Sizwe Medical Fund
Affordable Plan:
Optical benefits managed by PPN (Preferred Provider Negotiators). Choose either spectacles (frames and lenses) or contact lenses once every 2 years
|
Eye Test: % Benefit Limit |
100% Sizwe Rate 1 test per beneficiary every 2 year |
|
Combined Frames and Lenses: % Benefit
|
100% Sizwe Rates Sub-Limits Member R1 570
Member +2 R1 900 Member +3 R2 020 Member +4 R2 080 Member +5 R2 130 Member +6+ R 2 190
|
|
Multi-focal/Varifocal Lenses: Sub-limit |
R680 per lens subject to annual limit |
|
Contact Lenses % Benefit Limit |
1 pair of permanent contact lenses every 2 years or 12 pairs of monthly disposable contact lenses per beneficiary per year. 100% Sizwe Rate Included in above |
|
Refractive Surgery, including Radial Keratotomy: % Benefit Limit
|
100% Sizwe Rate R5 620 per family per year
|
Gomomo Plan:
Choose either spectacles (frames and lenses) or contact lenses once every 2 years
|
|
% Benefit
|
Limit
|
Sub-limits
|
| Eye Test | 100% Sizwe Rates | 1 test per beneficiary every 2 years | |
| Combined Frames and Lenses | 100% Sizwe Rates |
Member R1010 Member+1-R1161 Member+2- Member+3+ R1 290
|
|
| Frame limit | R465 per beneficiary every 2 years |
Savings Care Plan:
Optical benefits managed by PPN (Preferred Provider Negotiators) Choose either spectacles (frames and lenses) or contact lenses once every 2 years
| % Benefit | Limit | |
| Eye Test | 100% Sizwe Rate | 1 test per beneficiary every 2 years, subject to available saving |
| Combined Frames and Lenses | 100% Sizwe Rates | 1 per beneficiary every 2 years, subject to available saving |
| Contact lenses | 100% Sizwe Rates | Included in above limit, subject to available saving |
| Refractive surgery and Radial Keratotomy | No Benefits |
Full Benefit Plan:
Optical benefits managed by PPN (Preferred Provider Negotiators) Choose either spectacles (frames and lenses) or contact lenses once every 2 years
|
% Benefit |
Limit | Sub-limits | |
| Eye Test Eye Test | 100% Sizwe Rate | 1 test per beneficiary every 2 years | |
| Combined Frames and Lenses | 100% Sizwe Rates |
Member R2 360 Member+1 R2 470 Member+2 R2 810 Member+3 R2 920 Member+4 R3 030 Member+5 R3 150 Member+6+ R3 200 |
|
| Multi-focal/Varifocal Lenses | R680 per lens subject to annual limit | ||
| Contact lenses | 100% Sizwe Rates | Included in above limit | 1 pair of permanent contact lenses every 2 years or 12 pairs of monthly disposable contact lenses per beneficiary per year |
| Refractive Surgery, including Radial Keratotomy | 100% Sizwe Rates | R10 790 per family per year |
Primary Care Plan:
Optical benefits managed by PPN (Preferred Provider Negotiators) Choose either spectacles (frames and lenses) or contact lenses once every 2 years
| % Benefit | Limit | Sub-limit | |
| Eye Test | 100% Sizwe Rates | 1 test per beneficiary every 2 years | |
| Combined Frames and Lenses | 100% Sizwe Rates |
Member R1 120 Member+1 R1 240 Member+2 R1 290 Member+3 R1 350 Member+4 R1 460 Member+5 R1 570 Member+6+ R1 630 |
|
| Multi-focal/Varifocal Lenses | R450 per lens subject to annual limit | ||
| Contact lenses | 100% Sizwe Rates | Included in above limit |
This summary is for information purposes only and does not supercede the rules of the Fund. In the event of any discrepancies between this benefit brochure and the scheme rules, the Rules will prevail. For a copy of the rules please go visit www.sizwe.co.za or call us on 0860 10 08 71
Leave a comment
By placing a comment you accept our Comments Disclaimer.
- Copyright 2024 Spec-Savers South Africa
- •
- Customer Care Line: 0860 766 930
- •
- info@specsavers.co.za
- •
- Whatsapp: 078 943 9468