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PULA Medical Aid Fund

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 0 130

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 130.

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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