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Remedi

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

2020 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 1 182.00 towards an alternative Frame and or Lens enhancements

Benefit subject to available beneficiary/family limits

Contact lenses limited to R 2 225.00

Benefit subject to available beneficiary/family limits

Remedi Classic

2020 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 3 083.00

Beneficiary limit subject to available Family limit of R 6 166.00

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

2020 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 210.00 towards an alternative Frame and or Lens enhancements

Contact lenses limited to R 550.00

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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