Topmed Medical Aid
Network Option : 2017
PPN 1 tariffs applicable
Each beneficiary can claim every 2 years from date of claiming
One Comprehensive Consultation
One pair of spectacle lenses either Single Vision or Bifocal Lenses (Multifocal lenses up to Bifocal amount)
PPN frame up to the value of R160
OR
Contact lenses to the value R444
Executive : 2017
Negotiated Tariff: PPN 2
Annual benefit cycle
Limited to R2364 per beneficiary and R6900 per family
-
One pair of clear standard lenses : Either Single Vision or Bifocal lenses or Multifocal lense
-
A PPN Frame to the value of R195.00 or R690.00 Frame benefit (Cost from Yearly limit and accrues to Threshold)
-
Benefits subject to available Beneficiary/Family limit
OR
-
Contact lenses limited to R1844 and subject to available Beneficiary limit
Rainbow Comprehensive / Paladin Comprehensive : 2017
Negotiated Tariff: PPN 2
100% of Cost from Yearly Limit (YL) thereafter PPN rates from Extended Cover.
Claims accrue to Threshold at PPN rate
One Composite ExaminationSpectacle Lenses:
One pair of clear standard lenses : Single Vision or Bifocal lenses or Multifocal lense
Frames are subject to Yearly limit and accrues to Threshold:
Rainbow Comprehensive - R1100.00
Paladin Comprehensive - R800.00
OR
Contact lenses :
Contact lenses subject to Yearly LimitSublimits for contact lenses per option:
Rainbow Comprehensive R2160 per beneficiary per annum
Paladin Comprehensive R1836 per beneficiary per annum
For More information, please visit http://www.topmed.co.za/
*Medical aid benefits as displayed are subject to change, final confirmation must be obtained from the medical aid.
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