Sizwe Plus:
dentistry, optometry and wellness (2024)

This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Sizwe Plus

We also have information on: In-hospital, Out of Hospital, Medicine, Maternity, Cancer, Mental Health and Prosthetics benefits.

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Monthly Costs:

Plus 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R7,227	R6,893	R1,576
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.
Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account	Main= R13,280 Main+1= R27,980 Main+2= R30,540 Main+3= R33,630
Children Rates:
Income band:	This plan is only available to households with income in All income levelspm 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
.

Dentistry benefits ():

Sizwe: Plus
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:
Specialised Dentistry:
In-Hospital Dentistry:	Children under 7yrs: Covered Impacted wisdom teeth: Covered as day case	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:
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 ():

Sizwe: Plus
Assume scheme pays all these costs, unless otherwise stated
Optometry:
Note:	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.
♦️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
.

Wellness/Preventative benefits ():

Sizwe: Plus
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:
Pneumonia vaccines:
Biometric Screening:
Child Immunisation:
Pap Smear:
Mammogram:
PAS Test:
HIV Test:
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
.

Other benefits for :

Plus
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

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All the medical aid jargon explained (2024)

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Medical Aid waiting periods: what you need to know (2024)

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Sizwe Plus:
dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits ():

Optometry benefits ():

Wellness/Preventative benefits ():

Other benefits for :

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)

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Sizwe Value Core:
cancer, maternity and mental health (2024)

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prosthetic benefits (2024)

Sizwe Value Core:
in-and-out of hospital benefits (2024)

Sizwe Value Core:
dentistry, optometry and wellness (2024)

Sizwe Silver Hospital:
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Sizwe Plus: dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits ():

Optometry benefits ():

Wellness/Preventative benefits ():

Other benefits for :

Also see these:

Sizwe Plus:
dentistry, optometry and wellness (2024)