Comprehensive
(High Cover)
7 days supply
7-day supply up to R635 per hospital stay
Subject to PMB OR available Savings and Threshold
Up to 100% of MPL. Limited to 7 days medication per hospital event
R690 per beneficiary per admission
7 days supply
7 Days supply. 80% of Scheme Rate, subject to day-to-day benefits
Comprehensive
(High Cover)
7 days supply
7-day supply up to R575 per hospital stay
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R580 per beneficiary per admission
7 days supply
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Comprehensive
(Medium to High Cover)
7 days supply
7-day supply up to R510 per hospital stay
Subject to PMB else available Savings and Threshold (subject to overall prescribed medicine limit)
–
R520 per beneficiary per admission
7 days supply
7 Days supply. 80% of Scheme Rate, subject to day-to-day benefits
Comprehensive
(Medium to High Cover)
–
7-day supply up to R575 per hospital stay
Subject to PMB OR available Savings and Threshold
Up to 100% of MPL. Limited to 7 days medication per hospital event
R520 per beneficiary per admission
7 days supply
7 Days supply. 80% of Scheme Rate, subject to day-to-day benefits
Comprehensive
(Medium to High Cover)
–
7-day supply up to R575 per hospital stay
Subject to PMB OR available Savings and Threshold
Up to 100% of MPL. Limited to 7 days medication per hospital event
R520 per beneficiary per admission
7 days supply
7 Days supply. 80% of Scheme Rate, subject to day-to-day benefits
Hospital & Savings
(Low to Medium Cover)
7 days supply
7-day supply up to R475 per hospital stay
Subject to PMB OR available Savings
Up to 100% of MPL. Limited to 7 days medication per hospital event
R400 per beneficiary per admission
7 days supply
–
Hospital & Savings
(Low to Medium Cover)
7 days supply
7-day supply up to R445 per hospital stay
Subject to PMB OR available Savings
Up to 100% of MPL. Limited to 7 days medication per hospital event
R400 per beneficiary per admission
7 days supply
Subject to PMB
Hospital & Savings
(Low to Medium Cover)
7 days supply
7-day supply up to R445 per hospital stay
Subject to PMB OR available Savings
Up to 100% of MPL. Limited to 7 days medication per hospital event
R400 per beneficiary per admission
7 days supply
Subject to PMB
Hospital & Savings
(Low to Medium Cover)
–
7-day supply up to R475 per hospital stay
Subject to PMB OR available Savings
Up to 100% of MPL. Limited to 7 days medication per hospital event
R400 per beneficiary per admission
7 days supply
Subject to PMB
Capitation
(Low Cover)
–
7-day supply up to R440 per hospital stay
Subject to PMB OR for your own pocket
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–
7 days supply
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Capitation
(Low Cover)
–
7-day supply up to R440 per hospital stay
Subject to PMB OR for your own pocket
–
R380 per beneficiary per admission
7 days supply
–
Hospital Plan
(Hospitalization Cover)
–
7-day supply up to R545 per hospital stay
Subject to PMB OR for your own pocket
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–
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Hospital Plan
(Hospitalization Cover)
7 days supply
7-day supply up to R445 per hospital stay
Subject to PMB OR for your own pocket
Up to 100% of MPL. Limited to 7 days medication per hospital event
R400 per beneficiary per admission
7 days supply
–
Hospital Plan
(Hospitalization Cover)
7 days supply
7-day supply up to R445 per hospital stay
Subject to PMB OR for your own pocket
Up to 100% of MPL. Limited to 7 days medication per hospital event
R400 per beneficiary per admission
7 days supply
Subject to PMB
Primary Care
(Network & Income Based)
3 days supply
7-day supply up to R445 per hospital stay
Subject to PMB OR for your own pocket
Up to 100% of MPL. Limited to 7 days medication per hospital event
R400 per beneficiary per admission
7 days supply
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