Displaying details for DOUBLE PLUS



 DOUBLE PLUS
OTHER BENEFITS (per Beneficiary) SUBJECT TO THE ANNUAL OVERALL DAY-TO-DAY BENEFIT LIMIT 
DAY TO DAY BENEFITS BENEFITS BELOW ARE SUBJECT TO THE OVERALL ANNUAL LIMITAnnual Overall Limits
Adult R13 261
Child R 9 215
GP’S AND DENTISTS DENTAL X-RAYS PERFORMED BY DENTISTS, CONSULTATIONS AND PROCEDURES PERFORMED BY THESE PRACTITIONERS; BASIC DENTISTRY80% CBT
SPECIALISTS CONSULTATIONS, PROCEDURES AND RADIOLOGY PERFORMED BY THESE PRACTITIONERS80% CBT
ACUTE MEDICATION INCLUDING INJECTIONS AND MATERIALS80% SEP plus dispensing fee, subject to MMAP, co-payment from MSA
NON-DSP VISITS TO DOCTORS ROOMSNot applicable
CASUALTY AND OUT PATIENT TREATMENT AT A HOSPITAL ALL MEDICATIONS WILL BE PAID OUT OF ACUTE MEDICATION BENEFIT80% CBT
NURSE VISITS80% CBT up to 21 days
SUPPLEMENTARY HEALTH AUDIOLOGY, CHIROPRACTORS, DIETICIANS, HOMOEOPATHS, OCCUPATIONAL THERAPY, PHYSIOTHERAPISTS, BIOKINETICISTS, PODIATRY AND SPEECH THERAPY80% CBT
ADVANCED DENTISTRY CROWNS, BRIDGES, ORTHODONTICS, DENTURES80% CBT limited to:
M0 R12 900
M1 R18 600
M2+ R25 000
OVER THE COUNTER MEDICATION80% SEP plus a dispensing fee, subject to MMAP, co-payment from MSA, limited to R1 900 per
beneficiary
LASER K/EXCIMER LASER NO APPROVAL FOR SURGERY WHERE SPECTACLES OBTAINED IN PREVIOUS 12 MONTHS80% CBT limited to R4 860 per beneficiary per eye
SPECTACLES AND LENSES FROM OPTOMETRIST ONLY ANNUAL BENEFIT, UNLESS OTHERWISE STATEDConsultation: See Preventative Wellness Benefit
Add ons R1 120
Single vision R1 120 OR
Bifocal R2 990 OR
Varifocal R4 590 AND
Frames R4 129 OR
Contact lenses R4 013
Lenses, frames etc 80% Optical Assistant Rates


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