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PULA Medical Aid Fund

De-Luxe Option

Members can claim once in a 24 month period

Managed care protocols applicable

In network providers receive payment directly from PPN

Out of network providers receive payment directly from the Scheme

Material Benefit : Member can claim either spectacles or contact lenses (not both) within a benefit cycle limited to BWP 3000

Pricing quoted are in Pula (BWP) and up to agreed scheme rates

One consultation per annum at either an IN or OUT of Network provider

Spectacles:

Frames are limited to BWP 1500 together with either

One pair of Single vision lenses; or

One pair of Bifocal lenses; or

One pair of Multifocal lenses

(Limited to the Material limit specified)

Contact lenses are limited to the Material limit specified (BWP 3000)

Executive Option

Members can claim once in a 24 month period

Managed care protocols applicable

In network providers receive payment directly from PPN

Out of network providers receive payment directly from the Scheme

Material Benefit : Member can claim either spectacles or contact lenses (not both) within a benefit cycle limited to BWP 3500

Pricing quoted are in Pula (BWP) and up to agreed scheme rates

One consultation per annum at  either an IN or OUT of Network provider

Spectacles:

Frames are limited to BWP 1750 together with either

One pair of Single vision lenses; or

One pair of Bifocal lenses; or

One pair of Multifocal lenses

(Limited to the Material benefit specified)

Contact lenses are limited to the Material limit specified (BWP 3500)

Flexi Option

Members can claim once in a 24 month period

Managed care protocols applicable

In network providers receive payment directly from PPN

Out of network providers receive payment directly from the Scheme

Material Benefit : Member can claim either spectacles or contact lenses (not both) within a benefit cycle limited to BWP 1000

Pricing quoted are in Pula (BWP) and up to agreed scheme rates

One consultation per annum at either an IN or OUT of Network provider

Spectacles:

Frames are limited to BWP 500 together with either

One pair of Single vision lenses; or

One pair of Bifocal lenses; or

One pair of Multifocal lenses

(Limited to the Material limit specified)

Contact lenses are limited to the Material limit specified (BWP 1000)

Standard and Galaxy

Members can claim once in a 24 month period

Managed care protocols applicable

In network providers receive payment directly from PPN

Out of network providers receive payment directly from the Scheme

Material Benefit : Member can claim either spectacles or contact lenses (not both) within a benefit cycle limited to BWP 1400

Pricing quoted are in Pula (BWP) and up to agreed scheme rates

One consultation per annum at either an IN or OUT of Network provider

Spectacles:

Frames are limited to BWP 700 together with either

One pair of Single vision lenses; or

One pair of Bifocal lenses; or

One pair of Multifocal lenses

(Limited to the Material limit specified)

Contact lenses are limited to the Material limit specified (BWP 1400)

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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