Standard option

Standard Option

The Standard option provides small to medium sized families and professional individuals with unlimited Specialist visits, while still offering both In-Hospital and Out-of-Hospital cover, and the freedom to manage their daily healthcare expenses through Over-the-Counter medication and Major Disease Benefits.
Contributions:
Main Member: 1,916
Spouse: 1,916
Student dependent: 1,316
Child: 758
Adult: 1,916

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HOSPITALISATION
DAY-TO-DAY BENEFITS
MAJOR DISEASE BENEFITS
DAY-TO-DAY CHRONIC BENEFITS

HOSPITALISATION

Overal Annual Limit (OAL)1 053 000
HospitalisationSubject to OAL
Medical Rehabilitation24 750
Emergency (Ambulance)
Services		Subject to OAL
Blood Transfusion37 440
MaternitySubject to OAL
Face, Jaw, and Mouth
Surgery (Non optional)		Subject to OAL
Mental Health (In-Hospital)33 420
Specialised Radiology
(MRI scan and CT scan)		22 280

DAY-TO-DAY BENEFITS

General Practitioner Consultation
(GP) - No. of Visits

8

Specialist Consultation
(Only by Referal)

Unlimited

Prescribed Medication

3 370

Supplements

840

Over the Counter Medication
(OTC)

1 055

Supplements Per Visit

170

Over the Counter Medication
(OTC) Per Visit

170

MAJOR DISEASE BENEFITS

Major Disease Benefit Limit501 330
Cancer Treatment167 110
Organ Transplant167 110
Kidney Failure Treatment167 110
Internal Devices50 130
PROSTHESIS BENEFIT
Internal or External
Devices / Appliances		11 140

DAY-TO-DAY CHRONIC BENEFITS

If you have a condition that requires ongoing medication (minimum of three
(3) months), please ensure that you complete a chronic form and submit it
to our office. The purpose of Chronic Registration is to ensure that members
receive sustainable funding for cost-effective treatment. It also helps in
ensuring that the chronic condition is well monitored and the member
adheres to treatment hence preventing the occurrence of complications.

Chronic Medication

6 210

Immune Deficiency (Incl. HIV)

11 000

Basic Dentistry

2 310

Advanced Dentistry

N/A

Optometry (Every 2 Years)

3 200

Frame

1 540

Prescribed Lens (Subject to Optometry Benefit upto 100%)

3 200

Laboratory Tests, Physiotherapy
& Xrays

5 570

Mental Health
(Out-of-Hospital)

2 230

VOLUNTARY MONTHLY SAVINGS ACCOUNT (MSA)
A member can contribute voluntary savings from a minimum of M50.00 per
month. Savings are used for medical expenses only and can be claimed in
the current December benefit year, to be paid out at the beginning of April
of the following medical aid year.

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