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Beat 3 N- 2018

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Medical Aid Year: 
2018
Day to day Benefits: 

Savings account available.
Day-to-day benefits are available.

In Hospital Benefits
Hospital Rate of Payment: 
Co-payment of R3 619 on all endoscopicinvestigations if done in a privatehospital. Any other facility,no co-payment.
Upfront Payments to hospitals: 

Co-payment of R3 619 on all endoscopic
investigations if done in a private
hospital. Any other facility,
no co-payment.

Specialists: 
Savings account. FP and specialistconsultations only at Bestmed DSPsat network tariffs.
Radiology and pathology: 
Savings account.
Dialysis: 
PMBs only at DSPs.
Oncology / Cancer: 
PMBs only at DSPs.
Joint Replacements: 
Joint replacement surgery (except forPMBs). PMBs subject to prosthesis limits:• Hip replacement and other major jointsR31 779• Knee replacement R39 322• Minor joints R12 101
Prosthesis: 

100% Scheme tariff.
Limited to R75 884 per family.

Medical and Surgical Appliances: 
100% Scheme tariff.
In Hospital Dentistry: 
Preventative care benefits.Optometry.Preventative dentistry.Maternity benefits.
Take home Medicine: 
100% Scheme tariff.Limited to 7 days’ medicine.
Rehabilitation, Hospice and Step-down facilities: 
Savings account.
Treatment for Mental Health: 
100% Scheme tariff.Limited to 21 days per beneficiary.
HIV / AIDS: 
100% Scheme tariff. Subject to preauthorisationand DSPs.
International Travel Benefit: 
Up to R10 million and a maximum of90 days. Services rendered by BryteInsurance and managed by ER24.
Day-to-day benefits
Specialist consultations: 

100% Scheme tariff.
Limited to R10 688 per family.

Acute medicine: 

Savings account.

Over-the-counter (OTC) Medicine: 

Savings account.
Includes suncreen, vitamins and minerals
with nappi codes on Scheme formulary.
Subject to the available savings.

Optometry benefits: 
Preventative care benefits.Optometry.Preventative dentistry.Maternity benefits
Basic dentistry: 
Preventative benefit or savingsaccount.
Orthodontics: 

Subject to
pre-authorisation.

MRI and CT Scans (Out of Hospital): 
100% Scheme tariff.Limited to R10 688 per family.
Radiology and Pathology: 
Savings account.
Chronic Conditions
Chronic Conditions: 

"Addison's disease, Asthma, Bipolar mood disorder
Bronchiectasis, Cardiomyopathy
Chronic renal disease, Chronic obstructive pulmonary disease (COPD)
Cardiac failure, Coronary artery disease
Crohn's disease, Diabetes insipidus
Diabetes mellitus type ...

Total Contributions
Beat 3