Medimed Essential C:
dentistry, optometry and wellness (2024)

Monthly Costs:

Essential C 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R2,340	R2,340	R610 Pay for all children
Savings:	R2,808	R2,808	R732
Children Rates:	Pay for all children
Income band:	This plan is only available to households with income in R16,001-R22,000pm band. View other income bands
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 Medimed plans, with costs and brief summary
.

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Dentistry benefits (2022):

Medimed: Essential C
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:	R3,200 per person and R5,500 per family Shared with standard and specialised dentistry
Specialised Dentistry:	R3,200 per person and R5,500 per family Shared with standard and specialised dentistry
In-Hospital Dentistry:	Impacted wisdom teeth and treatment for children under 12yrs: R8,000 per family	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:	No benefit
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 Medimed plans, with costs and brief summary
.

Optometry benefits (2022):

Medimed: Essential C

Assume scheme pays all these costs, unless otherwise stated

Optometry:

Limit:	Every 24 months
Consult:	1 per person
Frames:	R315
Single lenses	R210
Bifocals:	R445
Multifocals	R770
Contacts	R840

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.

Wellness/Preventative benefits (2022):

Medimed: Essential C
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	No benefit
Pneumonia vaccines:	No benefit
Biometric Screening:	No benefit
Child Immunisation:	No benefit
Pap Smear:	No benefit
Mammogram:	No benefit
PAS Test:	No benefit
HIV Test:	No benefit
Other:	No benefit
♦️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 Medimed plans, with costs and brief summary
.

Other benefits for 2022:

Essential C
International Insurance:	.
Other:	(Benefit will be updated shortly)
♦️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 Medimed 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.

Medimed Essential C:
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)

Medimed Essential C: dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2022):

Optometry benefits (2022):

Wellness/Preventative benefits (2022):

Other benefits for 2022:

Also see these:

Medimed Essential C:
dentistry, optometry and wellness (2024)