Ultra Affordable
Ultra Affordable Value
Standard
Activator
Supreme
Extreme
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Call Centre & Authorisations
0861 083 084
Please Call Me
060 070 2095
Hospital, Specialist, Chronic Medication
060 070 2352
Our Supreme Option is our best-selling, traditional, fee-for-service option. Members have extensive freedom to choose any provider of choice for their everyday needs.
For all these day-to-day needs, ranging from primary healthcare providers and specialist services, members are allocated a generous family benefit amount, out of which these services are reimbursed.
Additionally, members enjoy a range of additional benefits such as supplementary and tertiary benefits for full healthcare coverage. The allocated family benefits do go a long way, as members have unlimited access to the Umvuzo Digital Platform and restricted acute medication.
Your Benefits
-
General practitioner and specialist visits -
Unlimited restricted acute medication formulary -
Unlimited chronic medication for 27 CDL -
Unlimited access to Umvuzo Care – our digital consultations platform -
Unlimited basic radiology and pathology -
Optometry benefits -
Dental Care -
Specialised Dentistry -
Hospitalisation
And many more
What it costs?
Main Member
R3 435
Adult Dependant
R3 229
Child Dependant
R1 071
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What are the optometry benefits of this option?
There are many benefits available every 24 months at PPN accredited network providers, such as 1 consultation per beneficiary, frame limited to R1 500 per beneficiary, 100% of the costs of clear lenses, and contact lenses limited to R2 225.
Does this option cover Mental Health?
Yes, subject to PMBs. Members have hospital-based management cover for up to 3 weeks per year OR 15 outpatient psychotherapy contacts per year.
What about specialised dentistry benefits?
This option covers R7 500 per beneficiary per year and includes orthodontic, periodontic and prosthodontic treatment, metal base dentures, ceramic/laminated inlays, as well as gold inlays.
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SUPREME
Explore your 2024
Health Benefits
Ultra Affordable
Ultra Affordable Value
Standard
Activator
Supreme
Extreme
Call us
Call Centre & Authorisations
0861 083 084
Call us
Call Centre & Authorisations
0861 083 084
Please Call Me
060 070 2095
Hospital, Specialist, Chronic Medication
060 070 2352
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