Benefit Summary
Major medical maxillo-facial . ... Dental and oral surgery (In- or out of hospital) Qualifying PMB procedures only at . DSP day hospitals. Pulp procedures, extractions and restorations in DSP day hospitals (only disabled beneficiaries and beneficiaries aged 0 – 7 years) –
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www.bestmed.co.za• Artificial disc - no benefit • Drug-eluting stents - PMBs and DSP products only • Mesh R11 044 • Gynaecology/Urology R9 025 • Lens implants R6 887 a lens per eye Prosthesis – External No benefit (PMBs only). Exclusions Limits and co-payments applicable. Preferred provider network available. Joint replacement surgery (except for PMBs).
Benefit Summary
www.bestmed.co.zaformularies, funding guidelines and the Mediscor Reference Price (MRP) may apply. • Should a member voluntarily choose not to make use of a hospital forming part of a hospital network for the Beat network benefit option a maximum co-payment of R12 373 shall apply.
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