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

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:	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
.

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Dentistry benefits ():

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
.

Optometry benefits ():

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
.

Wellness/Preventative benefits ():

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 :

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

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

Monthly Costs:

Dentistry benefits ():

Optometry benefits ():

Wellness/Preventative benefits ():

Other benefits for :

Also see these:

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