Cape Medical MyHealth 200:
prosthetic benefits (2025)

This page has information on: Costs and Prosthetics for Cape Medical 200

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Monthly Costs (2025)

MyHealth 200 2025 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R3,577	R3,577	R631 Under 21yrs
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:	Under 21yrs
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: 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 Cape Medical plans, with costs and brief summary. Find all other open medical aid plans here.
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Cape Medical : MyHealth 200
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: 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 Cape Medical plans, with costs and brief summary. Find all other open medical aid plans here.

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