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Compcare Selfnet: prosthetic benefits (2021)

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This page shows the Prosthetic Benefits for Compcare Selfnet.

Pricing:

Selfnet
Main member: Adult member: Child member:
Total Cost pm: R1,690 R1,690 R597
(Pay only for first 3)
Savings: R3,648 R3,648 R597
Children Rates:
  • Under 21 yrs, unless student or financially dependent. Then, under 27yrs.
  • (Pay only for first 3)
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 other benefits:
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

Prosthetics:

Selfnet
Overal Limit:
  • R31,500 per family, unless PMB
Sub-limits:
  • Stents (max of 3): R12,700 per stent
  • Medicated stents (max 3 stents): R19,700 per stent
  • Abdominal aortic aneurism stents: Subject to prosthetic limit
  • Carotid stents: R29,000
  • Renal stents: R5,400
  • Aneurysm coils: R38,000
  • Heart valves (Mitral etc): R26,000
  • Joint prostheses: R30,000 each
  • Finger prosthesis: R21,500
  • Spinal instrumentation: R10,500
  • Spinal cages: R15,000
  • Spinal implantable devices: Subject to overall limit
  • Internal fixators for fractures: R16,000
  • Artificial limbs: Subject to overall limit
  • Intra ocular lenses: R2,600
  • Bladder sling: R8,600
  • Hernia mesh: R9,000
  • Vascular grafts: R16,000
  • Internal cardiac defibrillator: Subject to overall limit
  • Single chamber pacemaker: Subject to overall limit
  • Double chamber pacemaker: Subject to overall limit
  • Internal nerve stimulators: No benefit
  • Insulin pumps: No benefit
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 other benefits:
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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