Transcription of Affordable Care - 2018
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Affordable Care - 2018
Affordable Care - 2018pg 2 Affordable CAREThis care option offers generous comprehensive cover with unlimited hospitalisation at any private hospital. It also covers additional chronic conditions with specialised dentistry and preventative benefits. This option is suitable for young and healthy 2 2018 Healthcare Offeringspg 3 pg 3 2018 Healthcare OfferingsAUXILIARY SERVICES(Dietician, Speech Therapy, Occupational Therapy.)Reimbursement rate100% Sizwe rateBenefitsSubject to pre authorisa-tion and PMBsPHYSIOTHERAPY(Pre-authorisation and managed care protocols apply.)Reimbursement rate100% Sizwe rateMATERNITY(Hospitalisation [public or private hospitals] delivery, post-natal services and midwifery.)Reimbursement rate100% Sizwe rateBLOOD TRANSFUSIONS AND BLOOD REPLACEMENT PRODUCTSR eimbursement rate100% Sizwe rates; limited to PMBsPROSTHESIS(Subject to pre-authorisation, treatment protocols and PMBs.)Reimbuirsement rate100% Sizwe rateBenefits100% of costMaximum of 3 cardiac stents and 2 vascular stents per family per annumAnnual limit: R42 670 OUT OF HOSPITAL BENEFITSO ption structureMajor medical; Day to day: RiskProviderAnyOVERALL DAY-TO-DAY LIMITB enefitM: R9 840M+1: R14 100M+2: R16 230M+3: R17 660M+4: R19 790M+5: R21 930M+6+: R23 930 GENERAL PRACTITIONERSR eimbursement rate100% Sizwe rateBenefitsLimited number of visitsVisitsM: 7M+1: 14M+2: 16M+3.
pg 2 AFFORDABLE CARE This care option offers generous comprehensive cover with unlimited hospitalisation at any private hospital. It …
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