Compcare Dynamix:
prosthetic benefits (2024)

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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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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
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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