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