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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 0 126

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 126.

Medicall Classic / Optima

2021 Optical Benefits

Each beneficiary is entitled to optical benefits in a 2 year cycle from last claiming date

Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

PPN 1 Tariff applicable 

Benefits are available IN NETWORK only 

One Comprehensive consultation

One pair of clear standard lenses : 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 an alternative Frame and or Lens enhancements


REFUND VALUE : A Frame to the value of R 163.00 towards an alternative Frame and or Lens enhancements

Contact lenses limited to R 585.00

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