Saver Option
Dental Benefits
2021 Benefit: Basic Dentistry: Consultations, fillings, extractions, scaling and polishing. P...
Internal Prostheses
2021 Benefit: Internal Prostheses: Includes external fixators, colostomy kits, and appliances p...
Medical and Surgical Appliances
Medical and surgical appliances: Includes, Nebulisers, Crutches, Blood pressure machines, Glucome...
Optical Benefits
Optical Benefits: Eye test, Lenses, Frames and Contact lenses is paid at the Fund’s tariff rate ...
Optical Benefits
Optical Benefits: Eye test, Lenses, Frames and Contact lenses are paid at the Fund’s tariff ra...
Refractive Surgery
Refractive Surgery: Paid at the Fund’s tariff rate, subject to pre-authorisation. LASIK surgery b...
Ambulance Services
Ambulance Services: 100% of the agreed tariff. Unlimited if Netcare 911 is used. Subject to autho...
Endoscopic Examinations
2021 Benefit: Endoscopic Examinations: Paid at the Fund’s tariff rate if performed in doctors...
Endoscopic Examinations
Endoscopic Examinations: Paid at the Fund’s tariff rate if performed in doctors’ rooms/outpatient...
Maternity Benefits
Maternity Benefits: You must register your pregnancy by calling the pre-authorisation department....
Robotic – assisted Laparoscopic Prostatectomy
Robotic – assisted Laparoscopic Prostatectomy: Paid at the Fund’s tariff rate. Subject to clinica...
MRI, CT Scans & Radio-isotope studies – In Hospital
2021 Benefit: MRI, CT Scans & Radio-isotope studies – In Hospital Paid at the Fund’s tariff rat...
Saver Option
Saver Option Kindly click on the below link in order to access the relevant benefit option f...