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Sizwe Titanium Executive:
cancer, maternity and mental health (2024)

This page has information on: Costs, Maternity, Oncology, Mental Health for Sizwe Titanium Executive

We also have information on: In-hospital, Out of hospital, Medicine, Dentistry, Optometry, Other/Extra Benefits, Wellness and Preventative and Prosthetics

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Monthly Costs:

Titanium Executive 2024 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R8,415
  • R7,446
  • R1,719
  • Only pay for 3 children
Savings:
  • R21024
  • R19044
  • R4260
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • Main= R18,019
  • Main+1= R24,355
  • Main+2= R27,376
  • Main+3= R30,523
  • Main+4= R33,701
  • Main+5= R36,857
  • Main+6+= R39,995
Children Rates:
  • Child rates up to age 25. Grandchildren included.
  • Only pay for 3 children
Income band:
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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Cancer/ Oncology benefits for :

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Sizwe: Titanium Executive
Assume scheme pays all these costs, unless otherwise stated
Overall coverage (in and out of hospital):
  • Children under 5yrs: Covered
  • R1,000 co-payment for day clinic admission
  • General anaesthetic benefits for impacted teeth. IV conscious sedation benefits for in-room procedures
 Treatment required for PMB conditions is always paid by scheme, with no co-payment, if you follow the protocols. Most cancers are PMBs! More info here

Most schemes require use of specific providers (DSPs) for oncology treatment.
♦️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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Maternity benefits for :

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Sizwe: Titanium Executive
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:
  • Unlimited. After the first R650,000, a 20% co-payment applies for non-PMB cancers
 Usually covered for 2 nights for natural birth, and 3 nights for C-sections. All newborns receive immediate full medical aid cover at birth, even if parents are on a waiting period.
Consultations:
  • 2 general checkups per person
  • Root canal: not on wisdom or primary teeth
  • Plastic Dentures: 1 set, full or partial per person every 4 years
  • Fillings: coverec
  • Intra-oral x-ray: from protocols
  • Extra-oral: 1 per person, every 3 years
Scans:
  • Crowns: 3 crown per family
  • Implants: 2 implants, up to R5,000 per implant, per person every 5 years
  • Metal dentures:2 partial frames per person, every 5 years. One per family per year
Note:
♦️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
.
.
.

Mental Health benefits for :

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(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Sizwe: Titanium Executive
Assume scheme pays all these costs, unless otherwise stated
In-hospital:
  • Rehab facilities: Limited to speech and occupational therapy
  • Private nursing: R10,486 per family
  • Step-down facilities: 100% scheme rate
Out-of-hospital:
  • M =R2,936
  • M1+ =R4,884
Trauma:
  • R4,873 per family. One unit every 4 years
Note:
  • PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness.
  • 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
.

    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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