Assume scheme pays all these costs, unless otherwise stated |
- PMBs: Covered in full at DSP, up to 21 days admission
- Alcoholism/Drug Addiction: 21 days admission
- Psychologists for non-psychiatric admissions: R1,800 per family
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- PMBs: 10+ consults, paid by scheme
- From day-to-day benefit
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- 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
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- 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
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♦️View all the other benefits for this plan:♦️
Inhospital |
Out of hospital |
Medication |
Maternity |
Cancer |
Mental Health |
Dentistry |
Optometry |
Other/Extra Benefits |
Wellness |
Prosthetics
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