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Bestmed Medical Scheme

Maximise your benefit - Visit an In Network Provider

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

Beat 3 / Network

2020 Optical Benefit:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits is a guideline and scheme rules apply

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.)

One Comprehensive 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 825.00 towards an alternative Frame and or Lens enhancements 
  • OR
  • OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 578.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses: R 1 500.00 per beneficiary
  • Contact lens re-examination every 6 months after initial consultation

Beat 4

2020 Optical Benefit:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits are a guideline and scheme rules apply

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.)

One Comprehensive 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 825.00 towards an alternative Frame and or lens enhancements
  • OR
  • OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 578.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses: R 1 500.00 per beneficiary

Pace 1

2020 Optical Benefit:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits are a guideline and scheme rules apply

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.)

One Comprehensive Consultation

  • One pair of clear standard: Either Single Vision or Bifocal lenses or Multifocal lenses
  • IN NETWORK : A PPN Frame to the value of R 825.00 towards an alternative Frame and or Lens enhancements
  • OR
  • OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 578.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses: R 1 500.00 per beneficiary

Pace 2

2020 Optical Benefit:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits are a guideline and scheme rules apply

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.)

One Comprehensive 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 825.00 towards an alternative Frame and or Lens enhancements
  • OR
  • OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 578.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses: R 1 500.00 per beneficiary

Pace 3

2020 Optical Benefit:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits are a guideline and scheme rules apply

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.)

One Comprehensive 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 825.00 towards an alternative Frame and or lens enhancements
  • OR
  • OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 578.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses: R 1 500.00 per beneficiary

Pace 4

2020 Optical Benefit

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits are a guideline and scheme rules apply

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.)

One Comprehensive 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 825.00 towards an alternative Frame and or lens enhancements
  • OR
  • OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 578.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses: R 1 790.00 per beneficiary

Pulse 1

2020 Optical Benefit

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph or OCT Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits are a guideline and scheme rules apply

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.)

One Composite Consultation

One pair of spectacle lenses: Either Single Vision or Bifocal Lenses (Multifocal Lenses paid up to the Bifocal limit)

IN NETWORK : A frame to the value of R 225.00 towards frame and or lens enhancements

OR

OUT OF NETWORK/REFUND VALUE : A Frame to the value of R150.00 towards an alternative Frame and or Lens enhancements

Contact lenses limited to R 600

Pulse 2

2020 Optical Benefit

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle subject to the last claiming date.

Fundus photograph Benefit available for positive pathology, Forensic protocols and AI screening included in design

The benefits are a guideline and scheme rules apply

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.)

One Composite Consultation

One pair of standard spectacle lenses either Single Vision or Bifocal or Multifocal lenses

IN NETWORK : A frame to the value of R 825.00  towards an alternative Frame and Lens enhancements

OR

OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 578.00 towards an alternative Frame and or Lens enhancements

Contact lenses to the value of R 1 500.00

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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