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Sizwe Medical Fund

Maximise your benefit - Visit an In Network Provider

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

Affordable

2019 Optical Benefits:

PPN 1 Tariff Applicable

Beneficiaries are entitled to claim once every 24 months as of the Date of Service

One Composite Consultation

A Frame to the value of R840 towards a frame and or lens enhancements together with one pair of lenses:

Single vision lenses or Bifocal lenses or Multifocal lenses

Specific Tints & Coatings are covered up to the frame limit

Contact lenses are subject to R1580  per cycle

Strict script limitations are placed on contact lenses and Hard contact lenses must be motivated

Full Care

2019 Optical Benefits:

PPN 1 Tariff Applicable

Beneficiaries are entitled to claim once every 24 months as of the Date of Service

One composite consultation

A value of R1060 towards a frame and or lens enhancements together with one pair of lenses:

Single vision lenses or Bifocal lenses or Multifocal lenses

Specific Tints & Coatings are covered up to the frame limit

Contact lenses to the value of R1790

Specific script limitations must be met and hard contact lenses must be motivated

Hospital Plan

2019 Optical Benefit design

Subject to available savings

Each beneficiary can claim once every 24 months

One Comprehensive Consultation

One pair of clear standard spectacle lenses: Single Vision or Bifocal (or Multifocal lenses paid up to Bifocal lenses)

Frame subject to available savings

Contact lenses are subject to savings available

Primary

2019 Optical Benefits:

Beneficiaries are only entitled to claim once every 24 months as of the Date of Service

PPN 1 tariff applicable

One Composite Consultation

A value of R550 towards an alternative frame and or lens enhancements together with one pair of clear lenses:

Single Vision or Bifocal lenses (Multifocals covered up to the Bifocal limit)

Specific Tints and Coatings are covered up to the frame limit specified.

Contact lenses are limited to R1270.00

Strict protocols are written for contact lenses and all Hard lenses must be motivated.

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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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