Call centre & authorisations 0861 083 084

COMPARE PLANS

BENEFITS ACTIVATOR ULTRA AFFORDABLE ULTRA AFFORDABLE VALUE STANDARD SUPREME EXTREME
Monthly Fees Main: R1 917.00
Adult: R1 917.00
Child: R838.00
Income Below R10 000
Main: R1 306.00
Adult: R1 306.00
Child: R695.00

Income Above R10 000
Main: R1 923.00
Adult: R1 923.00
Child: R842.00
Income Below R10 000
Main: R1 203.00
Adult: R1 203.00
Child: R641.00

Income Above R10 000
Main: R1 771.00
Adult: R1 771.00
Child: R775.00
Main: R2 594.00
Adult: R2 463.00
Child: R863.00
Main: R3 124.00
Adult: R2 937.00
Child: R1 030.00
Main: R4 093.00
Adult: R3 847.00
Child: R1 371.00
GP Visits Unlimited consultation at nominated GP Unlimited but Managed Unlimited but Managed at Nominated GP Unlimited but Managed Consultations subject to available family benefit Consultations subject to available family benefit
Specialist Visits 5 visits per family per year 5 visits per family per year 5 visits per family per year 10 visits per family per year Consultations subject to available family benefit Consultations subject to available family benefit
Acute Medication Unlimited as prescribed by Specialist Unlimited as prescribed by Specialist Unlimited as prescribed by Specialist Unlimited as prescribed by Specialist Acute medication as prescribed subject to available family benefit Acute medication as prescribed subject to available family benefit
Chronic Medication CDL unlimited CDL unlimited CDL unlimited CDL Unlimited + 6 additional CDL Unlimited + 9 additional from Family Benefit CDL Unlimited + 9 additional from Family Benefit
Over The Counter Medication Cover of R710 per beneficiary per year. Maximum of R145 per event Cover of R710 per beneficiary per year. Maximum of R145 per event Cover of 3 events per beneficiary per year, to a maximum of R135 per event Cover of R850 per beneficiary per year. Maximum of R160 per event Cover of R200 per beneficiary per year. Maximum of R2 400 per event Cover of R255 per beneficiary per year. Maximum of R3 000 per event
Terminal & Wound Care R5 000 per family per year R5 000 per family per year R5 000 per family per year R8 000 per family per year R10 000 per family per year R10 000 per family per year
Optometry Cover of R2 400 per beneficiary every 24 months Cover of R2 400 per beneficiary every 24 months (Lenses and frames) Cover of R2 400 per beneficiary every 24 months (Lenses and frames) Cover of R3 000 per beneficiary every 24 months (Lenses and frames) Cover of R3 600 per beneficiary every 24 months Cover of R4 500 per beneficiary every 24 months
Dental Care Cover of R3 700 per beneficiary per year Cover of R3 700 per beneficiary per year Cover of R3 700 per beneficiary per year Cover of R4 400 per beneficiary per year Subject to available family benefit Subject to available family benefit
Specialised Care - - - - - Specialised dentistry R10 200 per family per year
Appliances R8 200 per family per year R8 200 per family per year R8 200 per family per year R12 200 per family per year R12 400 per family per year R14 100 per family per year
Scans 2 per family per year
RT, MRI and CAT
1 per family per year
RT, MRI and CAT
1 per family per year
RT, MRI and CAT
2 per family per year
RT, MRI and CAT
2 per family per year
RT, MRI and CAT
3 per family per year
RT, MRI and CAT
Hospitalisation Unlimited at all Hospitals Unlimited at all Hospitals Unlimited at all Hospitals Unlimited at all Hospitals Unlimited at all Hospitals Unlimited at all Hospitals
Internal Medical and Surgical Prostheses Vascular prosthesis
R29 500

Functional items and recuperative prosthesis
R10 100

Joint replacements
R32 600

Major musculoskeletal prosthesis
R20 100
Vascular prosthesis
R29 500

Functional items and recuperative prosthesis
R10 100

Joint replacements
R32 600

Major musculoskeletal prosthesis
R20 100
Vascular prosthesis
R29 500

Functional items and recuperative prosthesis
R10 100

Joint replacements
R32 600

Major musculoskeletal prosthesis
R20 100
Vascular prosthesis
R37 000

Functional items and recuperative prosthesis
R12 200

Joint replacements
R41 600

Major musculoskeletal prosthesis
R24 900
Vascular prosthesis
R48 100

Functional items and recuperative prosthesis
R17 100

Joint replacements
R48 100

Major musculoskeletal prosthesis
R28 800
Vascular prosthesis
R62 200

Functional items and recuperative prosthesis
R22 100

Joint replacements
R62 200

Major musculoskeletal prosthesis
R37 500
Plan Type Hybrid Entry Entry Comprehensive Traditional, Fee for service Traditional, Fee for service
Copyright © 2004-2024 Umvuzo Health  Archives