2022 SUPREME

1 2022 SUPREME BENEFIT GUIDEFAMILY BENEFIT BREAKDOWNMAIN MEMBERMAIN MEMBER +ADULT DEPENDANTMAIN MEMBER +ADULT DEPENDANT +CHILD DEPENDANT x 1 MAIN MEMBER +ADULT DEPENDANT +CHILD DEPENDANT x 2 MAIN MEMBER +ADULT DEPENDANT +CHILD DEPENDANT x 3R11 280R20 280R24 720R29 160R33 600 Main memberAdult dependantChild dependant x 1 Child dependant x 2 Child dependant x 3 TOTAL FAMILY BENEFITMR11 280R11 280M + AR11 280R9 000R20 280M + A + 1CR11 280R9 000R4 440R24 720M + A + 2CR11 280R9 000R4 440R4 440R29 160M + A + 3CR11 280R9 000R4 440R4 440R4 440R33 600 MMain memberAAdult dependant1 CChild dependant x 12 CChild dependant x 23 CChild dependant x 3* Pre-authorisation is required before accessing these benefits2 UMVUZO HEALTH | SUPREMETHE SUPREME OPTION is a traditional, fee-for-service Option.

2 Members have the freedom to choose any provider of choice for their every day needs. For all these day to day needs members are allocated a generous family benefit. All secondary and hospital benefits must be pre-authorised beforehand. This Option is well suited for those individuals who need generous cover and benefits without compromising their THE SUPREME OPTION MALE HEALTHFEMALE HEALTH PSA Circumcision * (boys up to the age of 12 in-hospital and over 13 in doctors' rooms only) Vasectomy * Oral contraceptives limited to R140per registered female per month Pap smear Mammogram HPV vaccine (from the age of 9 years) Laparoscopic sterilisation * PREVENTION & SCREENINGS* MATERNITY CARE PLANB enefits available from selected pharmacies.

3 HIV test Glucose test Lipogram test Breast exam Childhood vaccinesA basket of services consisting of these additional benefits will be made available to the expectant mother upon registering on the plan. 5 visits to the GP or gynaecologist Additional blood and urine tests as required 3 x 2D ultrasound scans Prenatal vitamins (iron, calcium and folic acid) for the duration of the pregnancy according to formulary benefits will be pro-rated according to the stage of the pregnancy* Registration required * Please note that the Scheme Rules supersede information contained in this document. Our Scheme rules can be obtained on our website: PRACTITIONER & SPECIALIST VISITSOPTOMETRY Consultations Minor procedures in the doctors rooms Eye test Frames/lenses: Limited to R3 200 per beneficiary every 24 monthsMEDICATIONDENTAL CARE Scripted: acute medication as prescribed ADDITIONAL chronic MEDICATION (FORMULARY) Scripted: 9 additional chronic conditions subject to available funds in the family benefit and Disease Management Programme registrationOVER THE COUNTER MEDICATION Limited to R180 per event, per beneficiary.

4 Maximum of R2 100 per beneficiary per year Consultations Cleaning, fluoride treatment, scaling, polishing Fillings Wisdom teeth extraction (in the dentists rooms) DenturesNO PRE-AUTHORISATION REQUIRED SUBJECT TO FAMILY BENEFIT SCHEME RATES APPLYPRIMARY BENEFITSDISEASE MANAGEMENTACTIVE DISEASE MANAGEMENT PROGRAMMES Our Active Disease Management Programmes enable us to plan and co-ordinate the healthcare of members living with chronic medical conditions, in order to give them the best possible 26 diseases on the CDL ( chronic Disease List) are covered as part of your PMB ( prescribed minimum benefits ).Registration on these Disease Management Programmes is necessary to access full benefits : HIV/Aids Oncology Diabetes Musculoskeletal Renal Hypertension Hyperlipidaemia (high cholesterol) Asthma/COPD/BronchiectasisA total treatment plan for each member includes.

5 Confidentiality Ongoing member support and education Individualised treatment plan Ongoing counselling and health monitoringAll prescribed minimum benefits are covered according to Scheme rules, protocols and ABBREVIATION DICTIONARYGP - General Practitioner DSP - Designated Service Provider CDL - chronic Disease List PMB - prescribed minimum BenefitsSECONDARY BENEFITSPRE-AUTHORISATION REQUIRED SCHEME RATES APPLYSUPPLEMENTARY BENEFITSEMERGENCY MEDICAL SERVICES R9 900 per family per year Occupational therapy Podiatry Dieticians Psychology Speech therapy and audiology Physiotherapy, chiropractors & biokinetics Netcare 911 Medical and hospital logistics services Emergency road and air evacuation 1 medicine bag per family upon joining 1 medicine bag refill per yearIt is important to call only Netcare 911 for emergency medical servicesAPPLIANCES (ORTHOPAEDIC/SURGICAL/MEDICAL)TERMINAL AND WOUND CARE R11 200 per family per year Back/leg/arm/neck support Crutches post surgery Surgical footwear Respiratory oxygen R10 000 per family per year The cost for all services related to care for a terminal condition that do not conform to acute admission or servicesINVESTIGATIONS (OUT OF HOSPITAL)

6 Limited to R11 000 per family per year Radiology (X-rays and ultrasounds) Pathology (blood tests)HOSPITAL BENEFITSUNLIMITED PRE-AUTHORISATION REQUIRED SCHEME RATES APPLY THIS OPTION USES ALL HOSPITAL GROUPSGENERALACCOMMODATION Consultations (GPs and specialists) Treatment Surgical procedures Non-surgical procedures Anaesthesia General ward High care Intensive care unit (ICU)SCANS(IN & OUT OF HOSPITAL)DISCHARGE MEDICATIONBLOOD TRANSFUSION 2 scans per family per year RT scan MRI scan CAT scan 7 days' supply of acute or chronic medication 100% of the cost, including the cost of: Blood Apparatus Operator's feeOVERALL PROSTHESESINVESTIGATIONS R65 900 overall per family per year The following sub-limits are applicable: Vascular prosthesis R43 400 Joint replacements R43 300 Functional prosthesis R15 500 Major musculoskeletal prosthesis R26 000 Radiology (X-rays) Pathology (blood tests) Medical technologyKINDLY NOTE Penalties may apply if authorisation is obtained after treatment.

7 The claim may not be paid if pre-authorisation is not HEALTH | SUPREMEWHAT IS THE MONTHLY COST?PER MAIN MEMBERPER ADULT DEPENDANTPER CHILD DEPENDANTR2 : FULL DEALSINGLE MEMBERCONTRIBUTIONR2 PARENT FAMILYCONTRIBUTIONR5 PARENT FAMILYCONTRIBUTIONR3 CONTACT INFORMATIONA lenti Office Park, Building D, 457 Witherite Road, The Willows, Pretoria, 0040PO Box 1463, Faerie Glen, 004324 Hour Call Centre and Authorisations: 0861 083 084 Please Call Me: 060 070 2095 - Client Services060 070 2352 - Hospital, Specialist, chronic MedicationTel: 012 845 0000 Fax: 086 670 0242E-mail: DO I GET A PRE AUTHORISATION NUMBER? Call us on 0861 083 084 E-mail: We will access your medical history immediately and assist you with obtaining any information you may needPLEASE BE READY TO SUPPLY THE FOLLOWING INFORMATION WHEN CALLING UMVUZO HEALTH Umvuzo Health membership number Surname South African ID number Passport number (if you are from a neighbouring country)Administrative services are attended to during business hours from:MONDAYS TO FRIDAYS08:00 - 17:30 SATURDAYS08:00 - 13:00 COUNCIL FOR MEDICAL SCHEMESTel: 0861 123 267E-mail: Find us on Facebook: Umvuzo Health