Cape Medical MyHealth 200:
dentistry, optometry and wellness (2024)

This page: Costs | Dentistry | Optometry | Wellness and Preventative | Other Cape Medical 200 We also show benefits for: In-hospital | Out of Hospital | Medicine | Maternity | Cancer | Mental Health | Prosthetics Find all the open medical aid plans here. Compare any two plans side by side, instantly. Monthly Costs: MyHealth 200 2024 prices Main member: Adult member: Child member: Total Cost pm: R3,197 R3,197 R564 Pay for all Savings (per year): No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits. 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 . Dentistry benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Cape Medical : MyHealth 200 Assume scheme pays all these costs, unless otherwise stated Standard Dentistry: No benefit Specialised Dentistry: No benefit In-Hospital Dentistry: In-hospital: Covered, if hospitalisation required Maxillo-facial: 120% scheme rate, unless PMB PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here. Orthodontics: No benefit 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 ♦️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 . . . Optometry benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Cape Medical : MyHealth 200 Assume scheme pays all these costs, unless otherwise stated Optometry: No cover Note: 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. ♦️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 . . . Wellness/Preventative benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Cape Medical : MyHealth 200 Assume scheme pays all these costs, unless otherwise stated Flu vaccination: For patients with asthma or chronic obstructive pulmonary disease Pneumonia vaccines: No benefit Biometric Screening: Blood tests covered Child Immunisation: No benefit Pap Smear: On request from doctor Mammogram: R1,898 per person with R300 co-payment, for women 49yrs+, every 2 yrs PAS Test: Covered HIV Test: Covered Other: Bone density: scheme rate, for 50yrs+, every 5 yrs Blood tests, inlc blood glucose, cholesterol and thyroid screening, and COVID-19 testing: Covered by 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 . Other benefits for 2024: (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) MyHealth 200 International Insurance: No benefit Other: ♦️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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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