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Sizwe Copper Core

Sizwe Copper

Maximise your benefit - Visit an In Network Provider

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

Copper Core

2020 Optical Benefits

The benefit description is a guideline and not a guarantee of payment.  The benefits are subject to the Overall Family Limit and the available Frame and Lenses sub-limits which should be verified with a Network consultant :


Member R1190
Member +1 R1370
Member +2 R1520
Member +3 R2180

Members can claim once in a 2 year cycle and clinical/prescribed protocols are applicable

Should one member utilise the Overall Family Limit then no sub-limits will be available for the remainder of the benefit year to the rest of the family. 

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

To confirm that you or a dependent is entitled to optical benefit, SMS your request to 45119 or include the following details in the below format for an automatic response:

Benefit,MembershipNumber,Surname,BirthDateDependent,MainMemberID,DependantNumber, UniqueMedicalAid Key

Example: SMS 45119 Message details: Benefit 277323232 Botha 19721220 7212205065089 0 140

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 140.

In Network: One Composite consultation including Refraction, Tonometry and Visual Fields

OR

Out of Network: Consultation to the value of R350

Spectacles:

Frame to the value of R520 together one pair of lenses:

Single Vision at R185 per lens

Bifocal at R420 per lens

Multifocal at R745 per lens

Contact Lenses:

Contact lenses subject to remaining family limit

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

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