Sasolmed Benefit Schedule
Option A
Benefit Catergory | Benefits | Limits | Authorisation |
Overall optical limit (in network and out of network)
|
(every 24 month period)
|
R3 250 per beneficiary (all inclusive) overall optical limit
|
Optometry management
|
Frames and lens enhancement | 100% of the negotiated network tariff rate for in network and for out of network (every 24 month period) | R1 350 and further, subject to the overall optical limit |
Optometry management |
Spectacle lenses | 100% of the negotiated network tariff rate for in network and for out of network | 1 pair of single or bifocal or multifocal lenses per beneficiary subject to overall optical limit | Optometry management |
Contact lenses | 100% of the negotiated network tariff rate for in network and for out of network | R1 900 limit and further, subject to overall optical limit | Optometry management |
For more information, please visit http://www.medscheme.com/
*Medical aid benefits as displayed are subject to change, final confirmation must be obtained from the medical aid.
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