View all plans in this scheme.
Always consult with your broker before making final decisions regarding your healthcare cover.
Prime 3 Network | ||||||||||||||||||||
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IN HOSPITAL PROCEDURES: Prime 3 Network | ||
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Scheme Benefits: | Notes and Links: | |
non-Network Specialists: |
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network Specialists: |
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non-Network GPs: |
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network GPs: |
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Hospital Choice: |
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Penalty for using other hospital: |
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Specialised Radiology: |
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Supplementary Services: (Physio, etc) |
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Transplants: |
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Co-payments: |
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Alternatives to hospitals: |
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Casualty: |
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Other: |
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Note: |
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All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme.
The gap benefits listed are for AskAdam gaps, unless otherwise stated. Actual benefits depend on gap choice option.
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OUT OF HOSPITAL BENEFITS (non-PMB): Prime 3 Network | ||||||||||||||
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Scheme Benefits | Notes and Links: | |||||||||||||
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General info: |
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GP consultations: |
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Childcare: | ||||||||||||||
Specialists consultations: |
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Pathology: |
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General radiology: |
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Specialised radiology: |
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Supplementary Services: (Physio, etc) |
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We’ll check if this is still the best plan for you, and send you a comparison with 3 similar plans. (FREE!) |
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MATERNITY BENEFITS: Prime 3 Network | ||||
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Scheme Benefits | Notes and Links: | |||
Hospital stay: |
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Consultations: |
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Scans: |
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CANCER (ONCOLOGY): Prime 3 Network | ||||
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Scheme Benefits | Notes and Links: | |||
Overall coverage (in and out of hospital): |
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DENTISTRY: Prime 3 Network | ||||
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Scheme Benefits | Notes and Links: | |||
Standard Dentistry: |
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Specialised Dentistry: |
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In-Hospital Dentistry: |
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Orthodontics: |
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Maxillo Facial Surgery: |
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MEDICATION: Prime 3 Network | ||||
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Scheme Benefits: | Notes and Links: | |||
Chronic: |
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Acute (presrcibed) medication: |
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Over-the-counter: |
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Birth Control: |
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On Discharge: |
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Biological: |
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OPTOMETRY: Prime 3 Network | ||||||||||||||||||
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Scheme Benefits: | Notes and Links: | |||||||||||||||||
Optometry: |
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MENTAL HEALTH: Prime 3 Network |
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Scheme Benefits | Notes and Links: | |||
In-hospital: |
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Out-of-hospital: |
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Trauma: |
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OTHER BENEFITS: Prime 3 Network | ||||
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Scheme Benefits | Notes and Links: | |||
General Appliances: |
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1.1. Hearing Aids: |
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1.2. Wheelchairs: |
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Dialysis: |
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International Insurance: |
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Other: | ||||
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WELLNESS/PREVENTATIVE BENEFITS: Prime 3 Network | ||||
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Scheme Benefits: | Notes and Links: | |||
Flu vaccination: |
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Pneumonia vaccines: |
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Biometric Screening: |
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Child Immunisation: |
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Pap Smear: |
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Mammogram: |
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PAS Test: |
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HIV Test: |
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Other: |
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We’ll check if this is still the best plan for you, and send you a comparison with 3 similar plans. (FREE!) |
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PROSTHETICS: Prime 3 Network | ||||
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Scheme Benefits: | Notes and Links: | |||
Overal Limit: | Most non-PMB sublimits are increased by gap cover, if authorised by medical aid
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Sub-limits: |
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We’ll check if this is still the best plan for you, and send you a comparison with 3 similar plans. (FREE!) |
- 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