Makoti Medical scheme


Makoti Medical scheme

Comprehensive

Spectacles must be obtained from an accredited optometrist, as authorised via the call centre 0860 00 24 00, necessary for correcting significant visual impairment problems.

Limitations:

Lenses: One set of lenses per beneficiary every 24 months
Frames: One set of frames per beneficiary every 24 month

The cost of single lenses is fully covered subject to the following conditions:

  • The refraction error must be equal to, or more than 0.5 dioptre
  • The total cost including testing and spectacle is limited to R1 850.00 per beneficiary per 24 months
  • Multi focal and contact lenses are covered within the limit

The scheme is not liable for the following

  • Replacement of lost spectacles is not covered


Primary

Spectacles must be obtained from an accredited optometrist, as authorised via the call centre 0860 00 24 00, necessary for correcting significant visual impairment problems.

Limitations:

Lenses: One set of lenses per beneficiary every 24 months 
Frames: One frame per beneficiary every 24 month

The cost of single lenses is fully covered subject to the following conditions:

  • The refraction error must be equal to, or more than 0.5 dioptre

  • The total cost including testing and spectacle is limited to R700.00 per beneficiary per 24 month

The scheme is not liable for the following:

  • Multi focal lenses are not covered

  • Contact lenses are not covered

  • Replacement of lost spectacles is not covered



For more information please visit http://www.makotihealth.co.za/


Medical aid benefits as displayed are subject to change, final confirmation must be obtained from the medical aid.



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