A high savings account and an UNLIMITED Above Threshold Benefit (ATB) for your day-to-day healthcare needs like GP consultation fees, radiology and pathology, eye care and dentistry. 15% of your monthly contribution goes into your Medical Savings Account. Some day-to-day healthcare services have limits. These limits apply to claims paid from your Medical Savings Account (MSA), Day-to-day Extender Benefit (DEB) (where applicable), claims paid from your pocket and Above Threshold Benefit. These are not separate benefits. You will have to pay for some healthcare expenses from your pocket before you reach your Annual Threshold. This is called the Self-payment Gap (SPG).
Co-payments:
Scopes (gastroscopy, colonoscopy, sigmoidoscopy and proctoscopy) R3 400. Dental admissions in hospital younger than 13 - R2 200, 13 and older - R5 650 Day clinic Younger than 13 - R1 000, 13 and older - R3 650, MRI & CT Scans in or out of hospital R2750
Risk Contribution Main Member:
3140.00
Risk Contribution Adult:
2967.00
Risk Contribution Child:
631.00
How many times per annum do you and your dependants visit a doctor?:
40
How much do you spend on Acute medication per annum?:
More than R 5000
How much do you spend on Chronic medication per annum?:
More than R 5000
Will you or any of your dependants require specialised Dentistry: