Health Squared Milennium: in-and-out of hospital benefits (2021)

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Table of Contents

This page shows the In-hospital, Out-of-hospital and Medicine benefits for Health Squared Millennium.

Pricing:

Millennium
Main member: Adult member: Child member:
Total Cost pm: R6,535 R5,595 R1522
Pay for max 2 children under 21
Savings: R10968 R9396 R2556
Self Payment Gap:
R6523 R5161 R1293
Above Threshold: 6539 5577 914
Children:
  • Pay for max 2 children under 21
View all benefits: Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics
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

You can also:

In-hospital Procedures:

Millennium
non-Network Specialists: When will this be updated?
network Specialists: When will this be updated?
non-Network GPs: When will this be updated?
network GPs: When will this be updated?
Hospital Choice: When will this be updated?
Penalty for using other hospital: When will this be updated?
Specialised Radiology: When will this be updated?
Supplementary Services: (Physio, etc) When will this be updated?
Transplants: When will this be updated?
Dialysis: When will this be updated?
Day Hospitals:
Co-payments: When will this be updated?
Alternatives to hospitals: When will this be updated?
Casualty: When will this be updated?
Other: When will this be updated?
Note:
  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • 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
  • Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones here, but you must consult with your scheme to get the full list.

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.

Looking for this plan's other benefits?

Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics


Out-of-hospital Procedures:

Millennium
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings /yr: R10968 R9396 R2556
Self Payment Gap:
R6523 R5161 R1293
Above Threshold: 6539 5577 914
PMBs out of hospital:
  • All medical aids must pay for the diagnosis, treatment and management of all PMB conditions, in or out of hospital. You can see a full list of the conditions here.
  • This can include consults with specialists, blood or other tests, radiology and medicine
  • The benefit is paid by the scheme, and not out of your savings account
  • If you have no day-to-day funds, you still have cover for PMBs
  • Schemes usually impose the use of specific providers for treatment of PMBs. Read more about that here.
  • See our Guide to PMBs for more information.
General info:
GP consultations: When will this be updated?
Childcare: When will this be updated?
Specialists consultations: When will this be updated?
Pathology: When will this be updated?
General radiology: When will this be updated?
Specialised radiology: When will this be updated?
Supplementary Services: (Physio, etc) When will this be updated?
General Appliances: When will this be updated?
1.1. Hearing Aids: When will this be updated?
1.2. Wheelchairs: When will this be updated?
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

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.

Looking for this plan's other benefits?

Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics


Medication cover:

Millennium
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings /yr: R10968 R9396 R2556
Self Payment Gap:
R6523 R5161 R1293
Above Threshold: 6539 5577 914
Chronic: When will this be updated?
Acute (presrcibed) medication: When will this be updated?
Over-the-counter: When will this be updated?
Birth Control: When will this be updated?
On Discharge: When will this be updated?
Biological: When will this be updated?
Note:
  • Schemes have very strict rules about where you can get your medicine to get full benefit. We do not list the requirements here, so confirm with your scheme before you collect your medicine.
  • Formulary: A pre-defined list of approved medicines. Each plan has a different list, and might not pay for non-listed medicine. Confirm with your scheme whether your required medicine is covered by them.
  • 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

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.

Important!

  • Unless specified, assume that all benefits 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

There’s more help here:

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Thanks for reading this far! I hope it was useful.

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And if you are in the business of healthcare and see opportunities here, please give me a shout. hello@rehealth.co.za

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