Camaf
Maximise your benefit - Visit an In Network Provider
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 with the following details:
Benefit,MembershipNumber,Surname,BirthDateDependent,MainMemberID,DependantNumber, UniqueMedicalAid Key
Example: SMS 45119 Message details: Benefit 277323232 Botha 19721220 7212205065089 0 54
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 54.
Alliance Network
2022 Optical Benefit:
Each beneficiary is entitled to the following benefits per annum subject to Scheme Rules and Available Day to Day / Savings
Negotiated Tariff : PPN 1 (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
EDO Option: Member may be liable for cost between Scheme and Industry Rate and sublimits below.
One Comprehensive Consultation at Scheme Rate
- NETWORK/OUT OF NETWORK/REFUND VALUE
- Frame R 8 230 and Lens Enhancement benefit up to the value of R 1830
- One pair of either Single Vision or Bifocal or Multifocal clear standard lenses up to Scheme Rate
Contact Lenses: R 8 000 subject to available limits
Double Network
2022 Optical Benefit:
Each beneficiary is entitled to the following benefits per annum subject to Scheme Rules and Available Day to Day / Savings
Negotiated Tariff : PPN 1 (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
EDO Option: Member may be liable for cost between Scheme and Industry Rate and sublimits below.
One Comprehensive Consultation (Refraction, Tonometry, Visual Field Screening) at Scheme Rate
- NETWORK/OUT OF NETWORK/REFUND VALUE
- Frame R 4 430 and Lens Enhancement benefit up to the value of R 1 200
- One pair of either Single Vision or Bifocal or Multifocal clear standard lenses up to Scheme Rate
Contact Lenses: R4 300 subject to available limits
Network Choice/First Choice
2022 Optical Benefits
Each beneficiary is entitled to the following benefits within a two year benefit cycle subject to their last claiming date.
Member can claim either Spectacles OR Contact Lenses
Forensic protocols and AI screening included in design
The benefits are a guideline and scheme rules apply
Negotiated Tariff: PPN 1 (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.)
Network: One Comprehensive Consultation (Refraction, Tonometry, Visual Field Screening and AI)
OR
Out of Network: Refraction to the value of R350
- IN NETWORK : Frame and Lens Enhancement benefit up to the value of R 782
- OUT OF NETWORK/REFUND VALUE : Frame and Lens Enhancement benefit up to the value of R 626
- One pair of either Single Vision or Bifocal or Multifocal clear standard lenses
Contact lenses: R 875 per beneficiary
