Sizwe Essential Copper B:
dentistry, optometry and wellness (2024)

Monthly Costs:

Copper Core B 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R2,240	R2240	R828 Pay for all children
Savings (per year):	No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Children Rates:	Child rates up to age 25. Grandchildren included. Pay for all children
Income band:	This plan is only available to households with income in R8,501-R13,000pm 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 Sizwe plans, with costs and brief summary
.

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Dentistry benefits (2024):

Sizwe: Copper Core B
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:	Covered Root canal: No benefit Plastic dentures: one set per beneficiary every 4 years
Specialised Dentistry:	PMBs only
In-Hospital Dentistry:	Children under 7yrs: Covered Impacted wisdom teeth: Covered as day case Maxillo-Facial Surgery: PMBs only	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 Sizwe plans, with costs and brief summary
.

Optometry benefits (2024):

Sizwe: Copper Core B

Assume scheme pays all these costs, unless otherwise stated

Optometry:

Every 2 years
Consult:	1 test per person
Frames:	R340
Single lenses	R239 per lens
Bifocals:	R504 per lens
Multifocals	R504 per lens
Contacts	R731 per person
Refractive Surgery:	No benefit

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 (2024):

Sizwe: Copper Core B
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Covered
Pneumonia vaccines:	Covered, 65yrs+
Biometric Screening:	Covered
Child Immunisation:	Covered , up to age 12yrs
Pap Smear:	Covered for 18yrs+, every year
Mammogram:	Covered for 40yrs+, every year
PAS Test:	Covered for 40yrs+
HIV Test:	Covered
Other:	Colon Cancer Blood Test 50yrs+, per year Lung cancer screening, 55 yrs+, per yr Skin cancer screening, 55 yrs+ Bone density, per yr: Women 50 yrs - 69 yrs. Males, 65 yrs+ Diabetic Eye Care Examination Diabetic Foot Examination Covid-19 Vaccination per beneficiary per annum
♦️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 Sizwe plans, with costs and brief summary
.

Other benefits for 2024:

Copper Core B
International Insurance:
Other:
♦️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 Sizwe 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.

Sizwe Essential Copper B:
dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2024):

Optometry benefits (2024):

Wellness/Preventative benefits (2024):

Other benefits for 2024:

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)

Sizwe Essential Copper B: dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2024):

Optometry benefits (2024):

Wellness/Preventative benefits (2024):

Other benefits for 2024:

Also see these:

Sizwe Essential Copper B:
dentistry, optometry and wellness (2024)