Optometry Benefits

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SAMWUMED members on both Option A and Option B qualify for optical (eye) cover.

glasses

Optometry Benefit Options

Option A
Option B
Family

OPTION A

Paid from Capitation Benefits.

Option A Benefits

  • One composite eye test per beneficiary per benefit cycle is limited to R755 at a Network Provider and R400 at a Non-Network Provider.
  • One pair of clear single-vision spectacle lenses limited to R215 at a Non-Network Provider or clear flat top bifocal spectacle lenses limited to R460 at a Non-Network Provider or clear multifocal spectacle lenses limited to R810 at a Non-Network Provider.
  • Lenses are covered in full at PPN Network Provider.
  • Frame and or lens enhancements per beneficiary are limited to R1,080 at a non-network provider and R1,350 at a PPN Network Provider.
  • There is no benefit for reading glasses or contact lenses.

Conditions:

  • Optical benefits are subject to Scheme protocols and the PPN Network.
  • Optical benefits are subject to a 2-Year cycle.
  • To access benefits members must check their claim status.
  • To lodge a claim, locate the closest PPN Network Optician, or register a query, members must visit ppn.co.za or Contact PPN at:
  • Email: info@ppn.co.za or Tel: 041 065 0650.

OPTION B

Paid from Capitation Benefits.

Option B Benefits

  • One composite eye test per beneficiary per benefit cycle limited to R755 at Network Provider and R400 at Non-Network Provider.
  • One pair of clear single vision spectacle lenses limited to R215 (two hundred and fifteen rand only) per lens; or One pair of clear flat top bifocal spectacle lenses limited to R460 (four hundred and sixty rand only) per lens.
  • One pair of clear multifocal spectacle lenses including branded lens add-on limited to R850 (eight hundred and fifty rand only) per lens.
  • Lenses are covered in full at a PPN Network Provider.
  • Frame and or lens enhancements per beneficiary are limited to R1,408 at non-network provider and R1,760 at a PPN Network Provider.
  • Contact lenses are limited to R3,000 per beneficiary.
  • There is no benefit for reading glasses.

Conditions:

  • Optical benefits are subject to Scheme protocols and the PPN Network.
  • Optical benefits are subject to a 2-Year cycle.
  • To access benefits members must check their claim status.
  • To lodge a claim, locate the closest PPN Network Optician, or register a query, members must visit ppn.co.za or Contact PPN at:
  • Email: info@ppn.co.za or Tel: 041 065 0650.

Optometry Network

CLICK HERE

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Physical Address:
Cnr Trematon & Lascelles Streets,
Athlone, Cape Town,
7760
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Athlone,
7760.
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Option A for younger members and younger families offers more flexibility and peace of mind.
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OUR TOP-TIER OPTION

With Option B we make it possible for the main member to cover up to eight child dependents.
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