Compcare Symmetry ED:
dentistry, optometry and wellness (2024)

Monthly Costs:

Symmetry ED 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R5,118	R3,982	R1,436 Only pay for 3 children
Savings:	R6,132	R4,776	R1,716
Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account	R4,380	R3,396	R1,200
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
.

You'll get the printable guide as well as a weekly newsletter 🙂

Dentistry benefits (2022):

Compcare: Symmetry ED
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:	From from day-to-day benefit Unlimited per child <6 yrs once day-to-day is depleted.
Specialised Dentistry:	R8,800 per person, from day-to-day benefit
In-Hospital Dentistry:	Maxillofacial and oral surgery- in-and-out of hospital combined limit: shared with Specialised Dentistry benefit Otherwise, R3,000 co-payment	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:	See "Specialised dentistry", above
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 Compcare plans, with costs and brief summary
.

Optometry benefits (2022):

Compcare: Symmetry ED
Assume scheme pays all these costs, unless otherwise stated
Optometry:	From day to day benefit, every 2 years Lenses and contact lenses: R2,300 per person Frames: R1,250 per person, as part of above limit Radial keratotomy and excimer laser: R5,200 per eye
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 Compcare plans, with costs and brief summary
.

Wellness/Preventative benefits (2022):

Compcare: Symmetry ED
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Covered
Pneumonia vaccines:	As required
Biometric Screening:	Covered
Child Immunisation:	.
Pap Smear:	Covered , 18+ every year
Mammogram:	Covered , 35yrs+ every 2 yrs
PAS Test:	Covered
HIV Test:	Covered
Other:	Preventative malaria medication Tetanus vaccine Glaucoma test Colorectal cancer screening test, 45-75yrs
♦️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
.

Other benefits for 2022:

Symmetry ED
International Insurance:	Access to emergency medical care when travelling outside of South Africa
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 Compcare plans, with costs and brief summary
.

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

All the medical aid jargon explained (2024)

Medical aid and PMBs? DSPs? PPNs? We decipher the medical aid jargon in plain English so that you are not as confused 🙂

How do I make a medical aid plan change (2024)?

A quick guide to how you can change your medical aid plan, including the resignation procedure, and things to look out for, such as imposed waiting periods from your new scheme

Medical Aid waiting periods: what you need to know (2024)

Waiting periods can prevent you from getting the cover that you need – but they are not always applied. Find out rules here.

Compcare Symmetry ED:
dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2022):

Optometry benefits (2022):

Wellness/Preventative benefits (2022):

Other benefits for 2022:

All the medical aid jargon explained (2024)

How do I make a medical aid plan change (2024)?

Medical Aid waiting periods: what you need to know (2024)

Also see these:

Sizwe Value Core:
cancer, maternity and mental health (2024)

Sizwe Value Core:
prosthetic benefits (2024)

Sizwe Value Core:
in-and-out of hospital benefits (2024)

Sizwe Value Core:
dentistry, optometry and wellness (2024)

Sizwe Silver Hospital:
prosthetic benefits (2024)

Compcare Symmetry ED: dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2022):

Optometry benefits (2022):

Wellness/Preventative benefits (2022):

Other benefits for 2022:

Also see these:

Compcare Symmetry ED:
dentistry, optometry and wellness (2024)