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2018 TARIFF BENEFIT CODE ISO LESO REQUIRED

1st January 2018 DISCOVERY KEYCARE PLUS, LA KEYCARE PLUS, QUANTUM KEYCARE PLUS, KEYCARE ACCESS, PRIMARY CARE AND KEYCARE INTERNATIONAL STUDENTS TARIFFS AND RULES *If claimed in BENEFIT period further material claim will need motivation. Refer to addendum ISO LESO BRONZE OPTION for details. BENEFIT REQUIRED CODE 2018 TARIFF ISO LESO MEMBERS 2018 TARIFF NON-ISO LESO MEMBERS Vision Examination, Single Vision Lenses and Frame 93200 R 715 R 630 Vision Examination, Bifocal Lenses and Frame 93300 R 1150 R 1020 Vision Examination, Multifocal Lenses and Frame 93400 R 1550 R 1360 Contact Lens BENEFIT (Includes Vision Exam) 93800 R 1550 R 1020 Vision Examination * If no spectacles are clinically REQUIRED 11001 / 1081 / 90011 R 520 R 400 Lens Enhancements No BENEFIT Applies Optical Assistant Medical Aid Rate Optical Assistant Medical Aid Rate PEP Providers 02 PEP R 50 n/a

1st january 2018 discovery keycare plus, la keycare plus, quantum keycare plus, keycare access, primary care and keycare international students tariffs and rules

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Transcription of 2018 TARIFF BENEFIT CODE ISO LESO REQUIRED

1 1st January 2018 DISCOVERY KEYCARE PLUS, LA KEYCARE PLUS, QUANTUM KEYCARE PLUS, KEYCARE ACCESS, PRIMARY CARE AND KEYCARE INTERNATIONAL STUDENTS TARIFFS AND RULES *If claimed in BENEFIT period further material claim will need motivation. Refer to addendum ISO LESO BRONZE OPTION for details. BENEFIT REQUIRED CODE 2018 TARIFF ISO LESO MEMBERS 2018 TARIFF NON-ISO LESO MEMBERS Vision Examination, Single Vision Lenses and Frame 93200 R 715 R 630 Vision Examination, Bifocal Lenses and Frame 93300 R 1150 R 1020 Vision Examination, Multifocal Lenses and Frame 93400 R 1550 R 1360 Contact Lens BENEFIT (Includes Vision Exam) 93800 R 1550 R 1020 Vision Examination * If no spectacles are clinically REQUIRED 11001 / 1081 / 90011 R 520 R 400 Lens Enhancements No BENEFIT Applies Optical Assistant Medical Aid Rate Optical Assistant Medical Aid Rate PEP Providers 02 PEP R 50 n/a


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