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Moto Health Care

Maximise your benefit - Visit an In Network Provider

Your benefits are contractually better at a network provider - Scheme rules apply

To confirm that you or a dependent is entitled to optical benefit, SMS your request to 45119 with the following details:

Benefit,MembershipNumber,Surname,BirthDateDependent,MainMemberID,DependantNumber, UniqueMedicalAid Key

Example: SMS 45119 Message details: Benefit 277323232 Botha 19721220 7212205065089 0 79

Important information:

Replace each comma with a space in your SMS and ensure the details are accurate and only one space is between each requirement. Kindly make sure the birthdate is in the correct format as per the example. The information will return within 1 minute on a new SMS. The full benefit breakdown per dependent is available by logging in to the PPN website or a guideline is given below. Your schemes unique medical key is 79.

Classic / Classic Network

2020 Optical benefits:

Each beneficiary is entitled to the following benefits within a two year benefit cycle.

Negotiated Tariff : PPN1 (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

Benefits are subject to Overall Annual Savings

Overall Savings Limits:  Please confirm with agent

PPN clears and make payment on accounts. Momentum provide remittances to Members directly

One Composite Consultation (Annually)

Bi-Annual Spectacle Benefit subject to last date of claiming:

One pair of clear standard spectacle lenses : Either Single Vision or Bifocal lenses or Multifocal Lenses

Frames and or lens enhancements are limited to R 820.00

(The Above limits are all subject to the availability of the Annual Savings as per the description)

Contact lenses up to R 1 530.00 per annum subject to the availability of the Annual Savings

Hospicare / Hospicare Network

2020 Optical Benefits:

PPN clears and forwards the claim to Medical aid for tax purposes

Member will not pay more than the Negotiated PPN 1 tariff at an IN NETWORK provider

The PPN tariff is up to 77% lower than the industry tariff

PMB Insured Optical Benefits adjudicated by PPN.

Optimum Option

2020 Optical Benefits:

Each beneficiary is entitled to the following benefits within a two year benefit cycle from last date of claiming.

Negotiated Tariff : PPN 1 (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

Benefits are subject to Day to Day limits

Day to Day Limits: Please confirm with agent

PPN clears and make payment on accounts. Momentum provide remittances to Members directly

One Composite Consultation

Bi-Annual Spectacle Benefit subject to last date of claiming:

One pair of clear standard spectacle lenses : Either Single Vision or Bifocal lenses or Multifocal Lenses

AND

Frames and or Lens enhancements are limited to R 1290.00

(The Above limits are all subject to the availability of the Day to Day limit as per the description)

Contact lenses limited up to R 2 280.00 per annum subject to available Day to Day limit

Find your nearest PPN optometrist

Try on a PPN Frame

To begin, simply browse to, and upload a photo of yourself look directly ahead (Just like the examples above)

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