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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 53

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 53.

Access

2020 Optical Benefits:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle 

NO BENEFITS OUT OF NETWORK

Negotiated Tariff: PPN 1 

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

One Comprehensive Consultation

  • One pair of clear standard lenses : Either Single Vision or Bifocal lenses  or Multifocal lenses (PAID up to the Bifocal limit)
  • IN NETWORK : A Frame to the value of R 548.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses to the value of R 950.00
  • Contact lenses can only be claimed if script requirement is met

Essential

2020 Optical limits:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle

NO BENEFITS OUT OF NETWORK

Contact lenses can only be claimed if script requirement is met

Negotiated Tariff : PPN 1 

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

One Comprehensive Consultation

One pair of clear standard Spectacle lenses : Either Single Vision or Bifocal Lenses (Multifocal lenses paid up to the Bifocal limit)

IN NETWORK : A Frame to the value of R300.00 towards an alternative Frame and or Lens enhancements

Contact lenses to the value of R 615.00

Plus

2020 Optical Benefits:

Each beneficiary is entitled to the following benefits within a 2 year benefit cycle

Contact lenses can only be claimed if script requirement is met

NO BENEFITS OUT OF NETWORK

Negotiated Tariff: PPN 1

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

One Comprehensive Consultation

  • One pair of clear standard lenses: Either Single Vision or Bifocal lenses or Multifocal lenses
  • IN NETWORK : A Frame to the value of R 1 230.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses to the value of R 2 915.00

Value / Core Value

2020 Optical benefits:

Each beneficiary is entitled to the optical benefits within a 2 year cycle

Contact lenses can only be claimed if script requirement is met

NO BENEFITS OUT OF NETWORK

Negotiated Tariff: PPN 1

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

One Comprehensive Consultation

  • One pair of clear standard lenses: Either Single Vision or Bifocal lenses (Multifocal lenses covered up to bifocal limit)
  • IN NETWORK : A Frame to the value of R795.00 towards an alternative Frame and or Lens enhancements
  • Contact lenses to the value of R 1 810.00

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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