Suremed Navigator:
dentistry, optometry and wellness (2024)

This page: Costs | Dentistry | Optometry | Wellness and Preventative | Other Suremed Navigator We also show benefits for: In-hospital | Out of Hospital | Medicine | Maternity | Cancer | Mental Health | Prosthetics Find all the open medical aid plans here. Compare any two plans side by side, instantly. Monthly Costs: Navigator 2024 prices Main member: Adult member: Child member: Total Cost pm: R3,884 R3,040 R1148 Pay for all children Savings: R6300 R4860 R2028 Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account Main= R13,090 Main+1= R25,680 Children Rates: Pay for all 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 Suremed plans, with costs and brief summary . Dentistry benefits (): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Suremed: Navigator Assume scheme pays all these costs, unless otherwise stated Standard Dentistry: From day-to-day benefit Sublimit R4,800 per person once savings account is depleted Specialised Dentistry: Children under 12yrs, and impacted wisdom teeth: R10,700 per family In-Hospital Dentistry: See "Specialized Dentistry" 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: See "Specialized Dentistry" 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 Suremed plans, with costs and brief summary . . . Optometry benefits (): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Suremed: Navigator Assume scheme pays all these costs, unless otherwise stated Optometry: R16,000 per family 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 Suremed plans, with costs and brief summary . . . Wellness/Preventative benefits (): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Suremed: Navigator Assume scheme pays all these costs, unless otherwise stated Flu vaccination: No cover Pneumonia vaccines: No cover Biometric Screening: No cover Child Immunisation: Part of overall wellness benefit From savings account, thereafter up to R1,110 per person and R2,100 per family from overall day-to-day benefit Pap Smear: Part of overall wellness benefit From savings account, thereafter up to R1,110 per person and R2,100 per family from overall day-to-day benefit Mammogram: Part of overall wellness benefit From savings account, thereafter up to R1,110 per person and R2,100 per family from overall day-to-day benefit PAS Test: . HIV Test: No cover Other: R35,000 per person, unless PMB ♦️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 Suremed 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) Navigator International Insurance: No cover 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 Suremed 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