Displaying details for ALLIANCE



 ALLIANCE
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 R34 100
Child R21 300
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 R17 400
M1 R26 000
M2+ R31 300
OVER THE COUNTER MEDICATION80% SEP plus a dispensing fee, subject to MMAP, co-payment from MSA, limited to R4 400 per
beneficiary
LASER K/EXCIMER LASER NO APPROVAL FOR SURGERY WHERE SPECTACLES OBTAINED IN PREVIOUS 12 MONTHS80% CBT limited to R13 155 per beneficiary per eye
SPECTACLES AND LENSES FROM OPTOMETRIST ONLY ANNUAL BENEFIT, UNLESS OTHERWISE STATEDConsultation: See Preventative Wellness Benefit
Add ons R1 710
Single vision R1 710 OR
Bifocal R3 420 OR
Varifocal R5 150 AND
Frames R7 670 OR
Contact lenses R7 460
Lenses, frames etc 80% Optical Assistant Rates


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