2018 Guide to your Health
This guide provides information about your annual benefits. For your convenience, the guide has been divided into various sections. Please click on the individual links to read more.
- Marine: Schedule of contributions
- Marine: Benefit schedule
- Aquarium: Schedule of contributions
- Aquarium: Benefit schedule
- Five easy steps to plan selection
Please refer to the complete 2018 Guide to your Health booklet for an overview of the benefits and contributions for 2018:
Please note the introduction paragraph to Annexure D (Procedures pre-authorised under the auspices of managed healthcare) on page 40 of the POLMED 2018 Guide to your Health booklet should read as follows:
ANNEXURE D: Procedures pre-authorised under the auspices of managed healthcare
The following elective procedures will be funded from the hospital benefits if done in the doctor’s rooms and/or day clinics and as a day procedure in an acute hospital. If these procedures are done in the doctor’s rooms there is no need for pre-authorisation. Pre-authorisation is required when procedures are done in the day clinic or in hospital. A R1 000 co-payment will be levied when the length of stay for an Annexure D procedure is voluntarily extended beyond the agreed day rate period.
Please note the benefit information for spectacles from a network provider on page 27 of the 2018 Guide to your Health booklet is incorrect (A frame to the value of R1 004 plus lens enhancements to the value of R1 004).
The benefit rule should read as follows:
A frame and/or lens enhancements to the value of R1 004
Please note the ‘Child’ contribution amount for income category ‘R10 539 – R12 325’ of the ‘Aquarium contribution rates for 2018 – Total contribution (excluding employer subsidy)’ table for 1 April 2018 to 31 March 2019 on page 50 of the 2018 Guide to your Health booklet should read as R501 as per this Annexure B3 – Schedule of contributions document.