Cape Medical MyHealth 100 Saver:
prosthetic benefits (2024)

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Monthly Costs:

MyHealth 100 Saver 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R3,113	R3,113	R467 Pay for all
Savings:	R4,020	R4,020	R600
Children Rates:	Pay for all
Note:	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
♦️View all the other benefits for this plan:♦️ Inhospital \| 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 Cape Medical plans, with costs and brief summary
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Cape Medical : MyHealth 100 Saver
Overal Limit:	Internal:: R54,000 per person External: From day-to-day benefit	Prosthetics required for PMB conditions are always paid paid in full* by scheme, with no co-payment, if you follow the protocols. More info here*
Sub-limits:	Cardiac stents: R16,875 per stent Trans-vaginal tape: R11,535 Intra-ocular lenses: R3,388 per lens Patches used in incisional hernia repair: R4,614 Patches used in groin hernia repair: R1,545 Joint replacements: R54,000 Pacemakers, including leads: R54,000
Note:	PMBs: Prescribed Minimum Benfits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs 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
♦️View all the other benefits for this plan:♦️ Inhospital \| 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 Cape Medical plans, with costs and brief summary
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Always consult with your broker before making final decisions regarding your healthcare cover.

Important!

Unless specified, assume that all benefits are paid are paid at 100% scheme rate
No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
"Unlimited" benefits are still subject to authorisation, protocols and sublimits
Assume that all benefits need to be pre-authorised