Note: We are updating 2024 benefits as they are released. Some plans show old benefits until schemes release new plans.

Sizwe Access Saver 15:
cancer, maternity and mental health (2022)


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Monthly Costs:

Saver 15 2024 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R2,254
  • R1,941
  • R450
Savings:
  • R4056
  • R3492
  • R816
Children Rates:
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 :

Sizwe: Saver 15
Assume scheme pays all these costs, unless otherwise stated
Overall coverage (in and out of hospital):
  • PMBs only
♦️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 :

Sizwe: Saver 15
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:
  • 100% scheme rate
Consultations:
  • GP or midwife: 7 consults
  • Specialist: 2 consults
Scans:
  • 3 x 2D scans, paid by scheme
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
.
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.

Mental Health benefits for :

\
Sizwe: Saver 15
Assume scheme pays all these costs, unless otherwise stated
In-hospital:
  • PMBs only
  • 21 days per person
  • Can be substituted with 15 consults in lieu of hospitalisation
  • Alcoholism/Drug Rehab: R12,855 per family
Out-of-hospital:
Trauma:
  • 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:
  • 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
.


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    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: