Remedi
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 78
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 78.
Comprehensive
2021 Optical Benefits:
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.)
Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply
Annual cycle : Optical benefit subject to the Beneficiary limit of R 3511.00
Beneficiary limit subject to available Family limit of R 7022.00
PPN clears and pays insured portion / Discovery pays members directly and make payment out of savings (where applicable)
One Composite Consultation
One pair of clear standard lenses : Either Single Vision or Bifocal lenses or Multifocal lenses
IN NETWORK: A Frame to the value of R 1 688.00 towards an alternative Frame and or Lens enhancements
OR
OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 1 224.00 towards an alternative Frame and or Lens enhancements
Benefit subject to available beneficiary/family limits
Contact lenses limited to R 2 315.00
Benefit subject to available beneficiary/family limits
Remedi Classic
2021 Optical Benefits:
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.)
Annual cycle : Optical benefit subject to the Beneficiary limit of R 3 173.00
Beneficiary limit subject to available Family limit of R 6 346.00
Full benefit subject to available IOH (Insured Out of Hospital) benefit available
PPN clears and pays insured portion subject to response from DH / Discovery pays members (where applicable)
Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply
One Comprehensive Consultation
One pair of clear standard spectacle lenses : Either Single Vision or Bifocal lenses or Multifocal lenses
Frame and or lens enhancements to the value of R 1 065.00
Benefit subject to available beneficiary/family/IOH limits
Contact lenses limited to R 1 930.00
Benefit subject to available beneficiary/family/IOH limits
Standard option
2021 Optical Benefits:
Each beneficiary is entitled to their optical benefit within a 2 year benefit cycle from last claiming date
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.)
Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply
NO BENEFITS OUT OF NETWORK ON THIS OPTION
One All Inclusive Consultation
One pair of clear standard spectacle lenses : Either Single Vision or Bifocal Lenses (Multifocals paid up to Bifocal limit)
IN NETWORK : A Frame to the value of R 300.00 towards an alternative Frame and or Lens enhancements
OR
REFUND VALUE : A Frame to the value of R 218.00 towards an alternative Frame and or Lens enhancements
Contact lenses limited to R 575.00
- Comprehensive
- Remedi Classic
- Standard option
