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Medical Aid Year: 
2020
Day to day Benefits: 

Doctors’ consultations and procedures paid at Specific Tariff4, Prescribed medication, Radiology & pathology, Eye examination, Dentists’ fees paid at 135% Profmed Tariff

In Hospital Benefits
Hospital Rate of Payment: 
Hospitalisation1 ››doctors’ consultations and procedures paid at 200% Profmed Tariff ››in-hospital dentistry (specific cases only) ››maternity - hospitalisation in private wards - enhanced fees for midwives
Hospitals: 

Savvy options require use of the hospital Designated Service
Provider Network (DSPN). Voluntary use of a non-DSP will result in
a co-payment

Upfront Payments to hospitals: 

No co-payments for hospitalisation on the Premium options

Dialysis: 
Unlimited peritoneal dialysis and haemodialysis
Oncology / Cancer: 
Oncology - PET Scans: Bloch & Partners at Morningside Clinic (applies to greater Johannesburg region only) Oncology - Radiation Therapy: Netcare (participating facilities
In Hospital Dentistry: 
specific cases only
Rehabilitation, Hospice and Step-down facilities: 
Alcohol and Drug Rehabilitation: South African National Council on Alcoholism and Drug Dependence (SANCA), Physical Rehabilitation: Life Healthcare
HIV / AIDS: 
3 - 6 months’ HIV exposure management, Subject to the use of the DSPN
International Travel Benefit: 
R6 million per beneficiary per journey ›› out-of-hospital expenses not covered
Day-to-day benefits
Basic dentistry: 
specific cases only
Chronic Conditions
Chronic Conditions: 

26 chronic conditions plus relevant
DTPs

Total Contributions
ProActive Plus