Deductible and Co-Payment

OptionDeductible / Co-Payment
Comprehensive

MRI/CT Scans (in and out of hospital): R2 500

Scopes (in hospital): R2 500

Dentistry (in hospital): R1 600

Impacted wisdom teeth: R1 060

Executive

Nissen (Hernia repair): R5 000

Hysterectomy: R2 500

MRI/CT Scans (in and out of hospital): R2 500

Scopes (in hospital): R2 500

Laparoscopic surgery : R2 000

Family

Joint replacement, Spinal surgery, Nissen (Hiatus Hernia repair): R7 500

Hysterectomy: R3 500

Laparoscopic surgery: R3 000

Cholecystectomy: R2 500

MRI/CT Scans (in and out of hospital): R2 500

Scopes (in hospital): R2 500

Sinus and nasal surgery: R2 000

Dentistry (in hospital): R1 600

Tonsils, adenoids, grommets: R1 000

Impacted wisdom teeth: R1 060

Savings

MRI/CT Scans (in and out of hospital): R2 500

Scopes (in hospital): R2 500

Essential

MRI/CT Scans (in and out of hospital): R2 500

Scopes (in hospital): R2 500

Active Saver

Hysterectomy: R3 500

Cholecystectomy: R2 500

MRI/CT Scans (in hospital): R2 500

Scopes (in hospital): R2 500

Tonsils, adenoids, grommets: R500

No benefits are provided for the following:

Medical admissions for Musculoskeletal conditions

Nissen (Hiatus Hernia repair)

Functional reconstruction of nasal septum

Endoscopic sinus surgery

Reconstruction of palate and uvula (laser or otherwise)

Gauchers

Network

Hysterectomy: R3 500

Cholecystectomy: R2 500

MRI/CT Scans (in hospital): R2 500

Tonsils, adenoids, grommets: R500

No benefits are provided for the following:

Medical admissions for Musculoskeletal conditions

Nissen (Hiatus Hernia repair)

Functional reconstruction of nasal septum

Endoscopic sinus surgery

Reconstruction of palate and uvula (laser or otherwise)

Gauchers