CANCER TREATMENT ( ALSO SEE CARE PROGRAMMES PAGE 10 ) |
Unlimited for PMBs |
R213 000 per family for non-PMBs . Paid at 80 % at a Designated Service Provider and no cover at a non-Designated Service Provider , once limit is reached . |
Unlimited for PMBs |
R213 000 per family for non-PMBs . Paid at 80 % at a Designated Service Provider and no cover at a non-Designated Service Provider , once limit is reached . |
Avoid a 30 % co-payment by using a Designated Service Provider |
Sublimit of R57 680 per beneficiary for Brachytherapy |
Avoid a 30 % co-payment by using a Designated Service Provider |
Sublimit of R57 680 per beneficiary for Brachytherapy |
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CANCER MEDICINE |
Subject to Medicine Price List and preferred product list |
Avoid a 20 % co-payment by using a Designated Service Provider |
Subject to Medicine Price List and preferred product list |
Avoid a 20 % co-payment by using a Designated Service Provider |
ORGAN TRANSPLANTS |
Unlimited |
Sublimit of R39 040 per beneficiary for corneal grafts |
Unlimited |
PMB only for corneal grafts |
KIDNEY DIALYSIS |
Unlimited |
Avoid a 20 % co-payment by using a Designated Service Provider |
Unlimited |
Avoid a 20 % co-payment by using a Designated Service Provider |
HIV / AIDS ( ALSO SEE CARE PROGRAMMES PAGE 11 ) |
Unlimited , if you register on the HIV / AIDS programme |
Chronic medicine must be obtained from Designated Service Provider |
Unlimited , if you register on the HIV / AIDS programme |
Chronic medicine must be obtained from Designated Service Provider |
PROCEDURE CO-PAYMENTS ( PER EVENT , SUBJECT TO PRE-AUTHORISATION ) |
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