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Rand Water Medical Scheme Benefits 2016


  • 100% (one hundred per cent) of the Scheme Tariff (ST), for eye testing by a registered ophthalmologist or, in the case of eye testing by an optometrist, 100% (one hundred per cent) of the guide to fees of the Optometric Association of South Africa, not exceeding one eye test per financial year per beneficiary.

  • 100% (one hundred per cent) of the South African Optometric Association(SAOA) tariff, on production of a receipted account from a spectacle maker, of the cost of frames, lenses and contact lenses prescribed at a test paid for in terms of (a) above:

  1. The maximum benefits for lenses or contact lenses are: o Member with no dependents R 2,730 per annum o Member with one or more dependents R 5,400 per annum.

  2. The maximum benefit for frames is R1,520 per beneficiary per annum subject to the following limits: o Member with no dependents R 1,520 per annum o Member with one or more dependents R 2,730 per annum.

  • A combined maximum benefit of R 9,510 per annum per family is payable for refractive surgery and intraocular lenses.

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

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