Suremed Navigator:
prosthetic benefits (2024)

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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
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Suremed: Navigator
Overal Limit:	Spinal fusion: 2 levels per year, R25,000 per person Intra-occular lenses: R2,500 per lens Mesh: R8,000 per person	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:	2022
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:♦️ 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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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