Maximise your benefit - Visit an In 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 0 119
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 119.
2021 Optical Benefits
Options C / B Top UP / B Plus
Each beneficiary can claim over a 2 year period from last date of claiming.
Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply
PPN 1 tariffs applicable (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 spectacle lenses either Single vision and Bifocal lenses (Multifocal lenses up to the Bifocal amount)
IN NETWORK : A Frame to the value of R 225.00
REFUND VALUE : A Frame to the value of R 163.00
No contact lens benefit available