FEDHEALTH PLANS BENEFIT TARIFF 2017 - IsoLeso

1 Iso Leso Optics (RF) (Pty) Ltd PO Box 2127, Cresta, 2118 Helpline: 011 340 9200 Fax: (011) 782-5601 Email: Website: Reg No: 1999/13972/06 Administrators: HealthMan (Pty) Ltd Directors: A Bhimma, A Camarena, N Janse van Vuuren, Z Jacobson, Mbulelo Kawa, LE Ntlabathi, OK Manitshana (Non-Executive Chairperson), N Moloto, PG Muller, G Naidoo (CEO) 1st January 2017 FEDHEALTH PLANS BENEFIT TARIFF 2017 BENEFIT REQUIRED CODE MAXIMA Entry Saver Saver Advanced MAXIMA Plus Exec Standard/Elec ULTIMAX MAXIMA BASIS BLUE DOOR Submission Medscheme Medscheme Medscheme Medscheme Iso Leso SAVINGS CLAIMS SAVINGS CLAIMS Family Limit n/a R 9 170 Refer Medscheme R 13 100 including Dentist Medscheme n/a n/a Beneficiary Limit R 3 010 R 6 590 including Dentist Vision Examination (Iso Leso Members) 11001/11081 R 545 R 545 R 545 Bronze BENEFIT Bronze BENEFIT PEP Providers (Iso Leso Members)

2 01 PEP n/a n/a n/a n/a Bronze BENEFIT Vision Examination (Non-Iso Leso Members) 11001/11081 Bronze BENEFIT Bronze BENEFIT Single Vision Lenses (Glass/Plastic) 70011/70021 80011/80021 R 245 R 245 R 245 Bronze BENEFIT Bronze BENEFIT A National Network of Optometrists 2 Accommodation Support Lenses* 81600 R 530 R 530 R 530 Bronze BENEFIT Bronze BENEFIT Bifocal Lenses** (Glass/Plastic) 70712 80812 R 595 R 595 R 595 Bronze BENEFIT Bronze BENEFIT Multifocal Lenses** (Glass/Plastic 84000 R 750 R 750 R 750 Bronze BENEFIT Bronze BENEFIT Multifocal Lenses** (Glass/Plastic) 75012 85012 R 975 R 975 R 975 Bronze BENEFIT Bronze BENEFIT Frames 40501 R 1 440 Included Included *Accom Support Lens for age < 40 years require motivation.)

3 ** Bifocal and Multifocal Lens for age < 40 years require motivation. OR Contact Lens Materials Per plan Per plan Bronze BENEFIT Bronze BENEFIT PATIENT TO PAY Lens Enhancements All Lens Codes Optical Assistant Med Aid Optical Assistant Med Aid Optical Assistant Med Aid Optical Assistant Med Aid