Sizwe Value Platinum:
prosthetic benefits (2025)

This page has information on: Costs and Prosthetics for Sizwe Value Platinum

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Monthly Costs (2025)

Value Platinum 2025 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R5,583	R5,242	R1,528
Savings:	R14328	R13728	R3660
Self Payment Gap: (What you need to pay out of pocket before you can access the "Above Threshold" benefit)	R2345	R1986	R512
"Above Threshold" benefit (ATB): Additional cover the scheme makes available to you, once you've paid* the self payment gap.*	6197	3645	1585
Children Rates:	Up to age 25. Grandchildren included.
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: In-hospital \| 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. Find all other open medical aid plans here.
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Sizwe: Value Platinum
Overal Limit:	R49,910 per family, unless PMB Sub-limits apply	Prosthetics required for PMB conditions are always paid paid in full* by scheme, with no co-payment, if you follow the protocols. More info here*
Sub-limits:
Note:	PMBs: Prescribed Minimum Benfits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs 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: In-hospital \| 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. Find all other open medical aid plans here.

Always consult with your broker before making final decisions regarding your healthcare cover.

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