This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Sizwe Gold Ascend
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Monthly Costs (2025)
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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- R1029
- Only pay for 3 children
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- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
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- Main= R7,589
- Main+1= R11,239
- Main+2= R13,152
- Main+3= R15,041
- Main+4= R16,953
- Main+5= R18,854
- Main+6+= R20,743
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- Up to age 25. Grandchildren included.
- Only pay for 3 children
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- Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list.
- All treatments and procedures are subject to authorisation and protocols
- All benefits are listed as an indication only. Please verify with your broker and scheme
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Sizwe plans, with costs and brief summary.
Find all other open medical aid plans here.
|
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Dentistry benefits (2021):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated
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Main Member: |
Adult: |
Child: |
- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
|
- Main= R7,589
- Main+1= R11,239
- Main+2= R13,152
- Main+3= R15,041
- Main+4= R16,953
- Main+5= R18,854
- Main+6+= R20,743
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| Standard Dentistry: |
- 2 general checkups per person
- Root canal: not on wisdom or primary teeth
- Plastic Dentures: 1 set, full or partial per person every 4 years
- Fillings: coverec
- Intra-oral x-ray: from protocols
- Extra-oral: 1 per person, every 3 years
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| Specialised Dentistry: |
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| In-Hospital Dentistry: |
- Children under 5yrs: Covered
- R1,000 co-payment for day clinic admission
- General anaesthetic benefits for impacted teeth. IV conscious sedation benefits for in-room procedures
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| Orthodontics: |
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| Note: |
- PMBs: Prescribed Minimum Benfits. To read more about PMBs click here
- DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
- Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Sizwe plans, with costs and brief summary.
Find all other open medical aid plans here.
|
Optometry benefits (2021):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
|
Assume scheme pays all these costs, unless otherwise stated |
|
Main Member: |
Adult: |
Child: |
- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
|
- Main= R7,589
- Main+1= R11,239
- Main+2= R13,152
- Main+3= R15,041
- Main+4= R16,953
- Main+5= R18,854
- Main+6+= R20,743
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| Optometry: |
| Consult: | 1 test per person every 2 years |
| Frames: | R579 per person |
| Single lenses | R185 per lens |
| Bifocals: | R420 per lens |
| Multifocals | R420 per lens |
| Contacts | R1,337 with guidelines |
| Refractive Surgery: | No benefit |
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- This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Sizwe plans, with costs and brief summary.
Find all other open medical aid plans here.
|
Wellness/Preventative benefits (2021):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated |
| Flu vaccination: |
- R284 per person and R2,242 per family
- Shared with: screening tests, vaccines
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| Pneumonia vaccines: |
- R284 per person and R2,242 per family
- Shared with: screening tests, vaccines
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| Biometric Screening: |
- R284 per person and R2,242 per family
- Shared with: screening tests, vaccines
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| Child Immunisation: |
- R284 per person and R2,242 per family
- Shared with: screening tests, vaccines
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| Pap Smear: |
- Covered for 21yrs+, every 2 years
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| Mammogram: |
- Covered for 40yrs+, every 2 years
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| PAS Test: |
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| HIV Test: |
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| Other: |
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Sizwe plans, with costs and brief summary.
Find all other open medical aid plans here.
|
Other benefits for 2021:
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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