R1 760 per beneficiary per year 1 consultation per beneficiary per year 1 consultation per beneficiary per year 1 consultation per beneficiary per year Subject to available family benefit Includes specialised dentistry R9 200 per family per year
Appliances R7 400 per family per year R7 400 per family per year R7 400 per family per year R11 000 per family per year R11 200 per family per year R12 700 per family per year
Scans 1 per family per year
RT, MRI and CAT
1 per family per year
RT, MRI and CAT
1 per family per year
RT, MRI and CAT
2 per family per year
RT, MRI and CAT
2 per family per year
RT, MRI and CAT
2 per family per year
RT, MRI and CAT
Hospitalisation Unlimited, Co-payment will apply Unlimited Unlimited, Co-payment will apply Unlimited Unlimited Unlimited
Overall Prosthesis R44 900 per family per year R44 900 per family per year R44 900 per family per year R60 800 per family per year R65 900 per family per year R85 700 per family per year
Plan Type Freedom of choice Network Network Network Fee for service Fee for service
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