Compcare Dynamix:
prosthetic benefits (2024)

This page has information on: Costs and Prosthetics for Compcare Dynamix

We also have information for: In-hospital, Out of hospital, Medicine, Dentistry, Optometry, Maternity, Cancer, Mental Health, Other/Extra Benefits and Wellness and Preventative

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Monthly Costs:

Dynamix 2024 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R7,578
  • R5,920
  • R2,113
  • Only pay for 3 children
Savings:
  • R12,720
  • R9,936
  • R3,540
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R3,624
  • R2,808
  • R1,008
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R10,225
  • R7,635
  • R2,880
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Main= R9,200
  • Main+1= R16,380
Children Rates:
  • Under 21 yrs, unless student or financially dependent. Then, under 27yrs.
  • Only pay for 3 children
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 Compcare plans, with costs and brief summary
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Prosthetics benefits (2022):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Compcare: Dynamix
Overal Limit:
  • R43,000 per family, unless PMB
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:
  • Extensive sublimits apply. Please confirm with Compcare
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 Compcare plans, with costs and brief summary
.
.
.
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

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