Note: We are updating 2024 benefits as they are released. Some plans show old benefits until schemes release new plans.

Compcare Dynamix ED:
cancer, maternity and mental health (2022)


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Monthly Costs:

Dynamix ED 2023 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R5,428
  • R4,235
  • R1,534
  • Only pay for 3 children
Savings:
  • R9,096
  • R7,092
  • R2,568
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R2,832
  • R2,220
  • R816
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R8,520
  • R6,360
  • R2,400
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Main= R8,280
  • Main+1= R14,676
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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Cancer/ Oncology benefits for 2022:

Compcare: Dynamix ED
Assume scheme pays all these costs, unless otherwise stated
Overall coverage (in and out of hospital):
  • Chemotherapy and radiotherapy: Unlimited
  • Biological medication: R230,000 per family with a 25% co-payment unless PMB
♦️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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Maternity benefits for 2022:

Compcare: Dynamix ED
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:
  • 100% scheme rate
Consultations:
    Compcare pays for:
  • 12 antenatal consults
Scans:
    Compcare pays for:
  • 2 x 2D scans
  • 1 amniocentesis
Note:
♦️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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Mental Health benefits for 2022:

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Compcare: Dynamix ED
Assume scheme pays all these costs, unless otherwise stated
In-hospital:
  • PMBs: Covered in full at DSP, up to 21 days admission
  • Alcoholism/Drug Addiction: 21 days admission
  • Psychologists for non-psychiatric admissions: R3,700 per family
Out-of-hospital:
  • PMBs: 10+ consults, paid by scheme
  • Psychiatrist: R 2,600 per family, from day-to-day benefit, (but not from above-threshold benefit)
  • Psychologist: R 11,000 per family, from day-to-day benefit, (but not from above-threshold benefit)
Trauma:
  • PMB conditions are covered for in and out of hospital treatment. For a full list see here.
  • Example of PMB condition: Acute stress disorder accompanied by recent significant trauma, including physical or sexual abuse. Treatment includes hospital admission for psychotherapy / counselling up to 3 days, or up to 12 outpatient psychotherapy / counselling contacts
Note:
  • PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness.
  • 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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    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

Also see these: