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COMPARE PLANS

BENEFITS ACTIVATOR ULTRA AFFORDABLE ULTRA AFFORDABLE VALUE STANDARD SUPREME EXTREME
Monthly Fees Main: R1 405.00
Adult: R1 405.00
Child: R787.00
Below
Main: R957.00
Adult: R957.00
Child: R653.00

Above
Main: R1 408.00
Adult: R1 408.00
Child: R791.00
Below
Main: R882.00
Adult: R882.00
Child: R602.00

Above
Main: R1 297.00
Adult: R1 297.00
Child: R728.00
Main: R1 900.00
Adult: R1 804.00
Child: R810.00
Main: R2 419.00
Adult: R2 274.00
Child: R798.00
Main: R3 153.00
Adult: R2 964.00
Child: R1 056.00
GP Visits Nominated consultations Unlimited but managed Unlimited consultations as clinically necessary Unlimited but managed Consultations Consultations
Specialist Visits 3 visits per beneficiary 3 visits per family 3 visits per family 7 visits per family 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 R525 per beneficiary per year
Limited to R1 920 per beneficiary per year Limited to R2 220 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 R1 600 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 Frames/lenses limited to R2 780 per beneficiary every 24 months Frames/lenses/contact lenses limited to R3 650 per beneficiary every 24 months
Dentistry Basic dentistry Basic dentistry Basic dentistry Basic dentistry and one set of dentures Subject to available family benefit Includes specialised dentistry benefit
Appliances R6 800 per family per year R6 400 per family per year R6 800 per family per year R10 100 per family per year R10 200 per family per year R11 600 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 Unimited Unimited, Co-payment will apply Unimited Unimited Unimited
Overall Prosthesis R40 900 per family per year R38 950 per family per year R40 900 per family per year R55 400 per family per year R60 100 per family per year R78 100 per family per year
Plan Type Freedom of choice Network Network Network Fee for service Fee for service
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