Overview of Plans
BENEFITS | MARINE | AQUARIUM | CO-PAYMENTS AND COMMENTS |
---|---|---|---|
IN-HOSPITAL BENEFITS | |||
PMB hospital cover | Unlimited | Unlimited |
|
Non-PMB hospital cover | Unlimited | R200 000 |
|
Allied health services and alternative healthcare providers: Biokineticists Chiropractors Chiropodists Dieticians Homeopaths Naturopaths Orthoptists Osteopaths Podiatrists Reflexologists Therapeutic massage therapists |
Yes
Yes |
Yes
Yes |
|
Anaesthetist’s rate | 150% | 150% | |
Caesarean sections | Yes | Yes |
|
Chronic renal dialysis | Yes | Yes |
|
Dentistry (conservative and restorative) | Yes | Yes |
|
Emergency medical services | Yes | Yes |
|
General practitioners | Yes | Yes |
|
Medication (specialised drug limit) e.g. biologicals | Yes | Yes |
|
Mental health | Yes | Yes |
|
Oncology (chemotherapy and radiotherapy) |
Yes | Yes |
|
Organ and tissue transplants | Yes | Yes |
|
Pathology | Yes | Yes |
|
Prosthesis (internal and external) | Yes | Yes |
|
Radiographers | Yes | Yes |
|
Refractive surgery | Yes | No benefit |
|
Specialists | Yes | Yes |
|
OVERALL OUT-OF-HOSPITAL (OOH) BENEFITS | |||
Annual OOH benefits | Yes | Yes |
|
Audiology | Yes | Yes |
|
Conservative and restorative dentistry | Yes | Yes |
|
General practitioners | Yes | Yes |
|
Medication (acute) | Yes | Yes |
|
Medication (over-the-counter (OTC)) | Yes | Yes |
|
Occupational and speech therapy | Yes | PMB only |
|
Pathology | Yes | Yes |
|
Physiotherapy | Yes | Yes |
|
Psychology plus social worker | Yes | Yes |
|
Specialists | Yes | Yes |
|
STAND-ALONE BENEFITS | |||
Allied health services and alternative healthcare providers: Biokinetics, chiropractors, chiropodists, dieticians, homeopath, naturopaths, orthoptists, osteopaths, podiatrists, reflexologists and therapeutic massage therapists |
Yes | No benefit |
|
Appliances (medical and surgical) | Yes | Yes |
|
Chronic medications | Yes | PMB only |
|
Maternity benefits (including home birth) | Yes | Yes |
|
Ultrasound scans | Yes | Yes |
|
Maxillofacial | Yes | No benefit |
|
Optical | Yes | Yes |
|
Basic radiology | Yes | Yes |
|
Specialised dentistry | Yes | PMB only |
|
Specialised radiology | Yes | Yes |
|