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Sizwe Titanium Executive:
dentistry, optometry and wellness (2024)

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

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

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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

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Dentistry benefits ():

(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
Standard Dentistry:
  • 9-18yrs only
Specialised Dentistry:
In-Hospital Dentistry:
  • An additional 33 conditions are covered
  • Other chronic: R12,177 per person. PMBsmedicines accumulate to this limit.
  • In addition to the per person limt, there is also a per family limit: M =R12,177
    M1 =R24,386
    M2 =R36,448
    M3 =R48,636
    M4 =R60,824
    M5 =R73,022
    M6 =R85,221
 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:
  • Non-cancer biological: R130,000 per person
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
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Optometry benefits ():

(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
Optometry:
  • Mental Health PMB conditions are covered for in and out of hospital treatment. For a full list see here.
  • Example of PMB condition: Acute stress disorder accompanied by recent significant trauma, including physical or sexual abuse. Treatment includes hospital admission for psychotherapy / counselling up to 3 days, or up to 12 outpatient psychotherapy / counselling contacts
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
.
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.

Wellness/Preventative benefits ():

(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
Flu vaccination:
  • R284 per person and R3,189 per family
  • Shared with: screening tests, vaccines
Pneumonia vaccines:
  • R284 per person and R3,189 per family
  • Shared with: screening tests, vaccines
Biometric Screening:
  • Covered for 21yrs+, every 2 years
Child Immunisation:
  • Covered for 40yrs+, every 2 years
Pap Smear:
  • Covered for 40yrs+
Mammogram:
PAS Test:
HIV Test:
  • R65,052 per family, unless PMB
  • Sub-limits apply
Other: Internal:
  • Joints - hip and knee (partial and total). 1 per person
  • Spine: two levels, in one procedure, or by authorisation.
  • Cardiac: pacemaker, internal defibrillators, grafts and valves.
  • Vascular stents: 2 per family
  • Cardiac stents: 3 per family
♦️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 :

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

Titanium Executive
International Insurance:
  • R284 per person and R3,189 per family
  • Shared with: screening tests, vaccines
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

Also see these:




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